Objective To understand the health status of preschool children in Linxiang district, Yunnan Province, so as to provide scientific basis for children health promotion in the minority areas. Methods In 2019, 1 018 preschoolers were randomly selected from Linxiang district of Yunnan Province, and participated in a cross-sectional survey on the growth indicators and the influencing factors. Binary Logistic regression model was used to find out the adverse factors affecting the health status of ethnic minority children. Results The prevalence rate of low body weight, developmental delays and dental caries increased with age. For 6- to 7-year-old children, the prevalence rates of low body weight, developmental retardation and dental caries were 9.7%,13.3% and 71.4%, respectively(χ2=11.327, 22.939, 58.067, P≤0.001). Binary Logistic regression showed that the risk of growth retardation in children of Lahu nationality was 4.332(95%CI:2.103 - 8.924) times higher than that of Han nationality after adjusting for age and family income. Conclusions The major problems affecting children's health inlclude low body weight, developmental delays and dental caries in Linxiang district, Yunnan Province, which should be paid more attention to from the government and relevant departments. Moreover, it is suggested to take regular follow-up visits and special case management, carry out disease prevention and treatment from multiple aspects and in many ways to improve children's health continuously.
Key words
ethnic minorities /
health status /
preschool children /
low body weight /
developmental delay
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References
[1] Lu C, Black MM, Richter LM. Risk of poor development in young children in low-income and middle-income countries:an estimation and analysis at the global, regional, and country level [J]. Lancet Glob Health, 2016, 4(12):e916-e922.
[2] Richter LM, Daelmans B, Lombardi J, et al. Investing in the foundation of sustainable development:pathways to scale up for early childhood development [J]. Lancet, 2017, 389(10064):103-118.
[3] Perkins JM, Kim R, Krishna A, et al. Understanding the association between stunting and child development in low- and middle-income countries:Next steps for research and intervention [J]. Soc Sci Med, 2017, 193(1):101-109.
[4] Zhong J, Kuhn L, Wang T, et al. The interrelationships between parental migration, home environment, and early child development in rural china:a cross-sectional study [J]. Int J Environ Res Public Health, 2020, 17(11):3862.
[5] 沈建华, 张笑男, 俞跃萍, 等. 云南15种特有少数民族0~6岁儿童营养不良和肥胖的调查研究 [J]. 卫生软科学, 2020, 34(1):88-93.
[6] 国家统计局. 2019年《中国儿童发展纲要(2011-2020年)》统计监测报告[N]. 中国信息报,2020-12-22(002).
[7] 陈晶, 曾国章. 福建省长汀县学龄前儿童营养状况与影响因素分析 [J]. 中国儿童保健杂志, 2016, 24(9):974-977.
[8] 罗开敏, 董有芹, 王琼华, 等. 临翔区南美乡2018-2020年拉祜族3~6岁学龄前儿童营养状况分析 [J]. 保健文汇, 2021, 22(14):192-193.
[9] Black MM, Walker SP, Fernald LCH, et al. Early childhood development coming of age:science through the life course [J]. Lancet, 2017, 389(10064):77-90.
[10] Dua T, Tomlinson M, Tablante E, et al. Global research priorities to accelerate early child development in the sustainable development era [J]. Lancet Glob Health, 2016, 4(12):e887-e889.
[11] 张瑞芳, 栗新燕, 王文丽,等. 呼和浩特市6岁以下城区儿童贫血与生长发育状况研究 [J]. 中国儿童保健杂志, 2018, 26(1):106-108.
[12] Rivadeneira MF, Moncayo AL, Tello B, et al. A multi-causal model for chronic malnutrition and anemia in a population of rural coastal children in ecuador [J]. Matern Child Health J, 2020, 24(4):472-482.
[13] 朱锡翔, 郑佳瑞, 郑敏, 等. 云南省城乡2012-2018年5岁以下儿童营养与健康监测情况分析 [J]. 中国儿童保健杂志, 2019, 27(5):571-573,580.
[14] Musinguzi N, Kemoli A, Okullo I. Prevalence and treatment needs for early childhood caries among 3-5-year-old children from a rural community in uganda [J]. Front Public Health, 2019, 7(1):259.
[15] Seow WK. Early childhood caries [J]. Pediatr Clin North Am, 2018, 65(5):941-954.
[16] Granville-Garcia AF, Gomes MC, Perazzo MF, et al. Impact of caries severity/activity and psychological aspects of caregivers on oral health-related quality of life among 5-year-old children [J]. Caries Res, 2018, 52(6):570-579.
[17] Zhang K, Li J, Lu Z. The prevalence of dental caries in primary dentition in 3- to 5-year-old preschool children in northern China [J]. Biomed Res Int, 2020, 2020(5315236):1-9.
[18] Rocha G. Electronic screens and children's vision:development of a joint position statement [J]. Can J Ophthalmol, 2018, 53(4):307.
[19] Alvarez PC, Sánchez TM, Martinez PC, et al. The relationship between screen and outdoor time with rates of myopia in spanish children [J]. Front Public Health, 2020, 8(560378):1-10.