北京大学学报（医学版）2016，Vol.48Issue(3)：418-423,6.DOI:10.3969/j.issn.1671-167X.2016.03.008
中国5岁以下儿童营养不良的社会决定因素研究
Research on the social determinants of malnutrition among children under the age of 5 in China
摘要
Abstract
Objective:To understand the relationship between child malnutrition and social determi-nants among children under the age of 5 in China,and to provide evidence and useful information to help policy makers develop social policies to improve child nutritional status.Methods:Information of 2 434 children aged 0 -5 was extracted from year 1 991 to 201 1 longitudinal survey data in the China Health and Nutrition Survey (CHNS)was extracted for analysis.Child underweight,child stunting,and child wasting were defined using World Health Organization Child Growth Standards for weight-for-age,height-for-age,and weight-for-height.Weight-for-age values,height-for-age values or weight-for-height values below 2 standard deviations were considered as underweight,stunting and wasting.World Health Organi-zation igrowup software was used to calculate the prevalence of child underweight,child stunting,and child wasting.Multivariate Logistic regression model was used to analyze the relationship between child malnutrition and social determinants (household income,parents’educational level,living regions,and communities’urbanization level).Results:The prevalence of child underweight and child stunting were decreased by 64.8% and 67.8%,respectively from 1 991 to 201 1 ,while the prevalence of child wasting had remained at a relatively low level (below 5%).The problem of child underweight and stunting had been significantly resolved in China.Female children had better outcomes than male children on impro-ving nutritional status.Among all the non-socio-economic determinants of child malnutrition,children with low height mother and children had inadequate protein intake were both risk factors of malnutrition. The social determinants significantly associated to child malnutrition included:living in the western re-gions and central regions,living in low level urbanization communities,with low household incomes,and low maternal educational levels.Conclusion:In order to further decrease the prevalence of child malnu-trition and alleviate the inequity of child health,we should pay more attention to the social determinants behind child malnutrition.Besides,social policies beneficial to child nutrition promotion need to be taken urgently,the important social policies suggested by the researchers included focusing on maternal and child dietary intake,improving household economic situation,improving maternal educational level, and balancing economic development and resource distribution between different regions in China.关键词
营养不良/儿童/健康的社会决定因素/政策制定Key words
Malnutrition/Child/Social determinants of health/Policy making分类
医药卫生引用本文复制引用
满塞丽麦,郭岩..中国5岁以下儿童营养不良的社会决定因素研究[J].北京大学学报（医学版）,2016,48(3):418-423,6.基金项目
中英全球卫生支持项目（GHSP-CS-OP1-02）资助 Supported by the China UK Global Health Support Programme （）
