The Living Condition Of The Invalid Children And The New-born Children From2011to2013in Jinan City

Objective:The thesis investigates the families of the invalid children and their birthconditions from2011to2013in Jinan. Afterwards, it puts forward the effectivemeasures that prevent the inborn disabilities, which aims to provide the strategies andreference basis for the Public Health Administrative Department to improve thequality of local new-born children.Methods:The object of this study was the families of invalid children which wasaccredited by medical identification from2011to2013. The data was collected bytrained investigators by means of interview, and the database was established by Excelsoftware. The results and data were collected and analyzed by SPSS17.0.Results:1.There are868people attending the medical identification including690boysand178girls from2011to2013. The proportion of boys（79.49%）is much higherthan girls（20.51%）. The number of invalid children in rura（l59.33%) is more than incity（40.67%）areas.2. The invaild children attending the medical Identification aged6to10are up to356cases (41.01%), followed by5-year-old group,334cases (38.48%),11to15years old group113cases (13.02%),≥16years old group of at least65patients(7.49%).3. In various regions of Jinan City, Licheng District, the highest proportion ofinvaild children and152(17.51%), followed by Shanghe115(13.25%), theproportion of Gaoxin District invaild children was minimum27(3.11%).4. From2011to2013, the proportion of invaild children with mental disordersup to40.55%, followed by ear, nose and eye diseases accounted for14.17%, the lowest proportion of invaild children is the respiratory system accounted for0.46%on Jinan City.5. For different professional people, the birth rates of defects are different. Therate of farmers is the highest, whereas the rate of workers is the lowest; For differenteducation people, the birth rate of defects are different. Parents of invaild children arein junior high school level of education degree the highest proportion, followed by acollege education, education for primary school children and the lowest proportion ofdisabled persons.6. From2011to2013in the family of invaild children, the father’s good physicalcondition of285people, accounting for66.24%; General physical condition of285people, accounting for32.83%; Relatively poor physical condition8people,accounting for0.92%. Mother’s good physical condition of568people, accountingfor65.44%; General physical condition of293people, accounting for33.76%,;Relatively poor physical condition of seven people, accounting for0.81%.7. From2011to2013,in the family of invaild children, the father had a historyof smoking for233cases (26.84%), the mother has a history of smoking for four cases(0.46%); The father had a history of alcohol for339cases (39.06%), the motherdrinking19cases (2.19%).8. On perinatal，14.28percent of invaild children have family pet;2.88%fatherand4.03%mother contacted the rays, microwaves, high temperature, heavy metals,chemicals, pesticides and other substances in the work environment;61.99%household drinking water does not meet the national drinking water standards.9. During pregnancy, there are12.67%mothers had experienced fever,6.34%mothers had medication,3.57%mothers used cosmetics usually,1.38%mothersuffered accidental injuries.10. The early abortion phenomenon happened on55mothers of the invalidchildren, but the reasons were unknown from2011to2013.Twelve of themexperienced stillbirth, which accounts for1.38%. Nineteen of them had the similardiseases in their family history which possesses2.19%.11. The results show that children in good health are64(7.37%), the generalchildren are515(59.33%), the worse children are289(33.29%) among868cases ofthe invaild children participated in the questionnaires.162children (18.66%) arenormal intelligence,439(50.58%) are general intelligence and267of them are low intelligence. In growth and development,149children (17.17%) are normal,586children (67.51%) are general and133children (15.32%)are worse.12. Due to congenital defects,74cases (8.53%) had good treatments,592cases(68.20%) had general treatments,202cases (23.27%) were not treated or in badconditions.There are many factors influence treatment of invaild children,the factors thataffect treatment were father’s occupation(χ2=8.025P=0.045)、father’s education(χ2=19.527P<0.001)、mother’s education（χ2=20.040P<0.001）、the family annualincome (χ2=24.587P<0.001) and invalid children prevalence (χ2=33.879P<0.001).13.55.76%households state that the invaild children had a great influence on thefamilies, only2.19%of households claim that the invaild children had no or smalleffect on families.65.67%households had better attitude towards their children,33.87%households had general attitude to the children,0.46%households who wereinfluenced by the children had poor attitude to their children. the factors that affectquality of life were father’s education (χ2=107.281P<0.001)、mother’s education（χ2=92.465P<0.001）、the family annual income family（χ2=187.149P<0.001）and invalid children prevalence （χ2=367.670P<0.001）.14.By comprehensive comparison, it shows that63.71%children has generalquality of life and18.20%children has better quality of life. The invaild childrenrelated factors have influence on family, there were father’s education (χ2=25.954P<0.001)、mother’s education（χ2=35.954P<0.001）and the family annual income（χ2=40.941P<0.001）.15. The survey shows that170people gave birth to second child in2011-2013,accounting for19.59%of the approved fertility. The gender composition ratio is98.86%including87boys and88girls.171among their second children are normaland4children are still sick. The recurrence rate is2.35%. In the study of secondchildren, one child has the same disease with the first child, and three of them havedifferent diseases. Three of the recurrenced children are in countryside and one is incity. And the incidence of rural is significantly higher than the city. Conclusion:1.From2011to2013, the proportion of invaild children is different in differentareas on Jinan city. The proportion of male is much higher than female amongsurveyors, and the number of invalid children in city is more than rural areas.2. The diseases give priority to genetic diseases, especially nervous system had ahigher proportion among surveyors.3. In the survey, for parents who are in poor economic conditions, farmers, inpoor working environment, and who had a bad high-risk abortion history andcontacting higher chemical and biological factors.the incidence of birth defects arehigher. Premarital examination, folic acid supplementation and eugenic screeningcould decrease the incidence of birth defects.4. Nearly three percent of sick children have mental retardation, more than threepercent of poor physical health, the larger the impact on families of disabled children.5.The degree of parental education，The severity of the child ’s illness diseaseand family income，were significantly associated with treatment of sick children andquality of life and the existence.6. Re-birth of the family still has a higher proportion of birth defects in childrenof2.35%.