Objective: To describe the status and identify factors associated withtaking Yingyangbao efficiently among infants and young children aged 6- 24 months in poor rural areas.
Methods: A total of 7481 rural infants and young children aged between6 and 24 months in 25 poor counties of Wuling Mountains and Luoxiao Mountains in Hunan Province were selected by Probability-Proportional-to-Size Sampling( PPS), and designed questionnaires to collect infants and young children's information of personal, family and taking Yingyangbao. Non-conditional Logistic regression analysis was used to analyze the factors associated with taking Yingyangbao among infants and young children aged 6- 24 months.
Results: The findings indicated that 90. 4%( 6762 /7481) of infants and young children had got Yingyangbao, and 69. 2%( 4677 /6762) of infants and young children took Yingyangbao efficiently, 62. 5%( 4677 /7481) of all investigative infants and young children took Yingyangbao efficiently. The result of multivariate non-conditional logistic regression analysis showed that, compared with 6- 11 months, 12- 17 and18- 24 months were protective factors of infants and young children took Yingyangbao efficiently( OR = 0. 839, 95% CI 0. 735- 0. 959. OR = 0. 854, 95% CI 0. 748-0. 974). Compared with Han ethnic, Miao, Tujia, Dong and other minority ethnic were risk factors of infants and young children took Yingyangbao efficiently( OR = 1. 243, 95%CI 1. 07- 1. 443. OR = 2. 352, 95% CI 2. 008- 2. 755. OR = 1. 801, 95% CI 1. 453-2. 233. OR = 1. 675, 95% CI 1. 192- 2. 355). Compared with father with primary school education or below, father with senior high school education and educated to university level or above were protective factors of infants and young children took Yingyangbao efficiently( OR = 0. 774, 95% CI 0. 618- 0. 970. OR = 0. 570, 95% CI 0. 428-0. 760). Compared with famer father, worker or cadre father was risk factor of infants and young children took Yingyangbao efficiently( OR = 1. 279, 95% CI 1. 104- 1. 482). Compared with parents as caregivers, grandparents as caregivers was protective factor of infants and young children took Yingyangbao efficiently( OR = 0. 651, 95% CI 0. 581-0. 729). Compared with taking Yingyangbao with no adverse reaction, taking Yingyangbao with adverse reaction was risk factor of infants and young children took Yingyangbao efficiently( OR = 2. 759, 95% CI 2. 346- 3. 245).
Conclusion: The rate of taking Yingyangbao efficiently among infants and young children in poor rural areas is low. The risk factors of infants and young children taking Yingyangbao efficiently include lower in age( months), of minority ethnic, of father with lower education, of father who is worker or cadre, of parents as caregiver, and of taking Yingyangbao with adverse reaction.
Keywords: Yingyangbao; infants and young children; poor areas.