| Objects Exploring health and the impact factors of 0-17 year-old rural children living in the concentrated destitute areas of Hubei province. And provide the evidence for effectively reducing the incidence of health problems of rural children.Methods During November 2013 to February 2014, a multi-stage stratified random cluster sampling survey on 4481 rural children was taken in the villagers of four concentrated destitute areas, Hubei Province. There were 2502 left-behind children and 1979 not left-behind children. Data were collected by questionnaire, anthropometric measurement and detection of hemoglobin. Descriptive analysis, variance analysis, Chi-square test and multiple logistic regression analysis were conducted in data analysis with SPSS 18.0.Results(1)descriptive analysis:(1) The incidence of stunting, emaciation and anemia were respectively 8.54%, 8.49% and 33.3% in 4481 rural children. The worst incidence of stunting, emaciation and anemia of four concentrated destitute areas were respectively appeared in Mufu Mountain area(11.3%), Dabie Mountain area(10.8%) and Mufushan Area(41.0%).(2)The incidence of 2502 left behind children were respectively 8.74%, 8.78% and 35.33%. Children left-behind with his father working outside accounted for the largest proportion(51.0%), the proportion of mothers’ working outside is the lowest(5.8%). The average age of the children being originally left behind was 3.87±3.54. The average age of the children being left-behind was 5.69±3.91.(2) Single factor analysis showed that difference of children’s ethnicity, family size and anemic influenced the occurrence of stunting. Difference of children’s sex, age, ethnicity, family size and per capita income level and anemic influenced the occurrence of emaciation.And difference of children’s age, family size, per capita income level and left-behind or not influenced the occurrence of anemia. Anemia status of left-behind children was worse than not left-behind children.(3)Multiple logistic regression analysis showed that: The impacted factors of stunting including: ethnicity and family size. Children came from a family more than 7 were at the highest risk of stunting(OR=1.95, 95%CI=1.16-3.29). The impacted factors of emaciation including: sex, age and ethnicity. The risk of emaciation in girls was lower than boys(OR=0.35, 95%CI=0.28-0.45). 3-5 year-old children were at the highest risk of emaciation(OR=1.59, 95%CI=1.11-2.29). And the impacted factors of anemia including: age, ethnicity, family size and left-behind or not. While children aged 12-14 year-old(OR=0.24, 95%CI=0.18-0.33) and came from Tujia(OR=0.75, 95%CI=0.62-0.92) were at the lowest risk of anemia, children came from a family of 4(OR=1.30, 95%CI=1.04-1.63) and left-behind(OR=1.18, 95%CI=1.03-1.36) were at the highest risk of anemia.Conclusions The health status of children in the concentrated destitute areas was so far optimism. There were certain differences in each destitute area. Family size was affecting stunting and anemia factors in rural children. Children’s sex, age, ethnicity also influenced their health status. Being left-behind lead to increase the risk of mild anemia in children. Positive concern and support should be pay to the rural children, especially left-behind children. To ensure the children can be healthy, stable and sustained development, rural children’s health care system should be strengthen, health education should be carried out in manifold forms, and the level of caregivers’ nourish knowledge should be improved. |
PDF Full Text Request