| 杨慧敏,肖峰,尹德卢,李瑞莉,辛倩倩,政晓果,殷涛,王利红,崔明明,许琪,陈博文.健康管理对0~36月龄社区儿童生长发育的影响[J].中华流行病学杂志,2014,35(11):1244-1248 |
| 健康管理对0~36月龄社区儿童生长发育的影响 |
| Impact analysis on the health management programs among community-based 0-36-month-olds on their growth and development |
| 收稿日期:2014-06-18 出版日期:2014-11-07 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.11.015 |
| 中文关键词: 健康管理 生长发育 0~36月龄儿童 |
| 英文关键词: Health management Growth and development Children aged 0 to 36 months |
| 基金项目:"十一五"国家科技支撑计划(2007BAI24B08);"十二五"国家科技支撑计划(2012BAI03B00) |
| 作者 | 单位 | E-mail | | 杨慧敏 | 100020 北京, 首都儿科研究所 | | | 肖峰 | 100020 北京, 首都儿科研究所 | | | 尹德卢 | 100020 北京, 首都儿科研究所 | | | 李瑞莉 | 100020 北京, 首都儿科研究所 | | | 辛倩倩 | 100020 北京, 首都儿科研究所 | | | 政晓果 | 100020 北京, 首都儿科研究所 | | | 殷涛 | 100020 北京, 首都儿科研究所 | | | 王利红 | 100020 北京, 首都儿科研究所 | | | 崔明明 | 100020 北京, 首都儿科研究所 | | | 许琪 | 100020 北京, 首都儿科研究所 | | | 陈博文 | 100020 北京, 首都儿科研究所 | bowenc@126.com |
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| 中文摘要: |
| 目的 分析健康管理对0~36月龄社区儿童生长发育状况的影响。方法 采用多阶段分层随机抽样方法在全国8个试点区共选择18个社区卫生服务中心作为监测机构,实施社区0~36月龄儿童健康管理,以辖区内参与管理的0~36月龄儿童为研究对象,收集其健康档案资料。结果 2008－2010年共有13 464名0~36月龄社区儿童参与健康管理,完成59 648人次随访,其中男童7 306名(54.26%)。通过构建多层线性模型发现,相对于非规范管理组,规范管理组儿童平均身高(长)增长更快;规范管理组儿童体重增长得到了更有效控制。同时随着随访次数增加,管理儿童低体重、生长迟缓、消瘦和超重患病率均呈显著下降趋势(P<0.05)。结论 社区0~36月龄儿童的健康管理可有效改善生长发育状况。 |
| 英文摘要: |
| Objective To analyze the impact of implementation on health management programs among the community-based 0-36-month-olds regarding their growth and development. Methods 18 Monitoring Bodies in 8 pilot areas were selected to enroll this study,using a multistage stratified cluster sampling method. All the children aged 0 to 36 months were followed,according to the health management specification, and their health archives were collected. Results A total of 13 464 children were involved in the specified management program with a total of 59 648 person-time under follow-up,with 54.26% of them were boys. Results from the multi-layer linear model indicated that the average height of children in the specified management group was higher than that in the non-standardized management group. Children in the specification management group,their weight gain had also been more effectively controlled. At the same time,with the increasing number of follow-ups according to the specification,the prevalence rates of under weight,stunt,emaciation and overweight were all significantly decreased (P<0.05). Conclusion The implementation of the community-based programs on 0-36-month-olds regarding their health management specification had improved children's growth and development. |
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