Welcome to JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) Apr. 6, 2025
| Citation: |
DING Yanxi, ZHANG Shiyu, YANG Mengtong, et al. Cross-Sectional Study of Nutritional Service Capacity for Infants and Toddlers in Urban and Rural Medical Facilities in Sichuan Province[J]. Journal of Sichuan University (Medical Sciences), 2024, 55(4): 911-917. DOI: 10.12182/20240760503
|
To investigate and analyze the current status and challenges of infant and toddler nutritional services in urban and rural medical facilities in Sichuan Province.
In 2022, a questionnaire survey was conducted to collect data on infant and toddler nutritional services, including feeding guidance, physical growth assessment, and micronutrient deficiency screening, as well as information on personnel and tools in medical facilities throughout Sichuan Province. The provision of nutritional services was analyzed and the urban-rural disparities were assessed.
A total of 2206 medical facilities (29.1% from urban areas and 70.9% from rural areas) were investigated. Only 35.8% of medical facilities provided all three types of nutritional services. Specifically, the overall service provision rates were high for feeding guidance (94.6%) and physical growth assessment (85.0%), but lower for micronutrient deficiency screening (37.4%). Rural facilities exhibited significantly lower rates than their urban counterparts for both physical growth assessment and micronutrient deficiency screening (P<0.05). The provision rates of feeding guidance ranged from 70.6% to 93.2%, with responsive feeding guidance being the least implemented (70.6%), particularly in rural areas compared to urban areas (P<0.05). Rates for physical growth assessment and micronutrient deficiency screening ranged from 75.3% to 81.8% and 23.6% to 30.8%, respectively, both showing lower rates in rural settings compared to urban ones (P<0.05). Nutrition service providers were predominantly nurses (52.3%) and clinical practitioners (43.4%). The availability of dietary assessment tools ranged from 7.7% to 15.9%, significantly lower in rural areas compared to urban areas (P<0.001), while physical measurement tools were widely available at rates of 94.6% to 98.5%.
At present, the infant and toddler nutritional service provisions of medical facilities in Sichuan Province are incomplete, particularly so in the implementation of feeding guidance, physical growth assessment, and micronutrient deficiency screening. There is a notable shortage of personnel and necessary tools, with rural areas facing more significant challenges. Enhancing the overall capacity of infant and toddler nutritional services in Sichuan Province is essential, with specific attention needed for rural healthcare settings.
| [1] |
中华预防医学会儿童保健分会. 婴幼儿喂养与营养指南. 中国妇幼健康研究, 2019, 30(4): 392-417. doi: 10.3969/j.issn.1673-5293.2019.04.001.
China Preventive Medicine Association, Society of Child Health. Guide to infant feeding and nutrition. Chin J Woman Child Health Res, 2019, 30(4): 392-417. doi: 10.3969/j.issn.1673-5293.2019.04.001.
|
| [2] |
蒋君芳. 超千亿元市州18个. 四川日报, 2024-02-05(005). doi: 10.28672/n.cnki.nscrb.2024.000534.
JIANG J F. 18 cities/states over 100 billion yuan. Sichuan Ribao, 2024-02-05(005). doi: 10.28672/n.cnki.nscrb.2024.000534.
|
| [3] |
LIU H, FANG C, FAN Y. Mapping the inequalities of medical resource provision in China. Regional Studies, Regional Science, 2020, 7(1): 568–570. doi: 10.1080/21681376.2020.1848615.
|
| [4] |
国家卫生健康委员会疾病预防控制局. 中国居民营养与慢性病状况报告(2020年). 北京:人民卫生出版社, 2021:148.
National administration of disease prevention and control, National Health Commission. Report on nutrition and chronic diseases status in China (2020). Beijing: People’s Medical Publishing House, 2021: 148.
|
| [5] |
李玲玲, 吴洋洋, 雷普超, 等. 四川省多民族农村地区婴幼儿首次辅食添加行为与其营养状况的关联研究. 四川大学学报(医学版), 2021, 52(4): 655–661. doi: 10.12182/20210760507.
LI L L, WU Y Y, LEI P C, et al. Study on the relationship between first-time complementary feeding practice and the nutritional status of infants and young children in the multi-ethnic rural areas of Sichuan Province. J Sichuan Univ (Med Sci), 2021, 52(4): 655–661. doi: 10.12182/20210760507.
|
| [6] |
健康中国行动推进委员会. 健康中国行动(2019–2030 年). (2019-07-09) [2024-07-19]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
Healthy China initiative Promotion Committee. Healthy China initiative(2019-2030). (2019-07-09) [2024-07-19]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
|
| [7] |
国务院. 中国儿童发展纲要(2021–2030年). (2021-09-08) [2024-07-19]. https://www.gov.cn/gongbao/content/2021/content_5643262.htm.
State Council. Outline for the development of children (2021-2030). (2021-09-08) [2024-07-19]. https://www.gov.cn/gongbao/content/2021/content_5643262.htm.
|
| [8] |
国务院办公厅. 国民营养计划(2017–2030年). 营养学报, 2017, 39(4): 315-320. doi: 10.13325/j.cnki. acta. nutr.sin.2017.04.003.
General Office of the State Council. National nutrition program (2017-2030). Acta Nutri Sinica, 2017, 39(4): 315-320. doi: 10.13325/j.cnki. acta. nutr.sin.2017.04.003.
|
| [9] |
国家卫生健康委员会. 健康儿童行动提升计划(2021–2025年). 中国食品安全报, 2021-11-30(C01). doi: 10.28737/n.cnki.nspzl.2021.002309. doi: 10.28737/n.cnki.nspzl.2021.002309.
National Health Commission. Healthy child action enhancement programme (2021-2025). J Chin Instit Food Sci Technol, 2021-11-30 (C01). doi: 10.28737/n.cnki.nspzl.2021.002309.
|
| [10] |
国务院. 国家基本公共服务标准(2023年版). (2023-07-30) [2024-07-19]. https://www.gov.cn/zhengce/zhengceku/202308/content_6897591.htm.
State Council. National basic public service standards(2023). (2023-07-30)[2024-07-19]. https://www.gov.cn/zhengce/zhengceku/202308/content_6897591.htm.
|
| [11] |
国家卫生健康委员会办公厅. 3岁以下婴幼儿健康养育照护指南(试行). (2022-11-19)[2024-07-19]. https://www.gov.cn/zhengce/zhengceku/2022-11/29/content_5729421.htm.
General Office of the National Health Commission. Guideline on healthy parenting and care of infants and young children under 3 years old (Trial). (2022-11-19)[2024-07-19]. https://www.gov.cn/zhengce/zhengceku/2022-11/29/content_5729421.htm.
|
| [12] |
国家卫生健康委员会. 中国卫生健康统计年鉴—2022. 北京: 中国协和医科大学出版社, 2022: 410.
National Health Commission. Chinese health statistical yearbook 2022. Beijing: Peking Union Medical College Press, 2022: 410.
|
| [13] |
World Health Organization. WHO Guideline for complementary feeding of infants and young children 6–23 months of age. (2023-10-16)[2024-07-19]. https://www.who.int/publications/i/item/9789240081864.
|
| [14] |
中华医学会儿科学分会儿童保健学组, 《中华儿科杂志》编辑委员会. 儿童微量营养素缺乏防治建议. 中华儿科杂志, 2010, 48(7): 502–509. doi: 10.3760/cma.j.issn.0578-1310.2010.07.006.
The Subspecialty Group of Child Health Care, The Society of Pediatrics, Chinese Medical Association; The Editorial Board, Chinese Journal of Pediatrics. Recommendations for prevention and treatment of micronutrient deficiencies in children. Chin J Pediat, 2010, 48(7): 502–509. doi: 10.3760/cma.j.issn.0578-1310.2010.07.006.
|
| [15] |
HAN L, ZHAO T, ZHANG R, et al. Burden of nutritional deficiencies in China: findings from the Global Burden of Disease Study 2019. Nutrients. 2022, 14(19): 3919. doi: 10.3390/nu14193919.
|
| [16] |
安娜, 赵宜乐, 张古英, 等. 2010-2020年中国健康儿童维生素D水平的Meta分析. 中国儿童保健杂志, 2021, 29(10): 1109–1114. doi: 10.11852/zgetbjzz2020-1798.
AN N, ZHAO Y L, ZHANG G Y, et al. Meta-analysis of vitamin D level in healthy Chinese children over the past 10 years. Chin J Child Health Care, 2021, 29(10): 1109–1114. doi: 10.11852/zgetbjzz2020-1798.
|
| [17] |
周婕, 李大威, 刘日辉. 2010–2019年中国0~3岁婴幼儿缺铁性贫血患病率的Meta分析. 中国妇幼保健, 2020, 35(7): 1356–1361. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.07.059.
ZHOU J, LI D W, LIU R H. Meta-analysis of the prevalence of iron deficiency anaemia in infants and children aged 0 to 3 years in China, 2010 to 2019. Mat Child Health Care Chin, 2020, 35(7): 1356–1361. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.07.059.
|
| [18] |
中华预防医学会儿童保健分会. 中国儿童维生素A、维生素D临床应用专家共识(2024). 中国儿童保健杂志, 2024, 32(4): 349-358. doi: 10.11852/zgetbjzz2024-0279.
Child Health Care Subcommittee of the Chinese Preventive Medicine Association. Expert consensus on the clinical application of vitamin A and vitamin D in Chinese children. Chin J Child Health Care, 2024, 32(4): 349-358. doi: 10.11852/zgetbjzz2024-0279.
|
| [19] |
中华医学会儿科学分会儿童保健学组, 中华儿科杂志编辑委员会. 中国儿童维生素D营养相关临床问题实践指南. 中华儿科杂志, 2022, 60(5): 387–394. doi: 10.3760/cma.j.cn112140-20211230-0109.
The Subspecialty Group of Children Health, the Society of Pediatrics, Chinese Medical Association, the Editorial Board, Chinese Journal of Pediatrics. Practical guidelines for clinical issues related to vitamin D nutrition in Chinese children. Chin J Pediatr, 2022, 60(5): 387–394. doi: 10.3760/cma.j.cn112140-20211230-0109.
|
| [20] |
中国营养学会健康管理分会. 维生素A营养状况评价及改善专家共识. 中华健康管理学杂志, 2023, 17(3): 180–187. doi: 10.3760/cma.j.cn115624-20230105-00008.
Health Management Branch of Chinese Nutrition Society. Expert consensus on evaluation and improvement of vitamin A nutritional status. Chin J Health Manage, 2023, 17(3): 180–187. doi: 10.3760/cma.j.cn115624-20230105-00008.
|
| [21] |
中华人民共和国国家卫生健康委员会. 国家卫生健康委办公厅关于加强儿童微量元素检测监督执法工作的通知.(2021-07-12) [2023-11-14]. http://www.nhc.gov.cn/zhjcj/s3577/202107/613f18f709694624a00a779527e919df.shtml.
National Health Commission. Notification of the General Office of the National Health Commission on Strengthening the supervision and law enforcement of children trace elements detection. (2021-07-12)[2023-11-14]. http://www.nhc.gov.cn/zhjcj/s3577/202107/613f18f709694624a00a779527e919df.shtml.
|
| [22] |
World Health Organization. Essential nutrition actions: mainstreaming nutrition through the life-course. (2019-09-08)[2024-07-19]. https://www.who.int/publications/i/item/9789241515856.
|
| [23] |
首都儿科研究所, 中国疾病预防控制中心妇幼保健中心, 上海儿童医学中心, 等. 7岁以下儿童生长标准. (2022-09-19) [2024-07-19]. http://www.nhc.gov.cn/wjw/fyjk/202211/16d8b049fdf547978a910911c19bf389.shtml.
Capital Institute of Pediatrics, National Center for Women and Children's Health, China CDC, Shanghai Children's Medical Center, et al. Growth standard for children under 7 years of age. (2022-09-19) [2024-07-19]. http://www.nhc.gov.cn/wjw/fyjk/202211/16d8b049fdf547978a910911c19bf389.shtml.
|
| [24] |
World Health Organization. Nurturing care for early childhood development: a framework for helping children survive and thrive to transform health and human potential: executive summary. (2018-05-18) [2024-04-01]. https://iris.who.int/bitstream/handle/10665/272603/9789241514064-eng.pdf?sequence=1.
|
| [25] |
World Health Organization and United Nations Children's Fund. Nurturing young children through responsive feeding. (2023-05-25) [2024-04-01]. https://nurturingcare.org/wp-content/uploads/2023/05/NRF.pdf.
|
| [26] |
卫生部办公厅. 全国儿童保健工作规范(试行).(2010-01-05)[2024-07-18]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=45453.
General Office of the Ministry of Health. National child health work standards (Trial). (2010-01-05)[2024-07-18]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=45453.
|
| [27] |
AMOUTZOPOULOS B, PAGE P, ROBERTS C, et al. Portion size estimation in dietary assessment: a systematic review of existing tools, their strengths and limitations. Nutr Rev, 2020, 78(11): 885-900. doi: 10.1093/nutrit/nuz107.
|
| [28] |
BELLOWS L L, LOU Y, NELSON R, et al. A narrative review of dietary assessment tools for preschool-aged children in the home environment. Nutrients, 2022, 14(22): 4793. doi: 10.3390/nu14224793.
|
| [29] |
《中华儿科杂志》编辑委员会, 中华医学会儿科学分会儿童保健学组. 中国儿童体格生长评价建议. 中华儿科杂志, 2015, 53(12): 887–892. doi: 10.3760/cma.j.issn.0578-1310.2015.12.003.
The Editorial Board, Chinese Journal of Pediatrics, the Subspecialty Group of Children Health, the Society of Pediatrics, Chinese Medical Association. Recommendations for assessing the physical growth of Chinese children. Chin J Pediatr, 2015, 53(12): 887–892. doi: 10.3760/cma.j.issn.0578-1310.2015.12.003.
|
| [30] |
赵丽云, 丁刚强, 赵文华. 2015–2017中国居民营养与健康状况监测报告. 北京: 人民卫生出版社, 2022: 324.
ZHAO L Y, DING G Q, ZHAO W H. Monitoring Report on the Nutrition and Health Status of Chinese Residents, 2015-2017. Beijing: People's Medical Publishing House, 2022: 324.
|
OPEN ACCESS This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0). In other words, the full-text content of the journal is made freely available for third-party users to copy and redistribute in any medium or format, and to remix, transform, and build upon the content of the journal. You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may not use the content of the journal for commercial purposes. For more information about the license, visit https://creativecommons.org/licenses/by-nc/4.0
| [1] | ZHONG Huaichang, XIONG Hai, ZHOU Yaxi, LIAO Yuqi, WAN Yang, LEI Changbin. Comparative Analysis of Influencing Factors of Health Service Utilization Among Urban and Rural Residents in Tibet[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2023, 54(5): 985-993. DOI: 10.12182/20230960102 |
| [2] | ZHANG Chun-xi, REN Xiao-hui, YANG Xian-mei, FAN Ruo-xin, WANG Yan, Li Yi-ling, JIANG Hong-jun, LIU Yuan-yuan, LIU Xiang. Quality of Life and Its Influencing Factors Among Schizophrenia Patients Living in Urban and Rural Areas[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2023, 54(3): 608-613. DOI: 10.12182/20230560202 |
| [3] | CHEN Ting-ting, LI Jian-bo, YANG Yang. Social Determinants Affecting Changes in Mental Health of Rural-Urban Migrant Population in Chengdu: An Oaxaca-Blinder Decomposition Analysis[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2022, 53(4): 656-662. DOI: 10.12182/20220760303 |
| [4] | LI Ling-ling, WU Yang-yang, LEI Pu-chao, SUN Chang, YE Rui-xue, WANG Qing-zhi, DU Ye-fan, GAO Jie, ZHOU Huan. Study on the Relationship between First-Time Complementary Feeding Practice and the Nutritional Status of Infants and Young Children in the Multi-Ethnic Rural Areas of Sichuan Province[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2021, 52(4): 655-661. DOI: 10.12182/20210760507 |
| [5] | HE Qiao-yu, HU Hui, GAO Bo, YANG Shu-juan, LI Ning-xiu. The Study of the Relationship Between Community Social Capital and Quality of Life among the Middle-aged and Elderly Rural-to-Urban Residents[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2020, 51(2): 225-230. DOI: 10.12182/20200360502 |
| [6] | CHEN Rao, MA Tian-pei, HE Qiao-yu.et al. Multilevel Modelling on the Prevalence and Determinants of Depressive Symptoms in Middle and Old-aged Rural-to-urban Immigrants in Chengdu[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2019, 50(2): 229-233. |
| [7] | ZHANG Wen-jie, XUE Li, CHEN Rao. et al. Medical Service Information Seeking Behaviors in Rural and Urban Patients in Sichuan Province[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2018, 49(2): 271-275. |
| [8] | LUO Hui-qiang, WU Kan, QIAN Jia-hui. et al. Urban-Rural Differences in the Role of Family Support in Physical and Mental Health of Elderly People in China[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2017, 48(2): 263-267. |
| [9] | LIAO Xiao-yang, PENG Da-qing, WANG Wei-wen. et al. Risk Factors Associated with Chronic Obstructive Pulmonary Disease: a Comparison Between Urban and Rural Populations in Chengdu[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2015, 46(2): 258-262. |
| [10] | GAO Bo, ZHAO Na, REN Xiao-hui, LI Ning-xiu. Impact of Urbanization on the Residents' Health Service Needs and Utilization Based on the Urban and Rural Integration Development[J]. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES), 2013, 44(2): 255-260. |
| 1. |
潘云龙，姚小玲，高荣慧，谢薇，夏春潮，李真林，孙怀强. 深度学习重建算法联合智能去除金属伪影技术改善危重患者上腹部CT的图像质量. 四川大学学报(医学版). 2024(06): 1403-1409 .
| |
| 2. |
金大永，李笑石，耿纪刚，李馨，朱寅虎，秦越. SEMAR与AIDR 3D去金属伪影算法相结合在髋关节置换术后CT检查中的临床应用价值. 临床医学研究与实践. 2022(02): 82-85+102 .
| |
| 3. |
包卫兵. 常规CT成像、虚拟单能量成像、MARs技术去除金属植入物伪影的对比研究——人工全髋关节置换术后. 甘肃科技. 2021(18): 133-136+40 .
| |
| 4. |
黄文博，杜申钊，曾静，谷耀东. 四种口腔修复材料在锥形束CT与螺旋CT口腔全冠图像中的伪影对比研究. 口腔医学研究. 2021(12): 1094-1098 .
|
Home
DownLoad: