Nutritional status, feeding practice and incidence of infectious diseases among children aged 6 to 18 months in northern mountainous Vietnam
Nutritional status, feeding practice and incidence of infectious diseases among children aged 6 to 18 months in northern mountainous Vietnam
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DOI：
10.2152/jmi.57.45
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发表时间：
2010-02-01
影响因子：
0.7
通讯作者：
Yamamoto, Shigeru
中科院分区：
文献类型：
--
作者：
Nakamori, Masayo;Nguyen Xuan Ninh;Yamamoto, Shigeru
目的：评估营养不良的患病率、传染病的发病率和喂养方式的情况，以确定越南农村6至18个月儿童营养不良的风险因素。设计：在越南北江的188对母子中进行横断面研究。测量儿童的体重和身高，并参考WHO/CDC/NCHS的数据。传染病的发病率是根据世卫组织建议的监测标准诊断的。通过结构化问卷调查获得有关社会人口变量和喂养方式的数据。结果：低体重、发育迟缓和消瘦的发生率分别为19.7%、23.4%和5.3%。在访谈的最后14天，腹泻和急性呼吸道感染（阿里斯）的发生率分别为12.2%和20.2%。虽然99%的儿童接受母乳喂养，但前4个月纯母乳喂养率为21.3%。头4个月非纯母乳喂养（OR 3.95，p=0.025）和低出生体重（OR 4.38，p=0.009）与儿童体重不足相关，而感染性疾病的发生率与此无关（OR 1.16，p=0.734）。结论：营养不良在研究中心非常普遍，非纯母乳喂养是危险因素之一。
Objective : To assess the prevalence of undernutrition, incidence of infectious diseases and the situation of feeding practices to determine the risk factors for undernutrition among children aged 6 to 18 months in rural Vietnam. Design : A cross-sectional study was conducted among one hundred eighty-eight mother-child pairs in Bac Giang, Vietnam. Weight and height of the children were measured and referred to data from the WHO/CDC/NCHS. Incidence of infectious diseases was diagnosed based on the WHO Recommended Surveillance Standards. Data on socio-demographic variables and feeding practices were obtained through a structured questionnaire. Result : The prevalence of underweight, stunting and wasting was 19.7%, 23.4% and 5.3%, respectively. The incidence of diarrhea and acute respiratory infections (ARIs) during the last 14 days of the interview was 12.2% and 20.2%, respectively. Although 99% of the children were breastfed, the prevalence of exclusive breastfeeding in the first 4 mo was 21.3%. Non-exclusive breastfeeding in the first 4 month (OR 3.95, p=0.025) and low birth weight (OR 4.38, p=0.009) were associated with underweight in the children, while incidence of infectious disease was not (OR 1.16, p=0.734). Conclusion : Undernutrition is highly prevalent in the study site and non-exclusive breast feeding is one of the risk factors.