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泰国儿童从出生到两岁的发育迟缓患病率和发病率:基于泰国儿童前瞻性队列研究(PCTC)。

Prevalence and incidence of child stunting from birth to two years of life in Thai children: based on the Prospective Cohort Study of Thai Children (PCTC).

作者信息

Mongkolchati Aroonsri, Thinkhamrop Bandit, Mo-Suwan Ladda, Chittchang Uraiporn, Choprapawon Chanpen

机构信息

Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand.

出版信息

J Med Assoc Thai. 2010 Dec;93(12):1368-78.

Abstract

OBJECTIVE

To determine the percentages of prevalence and incidence in child stunting at birth, 6, 12, 18, and 24 months of age and to investigate the association between factors and child stunting outcome

MATERIAL AND METHOD

The Prospective Cohort Study of Thai Children (PCTC) was carried out during 2000-2002, data from five districts were examined, and anthropometric measurements were performed by the physician and research assistants. WHO's growth reference standard year 2005 was used.

RESULTS

Four thousand two hundred forty five children were included at the start of the present study of which 3,898 were in the final analysis. The prevalence in child stunting presented an increasing percentage at birth 6, 12, 18, and 24 months was 6.0, 6.9, 9.5, 14.6, and 16.6%, and incidence indicated decreasing at birth, 6, 12, 18, and 24 months was 6.0, 4.3, 4.1, 5.2, and 3.2% respectively. The GEE analysis showed that gender mother height, mother education, income, and Nan-Hill Tribe areas were significantly correlated with child stunting (p < 0.001).

CONCLUSION

Finding from the present study indicates that to reduce child stunting in Thailand in early infant's life, early nutritional interventions and quality antenatal care are vital.

摘要

目的

确定出生时、6个月、12个月、18个月和24个月大的儿童发育迟缓的患病率和发病率百分比,并调查相关因素与儿童发育迟缓结果之间的关联。

材料与方法

泰国儿童前瞻性队列研究(PCTC)于2000年至2002年期间开展,对来自五个地区的数据进行了检查,医生和研究助理进行了人体测量。采用世界卫生组织2005年生长参考标准。

结果

本研究开始时纳入了4245名儿童,其中3898名纳入最终分析。出生时、6个月、12个月、18个月和24个月大的儿童发育迟缓患病率呈上升趋势,分别为6.0%、6.9%、9.5%、14.6%和16.6%,发病率则呈下降趋势,出生时、6个月、12个月、18个月和24个月大时分别为6.0%、4.3%、4.1%、5.2%和3.2%。广义估计方程(GEE)分析表明,母亲的性别、身高、教育程度、收入以及楠-希尔部落地区与儿童发育迟缓显著相关(p < 0.001)。

结论

本研究结果表明,为减少泰国婴儿早期的儿童发育迟缓,早期营养干预和高质量的产前护理至关重要。

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