| 637 | 8 | 65 |
| 下载次数 | 被引频次 | 阅读次数 |
目的描述中国6～23月龄婴幼儿喂养状况。方法数据来自2013年中国0～5岁儿童乳母营养与健康状况监测项目,采用多阶段分层整群抽样方法,对象为30个省(自治区、直辖市) 55个监测点6～23月龄儿童9983名。根据世界卫生组织2021年新评价指标分析婴幼儿喂养状况。结果采用2010年国家统计局的人口数据进行复杂加权计算,利用Rao-Scott修饰权重的卡方检验进行统计学差异检验。结果 2013年中国6～23月龄儿童达到最低膳食多样化的比例是34.5%(95%CI 28.8%～40.2%),大城市儿童超过了50%,而贫困农村儿童只有20.4%;达到最低膳食摄入频率的比例是69.2%(95%CI 64.7%～73.7%),大城市、中小城市儿童约为80%,贫困农村儿童只有45.3%;最低可接受膳食的比例是23.7%(95%CI 19.2%～28.2%),大城市儿童达到44.2%,而贫困农村儿童不足10%。3个指标在不同性别之间差异均无统计学意义,不同地区、不同月龄儿童的差异具有统计学意义(P<0.05)。结论中国6～23月龄儿童最低膳食多样化和最低可接受膳食较差,尤其是贫困农村儿童。
Abstract：OBJECTIVE To describe the feeding status of infant and young child aged 6-23 months in China. METHODS Data was from the China Nutrition and Health Surveillance among 0-5 Years Old Children and Lactating Women in 2013. Stratified multistage cluster sampling method was used, and 9983 children aged 6-23 months were involved. We analyzed the infant and young child feeding practices with World Health Organization(WHO) 2021 updated indicators. Data analyses were conducted using the complex weight based on national census from National Bureau of Statistics in 2010. We used Rao-Scott Chi-square test for statistical difference. RESULTSThe proportions of children aged 6-23 months meeting minimum dietary diversity(MDD) was 34.5%(95% CI 28.8%-40.2%); it was over 50% in large cities, and only 20.4% in poor rural areas. The proportions of children aged 6-23 months meeting minimum meal frequency(MMF) was 69.2%(95% CI 64.7%-73.7%); it was about 80% in large cities, medium and small cities, and only 45.3% in poor rural areas. The proportions of children aged 6-23 months meeting minimum acceptable diet(MAD)was 23.7%(95% CI 19.2%-28.2%), it was 44.2% in large cities, and less than 10% in poor rural areas. No consistent differences were observed between boys and girls for all 3 dietary indicators(MDD, MMF and MAD), and there was significant difference in different areas and various months of age(P<0.05). CONCLUSION The minimum dietary diversity and minimum acceptable diet among children aged 6-23 month were not optimal in China, especially in poor rural areas.
[1] BLACK R E,ALLEN L H,BHUTTA Z A,et al.Maternal and child undernutrition:global and regional exposures and health consequences [J].Lancet,2008,371(9608):243-260.
[2] WHO.Indicators for assessing infant and young child feeding practices:part 1:definitions[R].Geneva:WHO,2008.
[3] WHITE J M,BéGIN F,KUMAPLEY R,et al.Complementary feeding practices:current global and regional estimates[J].Matern Child Nutr,2017,13(S2):e12505.
[4] WHO,UNICEF.Indicators for assessing infant and young child feeding practices:definitions and measurement methods[R].Geneva:WHO,UNICEF,2021.
[5] 于冬梅，琚腊红，李淑娟，等.2013 年中国不同省份儿童超重和肥胖现况[J].卫生研究，2020,49(3):190-194.
[6] KRASEVEC J,AN X,KUMAPLEY R,et al.Diet quality and risk of stunting among infants and young children in low- and middle-income countries [J].Matern Child Nutr,2017,13(S2):e12430.
[7] HEIDKAMP R A,KANG Y,CHIMANYA K,et al.Implications of updating the minimum dietary diversity for children indicator for tracking progress in the eastern and southern Africa region[J].Curr Dev Nutr,2020,4(9):141.
[8] BAYE K,KENNEDY G.Estimates of dietary quality in infants and young children (6-23 mo):evidence from demographic and health surveys of 49 low- and middle-income countries [J].Nutrition,2020,78:110875.
[9] GATICA-DOMíNGUEZ G,NEVES P A R,BARROS A J D,et al.Complementary feeding practices in 80 low and middle-income countries:prevalence of and socioeconomic inequalities in dietary diversity,meal frequency,and dietary adequacy [J].J Nutr,2021,151:1956-1964.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2021.06.002
中图分类号:R153.1;R174.4
引用信息:
[1]王玉英,司向,于冬梅,等.利用2021年世界卫生组织新指标评价中国婴幼儿喂养状况[J].卫生研究,2021,50(06):882-886.DOI:10.19813/j.cnki.weishengyanjiu.2021.06.002.
基金信息:
科技部基础资源调查专项(No.2017FY101100,2017FY101107); 国家卫生健康委(原卫生部)医改重大项目—中国居民营养与健康状况监测(2010—2013年)
2021-11-30
2021-11-30