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
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.
更多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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