Factors associated with physical growth of children during the first two years of life in rural and urban areas of Vietnam.

Factors associated with physical growth of children during the first two years of life in rural and urban areas of Vietnam.
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DOI:
10.1186/1471-2431-13-149
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发表时间:
2013-09-25
期刊:
影响因子:
2.4
通讯作者:
Ascher H
Ascher H
中科院分区:
医学3区
文献类型:
--
作者:
Nguyen HT;Eriksson B;Petzold M;Bondjers G;Tran TK;Nguyen LT;Ascher H

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城乡环境之间的差异可以被视为人口群体之间差距的一个非常重要的例子。本文的目的是比较城市和农村地区儿童出生后两年的生长情况,以及与母亲使用产前护理 (ANC)、母乳喂养和报告的疾病症状相关的情况。这些研究是在越南河内的两个健康和人口监测点进行的,一处为农村,一处为城市。我们发现城市地区的孩子比农村地区的孩子生长得快。生长与母亲的教育以及家庭资源之间存在统计关联。 ANC 就诊次数与儿童生长呈正相关。我们还发现生长与早期开始(生命的第一个小时)母乳喂养之间存在正相关,但报告的纯母乳喂养持续时间与生长没有统计学显着相关性。报告疾病症状与生长呈负相关,即发病阻碍生长。本文讨论的所有生长预测因素(非国大、母乳喂养和疾病)都与社会和经济条件相关。为了改善和保持儿童成长的良好条件,必须加强母亲教育和家庭资源,特别是在农村地区。全球化和城市化意味着明显的风险,尤其是城乡地区之间的差距扩大。越南还需要提高产前护理、母乳喂养和儿童疾病综合管理项目的质量。
Differences between urban and rural settings can be seen as a very important example of gaps between groups in a population. The aim of this paper is to compare an urban and a rural area regarding child growth during the first two years of life as related to mother’s use of antenatal care (ANC), breastfeeding and reported symptoms of illness. The studies were conducted in two Health and Demographic Surveillance Sites, one rural and one urban in Hanoi, Vietnam. We found that children in the urban area grow faster than those in the rural area. There were statistical associations between growth and the education of the mother as well as household resources. There were positive correlations between the number of ANC visits and child growth. We also saw a positive association between growth and early initiation (first hour of life) of breastfeeding but the reported duration of exclusive breastfeeding was not statistically significantly related to growth. Reporting symptoms of illness was negatively correlated to growth, i.e. morbidity is hampering growth. All predictors of growth discussed in this article, ANC, breastfeeding and illness, are associated with social and economic conditions. To improve and maintain good conditions for child growth it is important to strengthen education of mothers and household resources particularly in the rural areas. Globalization and urbanization means obvious risks for increasing gaps not least between urban and rural areas. Improvement of the quality of programs for antenatal care, breastfeeding and integrated management of childhood illness are also needed in Vietnam.
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