西部农村地区看护人首次辅食添加行为影响因素的民族差异  

Ethnic differences in influencing factors of caregivers’first complementary food addition behavior in western rural areas

作　　者：彭丽梅 杜叶繁 王庆志 叶睿雪 孙畅[1] 吴玉菊[1] 周峻民[1] 张菊英[1] 周欢[1] Peng Limei;Du Yefan;Wang Qingzhi;Ye Ruixue;Sun Chang;Wu Yuju;Zhou Junmin;Zhang Juying;Zhou Huan(West China School of Public Health/West China Fourth Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,成都610041

出　　处：《卫生研究》2022年第3期403-410,共8页Journal of Hygiene Research

基　　金：国家自然科学基金(No.71874114);四川省卫健委科研项目(No.19PJ072);四川省科技厅科研项目(No.2021JDKP0042)。

摘　　要：目的 通过调查西部农村地区多民族背景下看护人首次辅食添加行为现状,分析其影响因素。方法 于2019年通过多阶段分层整群随机抽样方法在西部农村地区选择研究对象,采用文献复习和专家咨询法自行设计结构式问卷,共收集1290名看护人和婴幼儿的社会人口学特征、喂养知识、辅食添加情况等信息,运用有序多分类Logistic回归分别分析汉族和少数民族首次辅食添加行为的影响因素。结果 西部农村地区仅有8.22%的看护人首次辅食添加行为较好,汉族群体中,16.31%的看护人首次辅食添加行为较好;少数民族人群中,仅有3.64%的婴幼儿看护人首次辅食添加行为较好。在汉族中,相比祖父母辈,父母辈作为看护人的首次辅食添加行为较好(OR=1.861,95%CI 1.277~2.712)。在少数民族中,文化程度(OR=1.753,95%CI 1.190~2.581)、家庭固定资产(OR=3.870,95%CI 1.959~7.645)、喂养知识(OR=3.396,95%CI 2.749~4.195)都是首次辅食添加行为的促进因素。结论 西部农村地区看护人首次辅食添加行为普遍较差。OBJECTIVE To investigate the status quo and influencing factors of the first-time complementary food addition behavior of caregivers in the multi-ethnic background in the western rural areas. METHODS In 2019, a multi-stage stratified cluster random sampling was used to selecting research subjects in western rural areas. A structured questionnaire was designed by ourselves with literature review and expert consultation method, and information such as sociodemographic characteristics, feeding knowledge, and complementary food addition of 1290 caregivers and infants were collected, ordered multi-classification Logistic regression was used to analyze the influencing factors of the first complementary food addition behavior of the Han nationality and the minority nationality. RESULTS In the western rural areas, only 8.22% of the caregivers had better behavior of first complementary food addition, and 16.31% of the caregivers in the Han group had a good behavior of first complementary food addition. In the minority population, only 3.64% of infant caregivers had a good behavior of first complementary food addition. In Han, parents, as caregivers, had better first complementary food addition behavior than grandparents(OR=1.7829, 95% CI 1.1651-2.7283). Among ethnic minorities, education(OR=1.753,95%CI 1.190-2.581), family fixed assets(OR=3.870,95%CI 1.959-7.645)and feeding knowledge(OR=3.396,95%CI 2.749-4.195) were the promoting factors for the first complementary food addition behavior. CONCLUSION In western rural areas, caregivers’ behavior of adding complementary food for the first time is generally poor.

关 键 词：婴幼儿 首次辅食添加行为 多民族 西部农村 看护人 

分 类 号：R330.54[医药卫生—人体生理学]