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KMID : 0438219740110010527
Korea University Medical Journal
1974 Volume.11 No. 1 p.527 ~ p.538
A Study on the Status of Child Health at Jung Neung Area of Seoul


Abstract
Interpretation of statistical survey of child health seems to depend on several factors including age distribution of children, educational and economic ¢¥Levels of maternal side. There are several reports on childs health at lower economic urban districts in Seoul, but not in middle economic urban district. The author has choosen residents in apartment at Jung Neung Areas a middle economic urban district of -Seoul to investigate the status of childhealth and a preliminary data to establish the future child health plan. A total of 294 mothers were questioned on lactation, weaning and vaccination given to their 506 children (251 boys and 255 girls).
Findings obtained are summarized as follows:
1. Annual trends in place of birth revealed significant change during last 14 years showing marked increase in hospital delivery.(from 14% of 10-14 age group to 63.2% of under 6 months age group) and significant decrease in home delivery (from 69.4% of 10-14 age group to 15.8% of under 6months age group). No significant change was noted in midwifery delivery.
Z. Methods of feedings given to 505 children revealed breast feeding in 69.5% milk and breast feeding in 22.0% and milk feeding in 8.5%, and there is no change in this pattern of feeding in past 14years.
3 Significant differences in method of feeding were noted by level of maternal education showing breast and milk feeding in 52.6% of college graduate group and breast feeding in 66.7-76.2%.of. under high finished groups. No sinnificant differences were noted between different income groups.
4. Half of housewives answered under 1 year and other half answered over 1 year as an ideal duration of laction. This duration revealed tendency to short by higher maternal education.-
5. By :analysis of answers on source of knowledge on weaning, it was notice that only 60% of housewives received knowledge on weaning from, school, health center, mass media and hospital: =6. Most frequent source of knowledge on weaning in over high school finished groups were school, but it¢¥s frequency was only 30.8-54.5916
7. Among the causes of weaning ansewed by mother, most frequent cause was due to maternal
health and it¢¥s frequency was 34.2%. No significant changes in pattern of cause of weaning was noted during past 14 years.
8. The most of housewives used home made foods for weaning and it¢¥s frequency was 92.0% This pattern revealed no significant change by maternal education or income.
9. Overall rates of polio vaccination given to 494 children were non vaccinated in 11.5%, 1st vaccination in 22.9%, 2nd vaccination in 16.1%, 3rd vaccination in 29.1%, 1st booster vaccination in 16.6% and 2nd booster vaccination in 3.8%. And the rate of vaccination revealed tendency to increase during past 14 years.
10. Overall rates of D. P. T. vaccination given to 494 children were nonvaccinated in 36.8%, 3rd vaccination in 22.9% and 2nd booster vaccination in 1.4%. And the rate of vaccination revealed tendency to increase during past 14 years.
11. Overall rates of vaccination of measles, small pox and BCG revealed 62.4%, 78.3% and 46.4%, respectively, and these rates revealed no significant change during past 14 years.
12. Those frequent source of knowledge on vaccination was hospital and its frequency was only 37.2%.
13. Frequency of the places of vacination given to children were health center in 61.9%, hospital 25.8%, village office 7.2% and shool 5.1%.
14. Overall rate of side reaction after D. P. T. vaccination was 32% and consisted of high fever 86%, irritability 11% and diarrhea and vomiting 3%.
Above findings are highly suggestive that the status of child health on feeding, weaning and vaccination are dependable on maternal education and age group of children. And confirmed the necessity of more active maternal health education.
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