摘要
目的:了解三都水族自治县(三都县)0~6岁儿童智力低下(MR)的患病情况及其影响因素。方法:于2011年6月~2012年6月,采用分层整群随机抽样的方法对三都县0~6岁儿童1 982名进行问卷调查和MR筛查,并对与MR相关的因素进行单因素及多因素分析。结果:1 982名0~6岁儿童中,确诊MR为59人,现患率为29.77‰。男性儿童确诊为MR 41例,现患率为37.51‰(41/1 093);女性儿童确诊为MR 18例,现患率为20.25‰(18/889),男性儿童MR现患率高于女性儿童,差异有统计学意义(χ2=5.06,P<0.01)。单因素分析显示,年龄、孕周、母亲文化程度、养育方式、居住环境、家庭经济条件、养育习惯、母亲吸烟、母亲饮酒等为影响儿童MR的危险因素(P<0.05)。多因素分析表明,孕周、母亲文化程度、养育方式、居住环境、家庭经济条件为影响儿童MR的独立危险因素。结论:三都县0~6岁儿童MR的患病率高于国内平均水平。影响儿童MR的独立危险因素为孕周、母亲文化程度、养育方式、居住环境、家庭经济条件。
Objective: To determine the prevalence rate of mental retardation (MR) as well as risk factors for 0 - 6 years old chil- dren at Shui Antonomous County of Sandu. Methods: From June 2011 to June 2012, 1 982 cases at age of 0 to 6 children were selected as the objects of the study. A cluster sampling study was performed in Qiannan. An epidemiological questionnaire survey was applied and MR screening was done. Wald Chi - squate and stepwise logistic regression model were used to selected MR related factors. Results: Among 1 982 population, there were 59 children with MR, the prevalence rate was 29. 77%0, including 37.51%0 for male (41/1 093 ) and 20. 25%0 for female (18/889) . There was a statistically significant difference in prevalence rate of male and female MR (X2 = 5.06 , P 〈 0. 01 ) . Age, gestational weeks, mother education level, parenting style, living environment, family economic condition, parenting habit, mother smoking, mother drinking were risk factors for MR children. Gestational weeks, mother education level, parenting style, living environment, family economic condition were independent risk factors for MR children. Conclusion: Prevalence rate of MR children at Shui Antonomous County of Sandu in Guizhou province is higher than that of average level of China~ Gestational weeks, mother education level, parenting style, living environment, family economic condition are independent risk factors for MR children.
出处
《中国妇幼保健》
CAS
北大核心
2013年第13期2103-2106,共4页
Maternal and Child Health Care of China
基金
贵州省黔南州高层次人才专项基金项目〔QNRT2011003〕
关键词
智力低下
现患率
儿童
水族
抽样调查
问卷调查
危险因素
Mental retardation
Prevalence rate
Children
Shui nationality
Sampling studies
Questionnaires
Risk factors