Complementary feeding patterns among ethnic groups in rural western China  

中国西部农村地区婴幼儿辅食喂养状况民族差异的调查（英文）

作　　者：Peng-fei QU Ya ZHANG Jia-mei LI Ruo ZHANG Jiao-mei YANG Fang-liang LEI Shan-shan LI Dan-meng LIU Shao-nong DANG Hong YAN 

机构地区：[1]Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China [2]Obstetrical Department, Shaanxi Provincial People's Hospital, Xi'an 710068, China [3]Nutrition and Food Safety Engineering Research Center of Shaanxi Province, Xi 'an 710061, China

出　　处：《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2018年第1期71-78,共8页浙江大学学报（英文版）B辑（生物医学与生物技术）

基　　金：Project supported by the National Natural Science Foundation of China(No.81230016);the Project of Birth Defect Control and Prevention in Shaanxi(No.Sxwsjswzfcght2016-013);the Chinese Ministry of Health(MOH);the United Nations Children’s Fund(UNICEF)(No.YH001)

摘　　要：Objective： This study investigated complementary feeding practices among four ethnic groups（Han, Uygur, Tibetan, and Zhuang） based on a cross-sectional survey in rural western China. Methods： In 2005, a stratified multistage cluster random sampling method was used to recruit 9712 children（7411 Han, 1032 Uygur, 678 Tibetan, and 591 Zhuang） between 6 and 35 months of age and their mothers from 45 counties in 10 provinces（autonomous regions, municipalities） in western China. Results： The rates of early introduction（before 6 months） of complementary foods in four ethnic groups（Han, Uygur, Tibetan, and Zhuang） were 71.30%, 95.95%, 82.40%, and 72.30%, respectively. The Infant and Child Feeding Index（ICFI） for Uygur and Tibetan children was lower than that for Han children at all age groups. Uygur children were more likely to have unqualified ICFI compared with Han children in a multivariate logistic regression（odds ratio（OR）=5.138, 95% confidence interval（CI）： 4.340–6.084）. A higher level of maternal education, greater family wealth, and the availability of complementary feeding educational materials decreased the likelihood of an unqualified ICFI. The nutritional status of children（Han, Tibetan, and Zhuang） with qualified ICFI was better than that for children with unqualified ICFI. Conclusions： Appropriate interventions are required to improve complementary feeding practices in rural western China.目的:比较中国西部农村地区四个民族(汉、维、藏和壮)的婴幼儿的辅食喂养状况,探讨影响婴幼儿辅食喂养的影响因素。创新点:在中国西部10省区开展大规模人群流行病学调查,对比分析西部农村地区四个主要民族(汉、维、藏和壮)的婴幼儿的辅食添加的时间、类别、频率及质量,探讨其差异的可能原因,以及研究影响西部农村地区辅食喂养的可控因素,为西部农村地区不同民族改善婴幼儿辅食喂养状况提供干预措施。方法:采用人口比例抽样法,在2005年调查西部10省区45县9172个6~35个月的婴幼儿的辅食添加状况(7411汉、1032维、678藏和591壮),构建了适合西部地区的婴幼儿喂养指数(ICFI),综合评价婴幼儿辅食喂养质量。结论:汉族和壮族婴幼儿的喂养质量好于维族和藏族。母亲教育水平、家庭经济水平和喂养宣传是影响婴幼儿辅食喂养质量的重要因素,合理的干预措施是促进西部地区婴幼儿辅食添加质量的关键。

关 键 词：Complementary feeding Infant and Child Feeding Index （ICFI） Ethnic group Westem China 

分 类 号：R181.3[医药卫生—流行病学]