Zhou Xu, Fang Junqun, Luo Jiayou, Wang Hua, Du Qiyun, Huang Guangwen, Feng Binbin
Department of Maternal and Child Health, Xiang Ya School of Public Health, Central South University, Changsha 410078, China.
Wei Sheng Yan Jiu. 2017 Mar;46(2):256-261.
To describe the status and identify factors associated withtaking Yingyangbao efficiently among infants and young children aged 6- 24 months in poor rural areas.
A total of 7481 rural infants and young children aged between6 and 24 months in 25 poor counties of Wuling Mountains and Luoxiao Mountains in Hunan Province were selected by Probability-Proportional-to-Size Sampling( PPS), and designed questionnaires to collect infants and young children's information of personal, family and taking Yingyangbao. Non-conditional Logistic regression analysis was used to analyze the factors associated with taking Yingyangbao among infants and young children aged 6- 24 months.
The findings indicated that 90. 4%( 6762 /7481) of infants and young children had got Yingyangbao, and 69. 2%( 4677 /6762) of infants and young children took Yingyangbao efficiently, 62. 5%( 4677 /7481) of all investigative infants and young children took Yingyangbao efficiently. The result of multivariate non-conditional logistic regression analysis showed that, compared with 6- 11 months, 12- 17 and18- 24 months were protective factors of infants and young children took Yingyangbao efficiently( OR = 0. 839, 95% CI 0. 735- 0. 959. OR = 0. 854, 95% CI 0. 748-0. 974). Compared with Han ethnic, Miao, Tujia, Dong and other minority ethnic were risk factors of infants and young children took Yingyangbao efficiently( OR = 1. 243, 95%CI 1. 07- 1. 443. OR = 2. 352, 95% CI 2. 008- 2. 755. OR = 1. 801, 95% CI 1. 453-2. 233. OR = 1. 675, 95% CI 1. 192- 2. 355). Compared with father with primary school education or below, father with senior high school education and educated to university level or above were protective factors of infants and young children took Yingyangbao efficiently( OR = 0. 774, 95% CI 0. 618- 0. 970. OR = 0. 570, 95% CI 0. 428-0. 760). Compared with famer father, worker or cadre father was risk factor of infants and young children took Yingyangbao efficiently( OR = 1. 279, 95% CI 1. 104- 1. 482). Compared with parents as caregivers, grandparents as caregivers was protective factor of infants and young children took Yingyangbao efficiently( OR = 0. 651, 95% CI 0. 581-0. 729). Compared with taking Yingyangbao with no adverse reaction, taking Yingyangbao with adverse reaction was risk factor of infants and young children took Yingyangbao efficiently( OR = 2. 759, 95% CI 2. 346- 3. 245).
The rate of taking Yingyangbao efficiently among infants and young children in poor rural areas is low. The risk factors of infants and young children taking Yingyangbao efficiently include lower in age( months), of minority ethnic, of father with lower education, of father who is worker or cadre, of parents as caregiver, and of taking Yingyangbao with adverse reaction.
描述贫困农村地区6至24个月婴幼儿营养包有效服用情况并确定相关影响因素。
采用按规模大小成比例的概率抽样方法(PPS),选取湖南省武陵山和罗霄山25个贫困县的7481名6至24个月农村婴幼儿,设计问卷收集婴幼儿个人、家庭及营养包服用信息。采用非条件Logistic回归分析6至24个月婴幼儿营养包有效服用的相关影响因素。
结果显示,90.4%(6762/7481)的婴幼儿领取过营养包,其中69.2%(4677/6762)的婴幼儿有效服用营养包,占全部调查婴幼儿的62.5%(4677/7481)。多因素非条件Logistic回归分析结果显示,与6至11个月婴幼儿相比,12至17个月及18至24个月是婴幼儿有效服用营养包的保护因素(OR=0.839,95%CI 0.735-0.959;OR=0.854,95%CI 0.748-0.974)。与汉族相比,苗族、土家族、侗族等少数民族是婴幼儿有效服用营养包的危险因素(OR=1.243,95%CI 1.07-1.443;OR=2.352,95%CI 2.008-2.755;OR=1.801,95%CI 1.453-2.233;OR=1.675,95%CI 1.192-2.355)。与父亲为小学及以下文化程度相比,父亲为高中文化程度及大专及以上文化程度是婴幼儿有效服用营养包的保护因素(OR=0.774,95%CI 0.618-0.970;OR=0.570,95%CI 0.428-0.760)。与农民父亲相比,工人或干部父亲是婴幼儿有效服用营养包的危险因素(OR=1.279,95%CI 1.104-1.482)。与父母作为照料者相比,祖父母作为照料者是婴幼儿有效服用营养包的保护因素(OR=0.651,95%CI 0.581-0.729)。与服用营养包无不良反应相比,服用营养包有不良反应是婴幼儿有效服用营养包的危险因素(OR=2.759,95%CI 2.346-3.245)。
贫困农村地区婴幼儿营养包有效服用率较低。婴幼儿营养包有效服用的危险因素包括年龄较小(月龄)、少数民族、父亲文化程度较低、父亲为工人或干部、父母作为照料者、服用营养包有不良反应。