本文選題：微量營養(yǎng)系 + 孕婦��； 參考：《中國全科醫(yī)學》2017年03期

【摘要】：目的調查陜西省婦女圍孕期微量營養(yǎng)素增補現況,并分析其影響因素,為相關部門制定母嬰健康方針提供幫助。方法 2010—2013年,采用分層多階段隨機抽樣方法,抽取陜西省20個縣和10個城區(qū)符合納入標準的婦女30 027例為調查對象。采用面對面問卷調查法進行調查,收集婦女的人口學特征(包括民族、戶籍地、地域分布、年齡、配偶年齡、文化程度、配偶文化程度、家庭月收入、家族智障史、家族出生缺陷史、妊娠期是否患病、妊娠期是否進行產檢、產次、既往流產史、既往出生缺陷史)、圍孕期微量營養(yǎng)素增補情況(包括服用微量營養(yǎng)素的類別、服用持續(xù)時間),其中微量營養(yǎng)素包括葉酸、鈣劑、鐵劑、復合微量營養(yǎng)素。采用多因素Logistic回歸分析婦女圍孕期微量營養(yǎng)素增補的影響因素。結果共發(fā)放問卷30 027份,回收有效問卷29 953份,有效回收率為99.75%。圍孕期未服用任何微量營養(yǎng)素者4 693例(15.67%),至少服用1種微量營養(yǎng)素者25 260例(84.33%),其中服用微量營養(yǎng)素≤30 d者7 400例(24.71%)。微量營養(yǎng)素增補中,圍孕期從未服用葉酸、鈣劑、鐵劑、復合微量營養(yǎng)素者分別為9 989例(33.35%)、12 886例(43.02%)、28 206例(94.17%)、28 856例(96.34%),服用葉酸、鈣劑、鐵劑、復合微量營養(yǎng)素≤30 d者分別為4 178例(13.95%)、5 161例(17.23%)、689例(2.30%)、455例(1.52%),服用葉酸、鈣劑、鐵劑、復合微量營養(yǎng)素30 d者分別為15 040例(50.21%)、11 150例(37.22%)、732例(2.44%)、633例(2.11%)。多因素Logistic回歸分析結果顯示,關中地區(qū)〔OR=2.59,95%CI(2.37,2.82)〕、陜南地區(qū)〔OR=2.80,95%CI(2.51,3.13)〕、23~35歲〔OR=1.27,95%CI(1.14,1.41)〕、配偶年齡為23~35歲〔OR=1.14,95%CI(1.01,1.29)〕、文化程度為初中〔OR=1.55,95%CI(1.37,1.76)〕、文化程度為高中及以上〔OR=2.28,95%CI(1.95,2.66)〕、配偶文化程度為初中〔OR=1.31,95%CI(1.14,1.50)〕、配偶文化程度為高中及以上〔OR=1.63,95%CI(1.38,1.92)〕、妊娠期患病〔OR=1.67,95%CI(1.55,1.81)〕、妊娠期進行產檢〔OR=4.34,95%CI(3.32,5.67)〕、初產婦〔OR=1.42,95%CI(1.29,1.55)〕、既往有流產史〔OR=1.26,95%CI(1.12,1.42)〕是婦女圍孕期是否服用微量營養(yǎng)素的影響因素(P0.05)。結論陜西省婦女圍孕期微量營養(yǎng)素增補率為84.33%,其中葉酸增補情況較好,但鈣劑、鐵劑、復合微量營養(yǎng)素增補情況并不理想;此外,應當對居住于陜北地區(qū)、文化水平低及經產婦加強圍孕期的微量營養(yǎng)素增補宣傳,以提高其圍孕期微量營養(yǎng)素攝入率。
[Abstract]:Objective to investigate the status of micronutrient supplementation in women during pregnancy in Shaanxi Province and analyze its influencing factors so as to provide help for the establishment of maternal and child health policy. Methods from 2010 to 2013, 30 027 women in 20 counties and 10 urban districts in Shaanxi province were selected by stratified multi-stage random sampling. Face to face questionnaire survey was used to collect the demographic characteristics of women (including nationality, domicile, geographical distribution, age, spouse's age, education level, spouse's education level, family monthly income, family history of intellectual disability). Family history of birth defects, illness during pregnancy, prenatal screening, delivery, history of previous abortion, history of previous birth defects, supplementation of micronutrients during pregnancy (including types of micronutrients taken), Duration of use, which micronutrients include folic acid, calcium, iron, and complex micronutrients. Multivariate Logistic regression analysis was used to analyze the influencing factors of micronutrient supplementation during pregnancy. Results A total of 30 027 questionnaires were sent out, 29 953 valid questionnaires were collected, and the effective recovery rate was 99.75. During pregnancy, 4 693 cases did not take any micronutrient and 25 260 cases took at least one micronutrient, including 7 400 cases with micronutrient 鈮，

本文編號：1876238