Investigation And Analysis Of Two-week Prevalence And Consultation In Children Aged 0-6 Years

Objective To understand the distribution,epidemiological characteristics and treatment of children common diseases and master the children health status and health service requirements and utilization through the investigation of children two-week prevalence and consultation who's aged from 0 to 6 years old in urban and rural areas in our country.To analyze the factors of health service requirements and utilization of China's urban and rural children aged 0 to 6 years is in order to provide the basis for meeting the demands of children health service.Materials and Methods The multi-stage stratified cluster random sampling method and questionnaire were used to investigate children health problems and service requirements which included 42780 children under six in 64 communities and 64 villages and towns of our country.Data was double entered and SPSS 13.0 was used to do the logical check and statistic analysis.Disease classification was based on ICD-10.Children basic situation,two-week prevalence and consultation were analyzed by descriptive method.Factors of children two-week prevalence rate and sick children consultation rate were analyzed with ?2 test and unconditional logistic regression.The graphs were made by SigmaPlot10.0.Research content This research content mainly included the following three aspects:(1)The demographic characteristics of investigated children.(2)The two-week prevalence and factors of investigated children.(3)The two-week consultation and factors of the sick children.Results 1.Children basic situation:The sex ratio of investigated children was 1.03:1.Rural children accounted for 50.47%and urban children accounted for 49.53%.Children in east,middle and west area were 44.32%,26.66%and 29.02%,respectively.The Han nationality accounted for 92.44%was given priority to children ethnic composition.Parent's educational level was mostly not higher than junior level which father accounted for 53.37%and mother accounted for 56.67%.The median of family income was 50 thousand yuan and most of the family income(33.32%)was not higher than 30 thousand yuan.2.The two-week prevalence rate of investigated children was 22.35%.Children two-week common diseases by system of the top four were respiratory system disease,digestive system disease,skin and subcutaneous tissue disease and infectious and parasitic disease.Children three leading common symptoms were respectively fever,cough and diarrhea.3.The factors of children two-week prevalence were gender,age,urban and rural,region,mother's cultural degree,family income,family smoking,way of birth and gestational age.The two-week prevalence of the children:boys>girls,the highest group was under one years old,urban>rural,east and west>middle,mother's educational degree over junior>junior and below,family income not higher than 30 thousand was the highest group,children in smoking family>non-smokers,cesarean>natural birth,premature birth and post mature delivery>full-term birth.4.Sick children two-week consultation rate was 45.24%.Cases by system of the top four were respiratory system disease,digestive system disease,infectious and parasitic disease,skin and subcutaneous tissue disease.Above the four systems,diseases with the highest consultation rate were separately upper respiratory infections,enteritis,herpes virus infection,dermatitis and eczema.Lower respiratory infections and hand-foot-and-mouth disease accounted for the highest medical cost.Dermatitis and eczema and lower respiratory infections were on for prolonged periods.The main reasons why sick children should visit a doctor but not(54.76%)were self-cure and considering not serious.5.In our research,the factors of sick children two-week consultation rate were gender,age,urban and rural and family income.The two-week consultation rate:boys>girls,the highest group was under one years old,urban>rural,grow with the family income.Conclusions and suggestions 1.Children health status aged 0 to 6 years in our country was yet to be improved and respiratory system disease was the most important common disease.Children common diseases such as respiratory system disease should be intensively prevented and the health status of the children under 3 years old needed to be focused on.Meanwhile,the children health physical examination work should be earnestly implemented and the child health care work should be targeted developed.2.At the status that children two-week prevalence in urban was obviously higher than the rural,paying attention to the poor social and environmental influences in urban(especially in the east)and enhancing the built of health care level and medical service ability in the west had a leading implication for improving children health.3.To strengthen parent's health education from the grassroots medical institutions and community health service centers.To improve parent's ability to identify children's common diseases correctly and to be understood the unhealthy lifestyle(e.g.,smoking)effected on children health.To popularize parents the scientific drug use and concept of medical care seeking behavior in order to make the best of basic community medical and health resources.4.Health education workers should remind parents of paying special attention to children lower respiratory infection.Reducing lower respiratory infection is the key to improve children life quality and ease the disease burden.5.To strengthen the construction of rural health service ability including medical level and human resource,improve the rural health service level and extend the coverage of basic public health service are important to promote the utilization of health service.6.Focusing on the management and training of maternal and child health researchers at the local level.Completing health education propaganda of the diseases prevention and control.Increasing the intensity of training professional and technical personnel.Improving the level of knowledge and business skills of maternal and child health staff.Improving the level of children health insurance coverage and reimbursement can promote child health services utilization.