中国雲南省少数民族地域における育児環境向上に関する研究

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概要

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• Background: The general living standard and health level have been greatly improved in China. But in contrast with investigations in many other areas, the result of a significant change in a child's growth level has not been reported in Ynnan rural minority area. We aim to identify the risk factors for low Kaup index in the Dai peoples' autonomous region to construct better health service system in rural minority areas. Methods: All families who had 0-60 month-old children were selected in 36 villages of the Dai peoples' autonomous region. In total, 1173 mother-child pairs were investigated. Because of the high rate of illiteracy, sampled mothers were interviewed using a structured questionnaire. Sampled children were measured weight and height. Results: 36.1% of candidate group was under weight, 12.0% was wasting, and 30.8% was stunting. A child's gender (OR=1.42, 95%CI=1.07-1.88), existence of a weaning food (OR=0.35, 95%CI=0.26-0.46); grasp of the cause of the child's malnutrition (OR=1.82, 95%CI=1.16-2.89), positiveness to information on better nutrition (OR=2.97, 95%CI=1.07-8.18), coincidence of the bringing-up plan between parents (OR=3.15, 95%CI=1.12-4.11), and existence of a doctor who can consult about child-rearing (OR=3.17, 95%CI=1.22-8.22) indicated significant relationships to the low value of a child's Kaup index. Conclusion: The mother's child-rearing behavior and social support were identified as risk factors. An offer of effective and abundant information to mothers, and the existence of professionals with whom mothers can consult immediately, were required to construct better health system in the target area.

• 埼玉学園大学の論文

著者

• 堀田 正央

  埼玉学園大学人間学部

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