Factors associated with physical growth of children during the first two years of life in rural and urban areas of Vietnam

BMC Pediatrics

Henry Ascher³  Liem Thanh Nguyen⁴  Toan Khanh Tran¹  Göran Bondjers³  Max Petzold³  Bo Eriksson²  Huong Thu Nguyen² 

[1] Family Medicine Department, Hanoi Medical University, No.1 Ton That Tung Street, Hanoi, Vietnam;Nordic School of Public Health, PO Box 12133, Gothenburg, SE-402 42, Sweden;Sahlgrenska Academy, University of Gothenburg, PO Box 440, Gothenburg, SE-405 30, Sweden;Research Institute for Child Health, National Hospital of Pediatrics, 18/879 La Thanh Road, Hanoi, Dong Da district, Vietnam

关键词: Rural and urban area;    Reported illness;    Breastfeeding;    Antenatal care;    Growth of children;   

Others  :  1144495
DOI  :  10.1186/1471-2431-13-149

 received in 2013-02-18, accepted in 2013-09-19,  发布年份 2013

【 摘 要 】

Background

Differences between urban and rural settings can be seen as a very important example of gaps between groups in a population. The aim of this paper is to compare an urban and a rural area regarding child growth during the first two years of life as related to mother’s use of antenatal care (ANC), breastfeeding and reported symptoms of illness.

Methods

The studies were conducted in two Health and Demographic Surveillance Sites, one rural and one urban in Hanoi, Vietnam.

Results

We found that children in the urban area grow faster than those in the rural area. There were statistical associations between growth and the education of the mother as well as household resources. There were positive correlations between the number of ANC visits and child growth. We also saw a positive association between growth and early initiation (first hour of life) of breastfeeding but the reported duration of exclusive breastfeeding was not statistically significantly related to growth. Reporting symptoms of illness was negatively correlated to growth, i.e. morbidity is hampering growth.

Conclusions

All predictors of growth discussed in this article, ANC, breastfeeding and illness, are associated with social and economic conditions. To improve and maintain good conditions for child growth it is important to strengthen education of mothers and household resources particularly in the rural areas. Globalization and urbanization means obvious risks for increasing gaps not least between urban and rural areas. Improvement of the quality of programs for antenatal care, breastfeeding and integrated management of childhood illness are also needed in Vietnam.

【 授权许可】

   
2013 Nguyen et al.; licensee BioMed Central Ltd.

【 图 表 】

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