本文選題：貧困　切入點：農(nóng)村人口　出處：《中國全科醫(yī)學》2017年12期

【摘要】：背景嬰幼兒的社會情感對其健康成長與未來發(fā)展至關(guān)重要,是不可忽視的一方面。目的調(diào)查西部貧困農(nóng)村地區(qū)嬰幼兒的社會情感現(xiàn)狀,分析影響嬰幼兒社會情感的相關(guān)因素,以提出有針對性的改善措施。方法2012年6月,以四川省涼山彝族自治州和甘肅省甘南藏族自治州的貧困農(nóng)村地區(qū)為研究現(xiàn)場,采用多階段隨機抽樣法,最終抽取9個縣26個鄉(xiāng)鎮(zhèn)78個村的1 328例3~20個月嬰幼兒看護人為調(diào)查對象。調(diào)查問卷由結(jié)構(gòu)式問卷和嬰幼兒社會情感量表(ASQ:SE)組成,并進行面對面訪談式調(diào)查。結(jié)構(gòu)式問卷包括嬰幼兒人口學資料(性別、月齡、民族、家庭子女數(shù)、順產(chǎn)兒或剖宮產(chǎn)兒、早產(chǎn)兒或非早產(chǎn)兒、出生地、家庭低保情況)、近2周內(nèi)生病情況、家庭房屋價值以及嬰幼兒母親人口學資料(職業(yè)、受教育年限、認為最合適的開奶時間、早開奶情況、購買嬰幼兒相關(guān)圖書情況)。記錄嬰幼兒的社會情感現(xiàn)狀,并采用多元線性回歸分析嬰幼兒社會情感的影響因素。結(jié)果共發(fā)放調(diào)查問卷1 328份,最終完成問卷調(diào)查且為回收有效問卷1 302份,回收有效率98.04%。1 302例嬰幼兒中男685例(52.61%),女617例(47.39%);3~8個月393例(30.18%),9~14個月493例(37.87%),15~20個月416例(31.95%);近2周內(nèi)生過病的嬰幼兒737例(56.61%),未生過病565例(43.39%);嬰幼兒母親:在家務農(nóng)或帶孩子1 179例(90.55%),在外打工123例(9.45%);受教育年限9年991例(76.11%),≥9年311例(23.89%);認為最合適的開奶時間≤1 h 442例(33.95%),2~12 h 372例(28.57%),13~24 h 74例(5.68%),24 h 414例(31.80%);早開奶445例(34.18%),未早開奶857例(65.82%);購買過嬰幼兒相關(guān)圖書53例(4.07%),未購買過1 249例(95.93%)。3~8、9~14、15~20個月嬰幼兒ASQ:SE評分分別為(45.1±26.4)(59.0±30.3)(61.5±34.1)分。3~8、9~14、15~20個月嬰幼兒存在社會情感問題的分別為190例(48.35%)、309例(62.68%)、252例(60.58%),即1 302例嬰幼兒中共有751例(57.68%)嬰幼兒存在社會情感問題。嬰幼兒近2周內(nèi)生病情況(β=7.62,P0.001)、母親職業(yè)(β=-7.80,P=0.038)、母親受教育年限(β=-6.18,P=0.020)、母親早開奶情況(β=-5.15,P=0.011)、母親購買嬰幼兒相關(guān)圖書情況(β=-8.37,P=0.043)是嬰幼兒ASQ:SE評分的影響因素。結(jié)論西部貧困農(nóng)村地區(qū)嬰幼兒社會情感問題的發(fā)生率較高,嬰幼兒近2周內(nèi)生病情況、母親職業(yè)、母親受教育年限、母親早開奶情況、母親購買嬰幼兒相關(guān)圖書情況是嬰幼兒社會情感問題的影響因素,建議相關(guān)醫(yī)務人員提高對以上因素的注意,積極營造適合嬰幼兒成長的社會文化氛圍,降低嬰幼兒社會情感問題發(fā)生的可能性。
[Abstract]:Background the social emotion of infants and young children is very important to their healthy growth and future development, and can not be ignored on the one hand. Objective to investigate the current situation of social emotion of infants and toddlers in the poor rural areas of western China, and to analyze the related factors that affect the social emotion of infants and young children. Methods in June 2012, the poor rural areas in Liangshan Yi Autonomous Prefecture of Sichuan Province and the Gansu Southern Tibetan Autonomous Prefecture in Gansu Province were used as the research site, and the multi-stage random sampling method was used. Finally, 1 328 infants and young children aged from 30 to 20 months were selected from 78 villages and villages in 26 towns in 9 counties. The questionnaire was composed of structured questionnaire and ASQ: SES. The structured questionnaire included demographic data (sex, age, nationality, number of family children, natural or caesarean section, preterm or non-premature, birth place, place of birth). Family minimum living conditions, illness in the last two weeks, family housing value and demographics of infants and mothers (occupation, length of education, the most appropriate time for milk opening, early milking), The social affective status of infants and young children was recorded, and the influencing factors of social emotion of infants were analyzed by multiple linear regression analysis. Results 1 328 questionnaires were distributed. The questionnaire was completed and 1 302 valid questionnaires were collected. The effective rate of recovery was 98.041.1.The effective rate was 98.041.There were 685 males (52.61), 617 females (47.39m), 393 cases (33-8 months) and 393 cases (30.1818g / 493) from 3months to 14 months (493 / 493); 737 (56.61g) infants born in the past 2 weeks (56.61d), 565 (43.3935) unborn; infant mothers: farming or taking care of their children at home. 1 179 cases (90.5555), 123 cases (working abroad) 9.4545; 991 cases (鈮，

本文編號：1664987