学龄前儿童佝偻病危险因素分析

目的探讨学龄前儿童佝偻病发病状况及危险因素,为制定预防措施提供依据。方法采用随机抽样方法,抽取义乌市学龄前儿童共850人,对其监护人进行问卷调查,内容包括社会经济状况、抚育因素、生活环境因素等。采用卡方检验及多因素logistic回归分析佝偻病危险因素。结果义乌学龄前儿童佝偻病患病率为27.1%,其影响因素主要有年龄(OR=1.02,95%CI:1.01～1.03,P<0.01),性别(OR=1.54,95%CI:1.12～2.14,P<0.01),哮喘(OR=2.18,95%CI:1.25～3.77,P<0.01),儿童在婴儿期的喂养方式(OR=0.80,95%CI:0.67～0.97,P<0.05)。结论义乌学龄前儿童佝偻病形势仍较严峻,因根据危险因素,开展针对性的健康教育,建立良好卫生习惯,预防佝偻病的发生。

Influence factors for rickets in preschool children in yiwu city,China

Objective To explore the influential factors for rickets in preschool children in Yiwu City.Methods Preschool children were sampled and investigated.A questionnaire was used to collect information on influential factors with the following item categories: socioeconomic factors,fostering factors,housing conditions.Chi square test was used to find the possible influenced factors of rickets.Multivariate analyses were carried out using the Binary logistic regression.Results The prevalence rate for preschool children in Yiwu City was 27.1%.Multivariate analysis showed that age(OR=1.02,95%CI:1.01-1.03,P<0.01),gender(OR=1.54,95%CI:1.12-2.14,P<0.01),Asthma(OR=2.18,95%CI:1.25-3.77,P<0.01),breastfeeding in infants period(OR=0.80,95%CI:0.67-0.97,P<0.05) were the influence factors for rickets.Conclusions Public health measures against influence factors should be taken to protect children against rickets.