[Impact factors analysis on child neglect of children aged 3-6 year-old in rural areas of China].

OBJECTIVE: To investigate the major influence factors of child neglect among rural areas children aged 3-6 years in China. METHODS: According to multi-stage stratified cluster sampling, distribution characteristics and the level of economic development, we randomly sampled 10 provinces, 26 cities (8 capital cities, 16 prefecture-level cities and 2 municipalities) using lottery method. Depending on the different level of economic and cultural, we sampled one medium county from each city (municipalities sampled two counties), a total of 28 counties. All towns were divided into high, medium and low three levels in accordance with economic and cultural, each level sampled one town, each conty sampled three towns, a total of 84 towns were sampled. Each town sampled 40 children, including 20 boys and 20 girls (including each 10 children aged 3 to 6, half and half boys and girls). 4 096 rural children aged 3-6 years old were sampled and surveyed of China. Based on "the Neglect Norms for Children Aged 3 to 6 Years Old in Rural Areas of China" explored the risk factors of child neglect. SPSS 18. 0 for windows was employed for statistics analysis. Multifactorial analysis was conducted through multivariate Logistic Regression. RESULTS: The total neglected rate of the rural children aged 3 to 6 was 53.7% (2,047/3,810), and the total neglected degree was 44.42±7.57. The multivariate logistic regression analysis showed that, neglected risk of the boys was higher than the girls (OR=1.30, 95% CI: 1.13-1.49), neglected risk of children were higher, when their mothers were migrant workers (OR=2.18, 95% CI: 1.59-3.00); the lower educational level of mothers, the higher neglected risk of children, the children in families that mothers only received primary education or was uneducated were most likely to be neglected (OR=2.92, 95% CI: 1.91-4.47), the second was the families that mothers received primary education (OR=1.86, 95% CI: 1.29-2.69); the lower the household income, the easier to be neglected the children, the easiest one was the household income less than 5000 RMB (OR=2.85, 95% CI: 2.14-3.79), the second was 5000-9,999 RMB (OR=1.76, 95% CI: 1.40-2.20); the relationship between children and mothers was distanced, neglect risk of children was higher (OR=3.88, 95% CI: 1.31-11.52); left behind children were easier to be neglected (OR=1.30, 95% CI: 1.09-1.54). CONCLUSION: The influence factors among children aged 3-6 years in the rural areas of China were boys, mother's occupation, maternal education level, the relationship between children and mothers, household income and left-behind children.

[Using the revised Chinese diet balance index Quality of Diet to evaluate the quality of diet among rural residents in Hanzhong, Shaanxi province and relative influencing factors].

OBJECTIVE: To evaluate the quality of diet among rural residents in Hanzhong, Shaanxi province and to investigate the relative factors. METHODS: A cross-sectional survey on dietary status together with a semi-quantitative food frequency questionnaire were conducted among rural residents aged between 18 and 80 in Hanzhong of Shaanxi, in 2010. Quality of diet was evaluated by using DBI-07 scoring and evaluating system. Linear regression models were developed to identify factors related to under or over intakes. RESULTS: 2 241 rural residents were under study. 65% of the residents' daily intake of grains, oil and salt exceeded the RNI while animal food, diary food, eggs, vegetables and fruits were under, to some extent. The average values of DBI_LBS and DBI_HBS were 24.83 and 5.70. The proportions of moderate under-intake (25≤DBI_LBS≤36) and moderate over-intake (14≤DBI_HBS≤19)were 33.4% and 51.0%. Factors as family number, education level, fortune index, physical activity, higher labor intensity seemed to be protective for dietary under intake (P < 0.05). Moderate fortune index, drinking alcohol (more than once a week), being male, age and smoking status(>15 cigarettes per day)were risk factors for over-intake of diet (P < 0.05). Factors as larger family size and having had education above the levels senior school were significantly and negatively associated with the over-intake of diet (P < 0.05). CONCLUSION: The main diet problem among the rural residents was related to under-intaken but over-intake did exist to some extents. Our study results called for specific intervention in improving the quality of diet among the residents in Hanzhong.