目的 了解目前深圳市宝安区流动儿童保健现状及健康状况,为促进流动儿童保健现状的改变提供基础。方法 在深圳市宝安区流动人口较集中的街道中随机选取的2个街道,对符合条件的805名0~36月龄流动儿童的监护人进行调查。结果 宝安区流动儿童健康体检率为60.7%,6月龄以下儿童纯母乳喂养率为69.9%,儿童营养性疾病(中/重度营养不良,肥胖,缺铁性贫血)的检出率为22.7%;不同年龄的儿童体检率及贫血检出率差异有统计学意义(χ²=45.4和6.6,P值均<0.05)。 结论 深圳市宝安区流动儿童保健现状不容乐观,儿童营养性疾病的检出率较高,应重点加强对监护人进行辅食添加及1岁以上儿童健康体检、饮食营养等宣传。

Objective To understand the present situation of health status and child health care of migrant children from Baoan district of Shenzhen city,to provide basis for improving present situation of child health care of migrant children. Method Two streets of Baoan district of Shenzhen city were selected for the study.Keepers of 805 migrant children were investigated by an questionnaire. Results The rate of physical examination in the past year was 60.7%,the rate of exclusive breast feeding during 0~6 months was 69.9%,the detection rate of child nutrition disorders (moderate to severe malnutrition,obesity and anemia) was 22.7%,there were significant differeces in rate of physical examination and anemia between migrant children from different age group (χ²=45.4 and 6.6,P<0.05). Conclusions The present situation of child health care of migrant children in Shenzhen is serious,the detection rate of child nutrition disorders is at a very high level.It is important to strengthen health education on food supplement,physical examination and diet of child in 1 year or older.