文章摘要
党少农,颜虹,王学良,曾令霞,谢红.西藏地区3岁以下儿童辅食添加状况调查[J].中华流行病学杂志,2003,24(8):674-677
西藏地区3岁以下儿童辅食添加状况调查
The introduction of complementary food of children under the age of three years in Tibet of China
收稿日期:2002-12-02  出版日期:2014-09-16
DOI:
中文关键词: 婴幼儿;喂养方式;西藏
英文关键词: Infant;Pattern of feeding;Tibet
基金项目:卫生部与联合国儿童基金会资助项目 (YH001)
作者单位
党少农 西安交通大学医学院公共卫生系卫生统计教研室 710061 
颜虹 西安交通大学医学院公共卫生系卫生统计教研室 710061 
王学良 西安交通大学医学院公共卫生系卫生统计教研室 710061 
曾令霞 西安交通大学医学院公共卫生系卫生统计教研室 710061 
谢红 西安交通大学医学院公共卫生系卫生统计教研室 710061 
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中文摘要:
      目的 了解西藏地区 3岁以下儿童的辅食添加状况。方法 采用横断面调查设计与分层多阶段随机抽样法,获得 1655对母与子,通过母亲回顾调查了儿童的辅食添加情况,并与 1995年中国 9市 (城区和郊区 ) 7岁以下儿童及同时期中国西部 40个贫困县农村 3岁以下儿童喂养状况比较。结果 西藏地区 3岁以下儿童辅食添加中糌粑 (熟青稞面和酥油茶的混合物 )添加最早,平均在出生后 1.98月龄,男童稍早于女童,但其他辅食的添加两者间差异无显著性。城市儿童添加辅食明显早于农村儿童,到 4月龄时,城市中仅有 10.6 %的儿童尚未添加辅食,而农村却仍有 21.7%的儿童尚未添加 ;农区儿童添加辅食早于牧区儿童,到 4月龄尚未添加辅食的比例分别为 14.2 %和 30.9% ;鸡蛋和猪、牛、羊肉类的添加时间在 8~9月龄之间,城市添加比例和频率高于农村 ;西藏儿童到 6月龄时只有 11.5 %尚未添加任何辅食,明显低于西部 4 0个贫困县 (45.2 % )。在动物性辅食的添加上,西藏儿童也较早,到 6月龄尚未添加任何动物性辅食的儿童比例为 49%,而西部 40个县则为 61.4 %。到 6月龄时下列各类辅食的添加比例分别为 :糌粑 89.1%、鸡蛋 22.1%、鲜奶 29.1%、猪牛羊肉23.5 %、蔬菜 17.5 %、豆制品 0.75 %、鱼肉 1.03%、?
英文摘要:
      Objective To understand the feeding status of Tibetan children aged below three years old.Methods Cross-sectional study and rando mly sampling were used.The information on complementary food was obtained throuh the recollection from mother of the child.Data of complementary food of Tibet children was compared with those of the children from the surveys of nine cities in China and 40 poor counties in western China.Results One thousand six hundred and fifty-five children were studied.The findings indicated that the age of introduction of Z anba (a kind food of mix ture of highland barley flour and butter)was 1.98 months after bir th and the age of introduction of egg and meat was about 8-9 months.Boys were fed with Zanba earlier than girls but there w as no significant difference in the introduction of other complementary food betw een sexes.Urban children were introduced with complementary food earlier than rural children,and children in the agricultural region earlier than those in the pasturing region.The proportion of no introduction of any complementary food by the age of 4 months was about 10.6 % for urban children, but 21.7% for rural children while 14.2 % for children in the agricultural region and 30.9% for children in the pasturing regio n.The proportion of no introduction of complementary food was 11.5% for Tibetan children compared with 45.2 % for the children of 40 poor counties in w estern China.The pro portions of introduction of the follow ing complementary foods were 89.1 % for Zanba, 22.1% for egg,29.1% for fresh milk,23.5% for meat,17.5 % for vegetable, 0.75% for bean products, 1.03 % for fish and 3.35 % for chicken respectively.Conclusions The main complementary foods for Tibetan children included Zanba, milk, mutton and beef.There was a small amount of vegetable in diet.The introduction of bean, chicken and fish was not common.Early and monotony seemed to be the character of introduction of complementary food for Tibetan children.Improving intro duction of complementary food is important in enhancing the nutritional status of Tibetan children.
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