Mrad Sonia Mazigh, Gazdalli N, Gharsallah L, Bouyahia Olfa, Barsaoui Sihem, Boukthir Samir, Sammoud Azza
Service de Médecine infantile C, Hôpital d'Enfant de Tunis.
Tunis Med. 2009 Apr;87(4):273-8.
In our country, the prevention of rickets is based on daily vitamin D intake from birth to eighteen months. This vitamin D intake has decreased according to our hospital practice.
To assess vitamin D supplementation prevalence and to study mother knowledge, attitude and practices about vitamin D and factors that influenced them and to define target population who needs further education.
A predefined questionnaire was submitted to 116 mother's child who was aged from two months to three years and were hospitalised for acute disease in Tunis children hospital. The questionnaire was filled by the paediatrician. He included as well questions on vitamin D supplementation and questions on sociodemographics characteristics.
68% of the infants had received vitamin D.The various significant factors who influenced the knowledge about vitamin D were father and mother out of work, low education level, and the living in a deserited area. The factors that influenced significantly the practices were the one parity and the living far away, up to five kilometre, from a primary health care.
Given that the supplementation of vitamin D is recommended for all infants the study show that supplementation prevalence is unsatisfactorily low. Various risks factors were identified. In view of the new evidence emerging on additional preventive properties of vitamin D and the resurgence of rickets, its promotion must be discussed anew.
在我国，佝偻病的预防基于从出生到18个月的每日维生素D摄入量。根据我们医院的实际情况，这种维生素D摄入量有所下降。
评估维生素D补充剂的使用普及率，研究母亲关于维生素D的知识、态度和做法以及影响这些的因素，并确定需要进一步教育的目标人群。
向突尼斯儿童医院116名年龄在2个月至3岁因急性疾病住院的儿童的母亲发放一份预先设计好的问卷。问卷由儿科医生填写。问卷包括关于维生素D补充剂的问题以及社会人口学特征问题。
68%的婴儿接受过维生素D。影响维生素D知识的各种显著因素包括父母失业、教育水平低以及居住在偏远地区。显著影响做法的因素是初产以及居住在距离初级卫生保健机构5公里远的地方。
鉴于建议所有婴儿补充维生素D，研究表明补充剂的使用普及率低得令人不满意。确定了各种风险因素。鉴于维生素D新出现的额外预防特性的证据以及佝偻病的再度出现，必须重新讨论其推广问题。
