农村3岁以下儿童母亲养育行为干预效果评价.docVIP

农村3岁以下儿童母亲养育行为干预效果评价 【摘要】目的评价农村初级卫生保健项目关爱儿童活动中母亲养育儿童行为干预措施的效果，为促进项目地区儿童生长发育提供科学依据。方法应用人口比例(PPS)抽样法在我国西部9省农村项目地区分别进行基线和终线调查。采用SPSS软件进行χ2检验及构成比和率的比较。结果2001年基线调查和2005年终线调查表明，母亲用铁锅做饭、饮用开水、食用碘盐和单独为儿童做饭的比例分别从2001年的88.9%，76.5%，61.1%和54.3%上升到2005年的94.4%，86.4%，83.3%和61.7%。6个月纯母乳喂养率、6～8个月添加鸡蛋比例和9～11个月添加豆制品比例分别从2001年的4.9%，31.8%和7.1%上升到2005年的13.0%，47.6%和10.9%。结论项目干预措施使3岁以下儿童母亲养育行为有了很大改善。 【关键词】 养育行为；儿童；母亲 Evaluation on project of intervention measurements on mothers behavior of feeding for children under 3 years old CUI Ying,YANG Li,TAN Ding,et al. National Center for Women and Childrens Health,Chinese Center for Disease Control and Prevention(Beijing 100013,China) Abstract： Objective To evaluate the intervention effect of mothers behavior on feeding in the activity of care for children of the preliminary health care project,so as to provide scientific evidence for improving child health indicators and status of child growth and development.Methods The baseling survey and line survey was done during the July and August in 2001 and 2005.To use PPS sampling method to select investigated mothers in 9 provinces of western China,then to analyze it through biostatistics methods.Results The percentage of iron cooking,drinking boiling water,eating iodic salt and separating meal for children was increased from 88.9%，76.5%，61.1% and 54.3% in 2001 to 94.4%、86.4%、83.3% and 61.7% in 2005.The exclusive breast feeding rate was increased in 2005.The percentage of lactation within 6 month children,adding egg during month 6～8 and adding bean products during month 9～11 was from 4.9%,31.8% and 7.1% in 2001 to 13.0%,47.6% and 10.9% in 2005.Conclusion The health habit of mother was changed;The feeding behavior was improved by the project intervention measures. Key words： feeding behavior;children;mother 3岁以下儿童母亲喂养行为对儿童生长发育有重要意义。资料表明，营养不良的发病年龄集中在6～18个月。出生6～18月与出生6个月前的婴儿比较，城市儿童为6个月前的为3.3倍，农村儿童高达7.4倍，而这一时期正好是辅食添加的关键时期〔1〕。为了解项目地区3岁以下儿童母亲生活习惯和辅食添加等养育行为情况，分别于2001年和2005年对3岁以下儿童母亲养育行为进行调查。结果报告如下。 1 对象与方法