我国西部少数民族儿童:改善生长发育应丰富饮食多样性
  • 发育迟缓是儿童营养不良的一个关键指标。
  • 针对中国西部少数民族5196名6至23个月的儿童,分析最少膳食种类(MDD)达标情况与发育状况、社会经济因素的关系。
  • MDD未达标的儿童比例为44.5%;有两个兄弟姐妹、在家分娩、彝族与维吾尔族、抚养人不识字、收入最低和始终母乳喂养的儿童MDD不达标的比例更高;且MMD不达标与抑郁症呈正相关。
  • 结论:中国西部少数民族儿童的生长迟缓率、MDD未达标率较高,仍需进一步改善儿童的饮食喂养情况。
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The dietary diversity and stunting prevalence in minority children under 3 years old: a cross-sectional study in forty-two counties of Western China

针对中国西部的42个县少数民族3岁以下儿童饮食多样性与发育迟缓患病率相关性的横断面研究

10.1017/S0007114517002720

2017-11-28, Article

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As a key indicator of childhood malnutrition, few studies have focused on stunting in relation to various socio-economic factors in which disadvantaged groups face in China. We conducted a community-based cross-sectional study incorporating forty-two rural counties in seven western provinces of China in 2011. In total, 5196 children aged 6–23 months were included. We used Poisson regression to examine risk factors for inadequate minimum dietary diversity (MDD) and stunting status, respectively. Overall, the proportion of children not meeting MDD was 44·5 %. Children aged 6–11 months (adjusted risk ratio (ARR)=1·39; 95 % CI 1·31, 1·49), with two siblings (ARR=1·09; 95 % CI 1·02, 1·17), delivered at home (ARR=1·30; 95 % CI 1·20, 1·41), within Yi (ARR=1·15; 95 % CI 1·04, 1·28) or Uighur groups (ARR=1·52; 95 % CI 1·36, 1·71), with an illiterate caregiver (ARR=2·12; 95 % CI 1·52, 2·96), receiving lowest income (ARR=1·32; 95 % CI 1·17, 1·50), and with breast-feeding in the last day (ARR=1·55; 95 % CI 1·44, 1·66) were more likely to have inadequate MDD. Moreover, inadequate MDD was positively associated with stunting (ARR=1·15; 95 % CI 1·01, 1·31). Other determinants for stunting were age, sex, place of delivery, minority group and income. The stunting prevalence and proportion of inadequate MDD remained high in Western China; to reduce stunting rates of ethnic minorities, further efforts addressing appropriate dietary feeding practices are needed, especially within these groups.

First Authors:
Anqi Wang

Correspondence Authors:
Hong Zhou

All Authors:
Anqi Wang,Robert W Scherpbier,Xiaona Huang,Sufang Guo,Yuning Yang,Jonathan Josephs-Spaulding,Chuyang Ma,Hong Zhou,Yan Wang

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