目的 调查浙江省丽水市0～3岁婴幼儿入托现状及其影响因素，为政府优化托育政策、促进托育服务高质量发展提供科学依据。方法 2024年5—6月，采取整群随机抽样方法，对在丽水市9个县（市、区）妇幼保健机构儿童保健门诊进行健康体检的0～3岁婴幼儿家长做问卷调查，采用多因素logistic回归分析对婴幼儿入托现状的影响因素进行分析。结果 7 649名0～3岁婴幼儿中，1 153人（15.07%）目前在托育机构，其中612人（53.08%）在民办托育机构，254人（22.03%）在公办托育机构，267人（23.16%）在早教机构。不同性别、户籍、主要照护人的婴幼儿入托比例差异无统计学意义（P > 0.05）；不同月龄、父母亲年龄、父母亲文化程度、父母亲职业、家庭年收入的婴幼儿入托比例差异有统计学意义（P<0.01）。多因素logistic回归分析显示，婴幼儿24～36月龄（OR=3.704,95%CI:3.333～4.117）、家庭年收入高（OR=1.282,95%CI:1.193～1.377）、母亲年龄大（OR=1.251,95%CI:1.062～1.473）的婴幼儿入托可能性高（P<0.05）。结论 丽水市0～3岁婴幼儿入托率高于全国平均水平，婴幼儿月龄、家庭年收入、母亲年龄是婴幼儿入托的影响因素。

Objective To investigate the current situation of daycare enrollment among infants and toddlers aged 0-3 years in Lishui city and its influencing factors, and to provide a scientific basis for the government to refine relevant policies and promote the high-quality development of childcare services. Methods From May to June 2022, cluster random sampling was used to conduct a questionnaire survey among parents of infants and toddlers aged 0-3 years who received physical examination in child health clinics across 9 counties(cities) or districts of Lishui. Multivariate logistic regression analysis was employed to identify the influencing factors of daycare enrollment. Results Among the 7 649 enrolled infants and toddlers aged 0-3 years, 1 153 were currently enrolled in childcare institutions, accounting for 15.07%. Among these, 612(53.08%) were enrolled in private childcare institutions, 254(22.03%)were in public childcare institutions, and 267(23.16%) were in early education institutions. Univariate analysis showed no statistically significant difference in the proportion of daycare enrollment between different genders, household registration types, and primary caregivers(P > 0.05). However, the age of infants and toddlers, parental age, parental educational level, parental occupation, and annual household income were statistically associated with the proportion of daycare enrollment(P < 0.01). Multivariate logistic regression analysis revealed that toddlers aged 24 to 36 months(OR = 3.704, 95% CI: 3.333-4.117), higher annual household income(OR =1.282, 95% CI: 1.193-1.377), and older maternal age(OR = 1.251, 95%CI: 1.062-1.473) were associated with a higher proportion of daycare enrollment(P < 0.05). Conclusions The daycare enrollment rate of infants and toddlers aged 0-3 years in Lishui city is higher than the national average. The infants or toddlers' age, the annual household income, and the maternal age are the key influencing factors for daycare enrollment among infants and toddlers.