四川省南充市农村地区6~23月龄婴幼儿膳食多样化与看护人辅食喂养自我效能的关联性  

Association Between Dietary Diversity and Caregiver Self-Efficacy for Complementary Feeding Among Infants and Young Children Aged 6-23 Months in Rural Nanchong City,Sichuan Province

作　　者：郭润雪 季欣颖 李麟华 冷芳群 刘沁欣 吴玉菊[1] 周欢[1] GUO Runxue;JI Xinying;LI Linhua;LENG Fangqun;LIU Qinxin;WU Yuju;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;Department of Epidemiology and Health Statistics,West China School of Public Health and 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健康行为与社会医学系,成都610041 [2]四川大学华西公共卫生学院/四川大学华西第四医院流行病与卫生统计学系,成都610041

出　　处：《中国医学科学院学报》2024年第1期19-24,共6页Acta Academiae Medicinae Sinicae

基　　金：国家自然科学基金(72274130)。

摘　　要：目的分析四川省南充市农村地区6~23月龄婴幼儿膳食多样化和看护人辅食喂养自我效能的现状,并探究婴幼儿膳食多样化与看护人自我效能之间的关系。方法采用多阶段随机整群抽样方法,选取四川省南充市农村地区6~23月龄婴幼儿及其看护人作为研究对象。采用结构式问卷收集婴幼儿及其看护人的基本特征、婴幼儿膳食多样化喂养情况和看护人辅食喂养自我效能。采用多因素Logistic回归分析婴幼儿膳食多样化与看护人辅食喂养自我效能的关系。结果共纳入770对婴幼儿及其看护人。最低膳食多样化合格率为61.56%(474/770),其中,6~11、12~17、18~23月龄婴幼儿最低膳食多样化合格率分别为45.00%(108/240)、69.16%(287/415)、68.70%(79/115)。回归分析结果显示,在控制其他混杂因素的前提下,看护人辅食喂养自我效能是婴幼儿膳食喂养多样化合格的促进因素(OR=1.42,95%CI=1.17~1.73,P<0.001)。结论四川省南充市农村地区婴幼儿膳食多样化喂养情况有待改善,具有较高辅食喂养自我效能的婴幼儿看护人给其孩子提供多样化辅食喂养的可能性更高。Objective To analyze the current situation of dietary diversity and caregiver self-efficacy for complementary feeding among infants and young children aged 6 to 23 months in rural Nanchong city,Sichuan province,and to explore the relationship between dietary diversity and caregiver self-efficacy.Methods Multi-stage randomized cluster sampling method was used to select infants and young children aged 6 to 23 months and their caregivers in rural areas of Nanchong city,Sichuan province as the subjects.A structured questionnaire was designed to collect the basic information of the subjects,dietary diversity,and caregiver self-efficacy for complementary feeding.Multivariate Logistic regression was adopted to analyze the relationship between the dietary diversity and caregiver self-efficacy for complementary feeding of infants and young children.Results A total of 770 pairs of infants and young children and their caregivers were included.The minimum pass rate of dietary diversity was 61.56%(474/770)for all the infants and young children and 45.00%(108/240),69.16%(287/415),and 68.70%(79/115)for the infants and young children aged 6 to 11,12 to 17,and 18 to 23 months,respectively.The results of regression analysis showed that the caregiver self-efficacy of complementary feeding was a contributing factor for qualified dietary diversity of infants and young children in the case of other confounders being controlled(OR=1.42,95%CI=1.17-1.73,P<0.001).Conclusion The dietary diversity for infants and young children in rural Nanchong city,Sichuan province needs to be improved,and caregivers with higher self-efficacy of complementary feeding are more likely to provide diversified complementary feeding for infants and young children.

关 键 词：婴幼儿 辅食喂养 膳食多样化 自我效能 

分 类 号：R174.4[医药卫生—妇幼卫生保健]