四川农村地区看护人营养包认知与喂服行为的关系:自我效能的中介作用  

Association between Yingyangbao cognition and feeding behavior of caregivers in rural areas of Sichuan Province:the mediating effect of self-efficacy

作　　者：刘璐[1] 孙畅[1] 彭丽梅 刘沁欣 吴玉菊[1] 郑莉[2] 周欢[1] Liu Lu;Sun Chang;Peng Limei;Liu Qinxin;Wu Yuju;Zheng Li;Zhou Huan(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;School of Public Administration,Sichuan University,Chengdu610065,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健康行为与社会医学系,成都610041 [2]四川大学公共管理学院,成都610065

出　　处：《卫生研究》2023年第5期716-720,725,共6页Journal of Hygiene Research

基　　金：国家自然科学基金(No.71874114);应用新媒体及社会网络探索贫困农村地区儿童营养改善的健康教育与健康促进创新模式(No.19PJ072);基于微型学习的偏远农村地区母婴健康促进科普培训(No.2021JDKP<0042)。

摘　　要：目的评估四川农村地区营养包喂服现状,探讨营养包认知、自我效能和喂服行为三者之间作用机制。方法采用多阶段整群抽样方法,于2019年10月在四川省2个汉族县、2个藏族县、2个彝族县,共6个样本县的36个乡的108个村,整群纳入6~24月龄婴幼儿看护人作为研究对象,使用自行设计结构式问卷进行面对面访谈式调查。结果共纳入765名6~24月龄婴幼儿看护人。营养包有效喂服率为54.43%。看护人营养包认知、自我效能和喂服行为分值分别为3.80±1.16、7.96±1.53和0.83±0.38,两两之间呈显著正相关。自我效能在看护人营养包认知和喂服行为间起部分中介效应,中介效应在总效应中的占比为23.37%。结论营养包认知直接影响喂服行为,营养包认知通过自我效能间接影响喂服行为。OBJECTIVE To describe the current situation of Yingyangbao feeding in rural areas of Sichuan,and to explore the mechanism among micronutrient powder cognition,self-efficacy and feeding behavior.METHODS The multi-stage cluster sampling method was adopted.In October 2019,in 2 Han counties,2 Tibetan counties,and 2 Yi counties in Sichuan Province,a total of 108 villages in 36 townships in 6 sample counties were included in the cluster.Caregivers of infants and young children aged 6-24 months were selected as the research subjects,and a face-to-face interview survey was conducted using a self-designed structured questionnaire.RESULTS A total of 765 caregivers of infants and young children aged 6-24 months were included in this study.The effective feeding rate of the Yingyangbao was 54.43%.The average scores of caregivers Yingyangbao cognition,self-efficacy and feeding behavior were 3.80±1.16,7.96±1.53 and 0.83±0.38,and there was a significant positive correlation between them.Self-efficacy played a partial mediating effect between caregivers'Yingyangbao cognition and feeding behavior,and the mediating effect accounted for 23.37%of the total effect.CONCLUSION Yingyangbao cognition directly affects feeding behavior and indirectly affects feeding behavior through self-efficacy.

关 键 词：营养包 喂服行为 中介效应 自我效能 认知 

分 类 号：R153.1[医药卫生—营养与食品卫生学] R153.2[医药卫生—公共卫生与预防医学]