ABSTRACT
Objective To explore knowledge, attitude, practice (KAP) and related determinants on nutrition among caregivers of those rural stranded children under 7 years of age in China and to provide evidence for setting up relevant health education program. Methods 1691 caregivers of the stranded children randomly selected were surveyed by a standard questionnaire. Logistic regression models were used to screen the determinants on KAP regarding nutrition. Results Rates on awareness, positive attitude and approprite behavior were lower in caregivers of children whose parents both left (47.8%, 55.4%, 41.8%, respectively) the countryside, when compared with those only one parent was away from home (59.9%, 59.5%, 38.0%, respectively). Data from multivariable logistic regression models showed that caregivers' KAP on nutrition was related to age, educational background, average family income, and willingness on the job as well as the age of the child. Conclusion Improving caregivers' KAP on nutrition and setting up appropriate health education program were in urgent need.
ABSTRACT
Objective To understand the dietary nutrients among rural stranded children.Methods 2551 children aged 2 to 7, including 1278 stranded children in the rural areas and another 1273 children served as controls were selected, using multistage stratified cluster random sampling. Dietary survey was performed with three-day weighing dietary method and questionnaire on food intake. Data on diet were analyzed and evaluated by the Dietary Reference Intakes (DRIs) recommend by Chinese Nutrition Society, to evaluate the levels on energy and nutrient intake among stranded children in the rural areas. Results The dietary pattern among rural stranded children mainly consisted of grains and vegetables, but the intakes of animal products, fruits, and snacks were significantly less than in the control group. The intakes of three major energy-producing nutrients were below the recommend nutrient intake. Minerals as calcium, zinc, selenium, kalium and vitamins as vitamin A, B1, B2were insufficient.Most of the rural stranded children took nutrients insufficiently, with 50% lack of adequate energy and 80% of protein, 90% of minerals (calcium, zinc etc.) and vitamins (vitamin B1 and vitamin B2 etc.).Sources from high quality protein was insufficient, only consisting 35% of the total protein, but overabundant (over 64 % ) from the plants. The intake of plant-sourced iron was overabundant, accounted for 87%. Conclusion The dietary pattern was unsatisfactory with insufficient intake of energy-sourced proteins and some nutrients. The sources of energy, protein, and iron were mostly obtained from underbalaneed foods. It is necessary to improve the dietary nutrients status among rural stranded children aged 2-7 years.
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Objective To understand the characteristics of nonfatal injuries among home-stranded children in the rural environment of Hubei province,and to evaluate the effect on child iniury due to their parents going out for work.Methods Cross-sectional study and cluster sampling surveys were applied in September 2006 to survey students in six schools in Macheng city,Baiguo town and Songpu town.Results 3019 students were surveyed,1182 students were home-stranded children,constituting a rate to 39.15%.Male and female children accounted for 61.51% and 38.49%of students respectively.The rates of homestranded male and female students were 39.92%and 37.98%respectively.Home-stranded students who had both parents accounted for a 62.29%,and those who had one parent at home accounted for 37.71%.Among these students,the total injury rate was 179.1‰,while for home-stranded children it was 253.0‰.Male home-stranded children had the highest injury rate,higher than the rate for females.The three leading causes of injury were fall(84.6‰),mechanical(40.6‰)and animal related injures (36.4‰).The main injury sites were at home,school and on the street.The total length of stay in the hospital was 208 days,and the total cost was RMB 47 268 Yuan,and the average cost per person was RMB 201 Yuan.Conclusion There was a high proportion of home-stranded children in school of Macheng and two towns.Injuries were more serious than general students.It causes a high injury burden to these home-stranded children.It iS important to pay close attention to these children and to improve their safety.
ABSTRACT
Objective To explore the distribution and risk factors of injuries among home-stranded children and living in rural area of Anhui province and to provide basic information for the development of injury intervention program.Methods 3617 students were recurited from Changfeng county of Anhui province with stratified sampling method and a survey was conducted using questionnaires.Unconditional univariate and multivariate logistic regression analysis were performed to evaluate the situation of unintentional injuries among 1614 home-stranded children during the past one year and on its influencing factors.Results The number of home-stranded children accounted for 45.83%of the total number of students with the main type of guardianship was single-parent(55.82%).The incidence of injuries of students was 32.25%.The incidence of injuries of boys(36.43%)was higher than that of girls (27.44%)(χ2=32.340,P=0.000).The incidence of injuries among children was 32.25%but among children away from it was 40.90%,significantly higher than that of children with parents(24.95%)(χ2=101.730,P=0.000).Seven kinds of injures including fall,transportation or animal-related factor for children who were away from their parents,were higher than that of children with parents around.Data from Univariate analysis showed that injuries of children without family around were associated with gender,monthly income,education level of mother,type of guardianship,introversion-extroversion,neuroticism, cohesion, conflict, independence, active-recreational orientation, intellectual-cultural orientation.Results from multivariate analysis indicated that injuries of home-stranded children were associated with gender(OR=0.598),being the only child(OR=1.445),introversion-extroversion (OR=1.062),cohesion(OR=0.933),conflict(OR=1.150),independence(OR=1.110),intellectual-cultural orientation(OR=0.928),active-recreational orientation(OR=1.096)and ability of self-control(OR=0.917).Conclusion Many factors were found to be involved in injuries among children who were away from parents,especially regarding family environment and the individual personality.Special preventive measures should be taken to reduce the incidence of injuries among rural children who were away from their parents.