Current status and influencing factors of family caregiving quality for  infants and toddlers aged 0–3 years in Chengdu

QIN Chengjie; CHEN Yue; YANG Liu; WU Huimin; JIN Shengxian; LIANG Yan; REN Yan

doi:10.11852/zgetbjzz2025-0809

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (2) : 165-170. DOI: 10.11852/zgetbjzz2025-0809

Column on Early Development & Nurturing Care

Current status and influencing factors of family caregiving quality for infants and toddlers aged 0–3 years in Chengdu

QIN Chengjie, CHEN Yue, YANG Liu, WU Huimin, JIN Shengxian, LIANG Yan, REN Yan

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Objective To assess the current status of family caregiving quality for infants and toddlers aged 0–3 years, and to identify associated factors, so as to provide a scientific basis for enhancing family caregiving capabilities. Methods A cross-sectional survey was conducted from March to April 2024 among 2 901 primary caregivers of infants and toddlers from 10 community health centers in Chengdu using convenience sampling.Data were collected using the self-designed Family Infant and Toddler Care Quality Assessment Scale.Univariate analysis and multiple linear regression were employed to analyze factors associated with caregiving quality. Results The mean total caregiving quality score was 141.14±16.79, with a mean item score of 2.61±0.32.Among dimensions, safety care had the lowest mean item score of 2.47±0.41.Multiple linear regression analysis identified the following factors as significant predictors of the total family caregiving quality score for infants and toddlers aged 0 - 3 years: infant/toddler sex(male:B=-1.837, 95%CI:-3.035 to -0.638), age group (0 - 12 months:B=3.692, 95%CI:2.294 to 5.090), small-for-gestational-age status (yes: B=-3.419, 95%CI:-6.078 to -0.760; unsure: B=-3.849, 95%CI:-6.200 to -1.498), history of neonatal infection (B=-3.369, 95%CI:-5.299 to -1.438), urban household registration (B=1.551, 95%CI: 0.299 to 2.803), annual household income(60 000 - <100 000CNY: B=2.468, 95% CI: 0.951 to 3.985;100 000 - <200 000 CNY: B=4.320, 95%CI: 2.560 to 6.081; 200 000 - <300 000 CNY: B=4.653, 95%CI: 2.131 to 7.175;≥300 000 CNY: B=4.693, 95% CI: 1.963 to 7.423), and primary caregiver type(grandparents: B=-4.292, 95%CI:-5.758 to -2.826; others: B=-2.900, 95%CI:-5.716 to -0.083)(P<0.05). Conclusions The family caregiving quality for infants and toddlers aged 0~3 years in Chengdu is generally acceptable.However, safety caregiving capabilities require urgent improvement.Targeted health education programs should be implemented for key populations, including male infants, high-risk infants, rural families, and grandparent caregivers, so as to further enhance caregiving quality and ensure healthy development of infants and young children.

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infants and young children aged 0 - 3 years / family caregiving / caregiving quality

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QIN Chengjie, CHEN Yue, YANG Liu, WU Huimin, JIN Shengxian, LIANG Yan, REN Yan. Current status and influencing factors of family caregiving quality for infants and toddlers aged 0–3 years in Chengdu[J]. Chinese Journal of Child Health Care. 2026, 34(2): 165-170 https://doi.org/10.11852/zgetbjzz2025-0809

References

[1] 关宏岩,张羽宁,许梦雪.关注婴幼儿养育照护及家庭养育指导热点问题[J].中国儿童保健杂志, 2025,33(3):238-243.
Guan HY, Zhang YN, Xu MX.Focusing on key issues in caregiving for infant and toddlers and family nurturing guidance[J].Chin J Child Health Care, 2025,33(3):238-243.(in Chinese)
[2] 中华人民共和国中央人民政府.中共中央国务院关于优化生育政策促进人口长期均衡发展的决定[EB/OL].(2021-07-20)[2025-07-02].https://www.gov.cn/zhengce/2021-07/20/content_5626190.htm.
[3] 中华人民共和国中央人民政府.关于进一步完善和落实积极生育支持措施的指导意见[EB/OL].(2019-04-17)[2025-07-02].https://www.gov.cn/zhengce/zhengceku/2022-08/16/content_5705882.htm.
[4] 中华人民共和国中央人民政府.国务院办公厅关于促进3岁以下婴幼儿照护服务发展的指导意见[EB/OL].[2025-07-02].https://www.gov.cn/gongbao/content/2019/content_5392295.htm.
[5] 中华人民共和国中央人民政府.习近平主持召开二十届中央财经委员会第一次会议[EB/OL].(2023-05-05)[2025-07-02].https://www.gov.cn/yaowen/2023-05/05/content_5754275.htm.
[6] 姚瑛,黄匡时,陈洪梅.3岁以下婴幼儿家庭科学育儿指导服务体系建设—中国计生协“向日葵亲子小屋”探索实践[J].人口与健康,2025,5:17-19.
Yao Y, Hang KS, Chen HM.Parenting guidance service system for families with infants and children under age 3:Exploratory practices of the "sunflower parent-child hub" Initiative by the china family planning association[J].Population and Health,2025,5:17-19.(in Chinese)
[7] 孔文瑞,许梦雪,贾妮,等.北京市0～3岁婴幼儿家长养育照护能力现状及影响因素分析[J].中国儿童保健杂志,2023,31(7):741-745.
Kong WR, Xu MX, Jia N,et al.Status quo and related factors of parental nurturing care ability of children aged 0-3 in Beijing[J].Chin J Child Health Care, 2023,31(7):741-745.(in Chinese)
[8] 景涛,戴永梅,罗健英,等.中国高中生的体质指数、膳食知识掌握水平、静坐时长及影响因素研究[J].中国全科医学,2025,28(16):2025-2032.
Jing T, Dai YM, Luo JY,et al.The body mass index,dietary knowledge acquisition level,sedentary time and influencing factors amon Chinese high school students[J].Chinese General Practice,2025,28(16):2025-2032.(in Chinese)
[9] Ma X,Zhang Q,Jiang R,et al.Parents' attitudes as mediators between knowledge and behaviours in unintentional injuries at home of children aged 0 - 3 in Shanghai, Eastern China: A cross-sectional study[J].BMJ Open, 2021,11(12):e54228.
[10] 王孜宇,冉昱,粘惠瑜,等.中国城区0～6岁儿童家庭内意外伤害环境量表的研制与性能测试[J].中华预防医学杂志, 2020,54(2):139-140.
Wang ZY, Ran Y, Zhan HY, et al.Development and performance test of The Environment Scale of Unintentional Injury in The Home For Children Aged 0 - 6 Years Old in Urban Area of China[J].Chin J Prev Med,2020,54(2):139-140.(in Chinese)
[11] Shields W, Shiang E, Omaki E, et al.Injury prevention in the US maternal, infant and early childhood home visiting programme[J].Inj Prev, 2024.doi:10.1136lip-2024-045280
[12] West BA, Rudd RA, Sauber-Schatz EK, et al.Unintentional injury deaths in children and youth, 2010—2019[J].J Safety Res, 2021,78:322-330.
[13] 孙孟珂,冉霓,胡晓雯,等.青岛市婴幼儿意外伤害与社会支持的关系[J].中国妇幼保健,2022,37(15):2840-2843.
Sun MK, Ran N, Hu XW, et al.Relationship between accidental injury and social support of infants and toddlers in Qingdao[J].Maternal and Child Health Care of China,2022,37(15):2840-2843.
[14] 王孜宇,胡明,余涛霖,等.长沙市城区0～6岁儿童伤害发生现状及影响因素分析[J].中国卫生统计, 2020,37(1):14-17.
Wang ZY, Hu M, Yu TL, et al.Incidence of injuries and its influencing factors among children aged 0 - 6 years in urban area of Changsha City[J].Chinese Journal of Health Statistics, 2020,37(1):14-17.(in Chinese)
[15] 谭锋云,黄志宇,刘彩清,等.南宁市儿童意外伤害及家长安全急救知识知晓情况调查[J].实用预防医学,2023,30(6):740-743.
Tan FY, Huang ZY, Liu CQ, et al.Accidental injury in children and awareness status of knowledge about safety first aid among parents in Nanning City[J].Prac Prev Med, 2023,30(6):740-743.(in Chinese)
[16] 童连.上海市 0~3 岁婴幼儿照护服务现状分析研究报告[M].复旦大学公共卫生学院托育问题研究课题组,国际救助儿童会(英国)北京代表处,2020.
Tong L, Zhang HF, Huang Y,et al.Study on the current situation of infant and toddler (0 - 3 years) care services in Shanghai[R].Research Group on Childcare Issues,School of Public Health,Fudan University,Save the Children Internationa(UK)Beijing Representative office,2020.(in Chinese)
[17] 崔宇杰,张云婷,赵瑾,等.我国儿童早期发展工作现状分析及策略建议[J].华东师范大学学报(教育科学版),2019,37(3):107.
Cui YJ, Zhang YT, Zhao J, et al.Current situation analysis and strategy suggestions for early child development in China[J].J East China Norm Univ (Edu Sciences),2019,37(3):107.(in Chinese)
[18] 王箫,李莉,张莺,等.嘉兴市9 384例婴幼儿养育风险的现况调查[J].中国儿童保健杂志,2022: 30, 558-561.
Wang X,Li L, Zhang Y, et al.Status quo of child nursing risks among 9 384 infants in Jiaxing city[J].Chin J Child Health Care, 2022,30(5):558-561.(in Chinese)
[19] 张莺,李莉,李晶,等.嘉兴市0~3岁儿童养育风险现状分析[J].中国儿童保健杂志,2021,29(6):678-681.
Zhang Y, Li L, Li J, et al.Analysis on the current situation of child rearing risks of 0- to 3-year-old children in Jiaxing City[J].Chin J Child Health Care,2021,29(6):678-681.(in Chinese)
[20] 金曦,王惠珊,张悦.高危儿童保健指导手册[M].北京: 北京大学医学出版社, 2020.
Jin X, Wang HS, Zhang Y.Healthcare guidance manual for children at high risk[M].Beijing:Peking University Medical Press,2020.(in Chinese)
[21] 史俊霞,曾国章,陈晶.厦门市某医院高危儿随访依从性影响因素研究[J].华中科技大学学报(医学版),2020,49(1):77-80.
Shi JX, Zeng GZ,Chen J.Influencing factors of follow-up compliance in high-risk children in a hospital of Xiamen[J].Acta Med Univ Sci Technol Huazhong, 2020,49(1):77-80.(in Chinese)
[22] Walker SP, Wachs TD, Grantham-McGregor S, et al.Inequality in early childhood: Risk and protective factors for early child development[J].Lancet, 2011,378(9799):1325-1338.
[23] 魏乾伟,张艳,梁明丽,等.基于互联网的高危儿家庭养育照护课程应用效果研究[J].中国妇幼卫生杂志,2023,14(3):30-34.
Wei QW, Zhang Y, Liang ML, et al.Study on the application effect of internet-based family nurturing care course for high-risk infants[J].Chinese Journal of Women and Children Health, 2023,14(3):30-34.(in Chinese)
[24] 李慧宁,邢星,李帅奇,等.河南省脱贫县农村婴幼儿健康养育照护行为分析[J].医学与社会, 2025,38(4):44-51.
Li HN, Xing X, Li SQ, et al.Analysis on healthy nurturing care behaviors for infants and young children in poverty-alleviated countiesin rural Henan province[J].Medicine and Society, 2025,38(4):44-51.(in Chinese)
[25] Bratsch-Hines ME, Carr R, Zgourou E, et al.Infant and toddler child-care quality and stability in relation to proximal and distal academic and social outcomes[J].Child Dev,2020,91(6):1854-1864.
[26] 薛彩秀,周恒,杨可,等.0～3岁婴幼儿主要隔代照护者养育照护能力现状及影响因素分析[J].中华现代护理杂志, 2024,30(36):4990-4995.
Xue CX, Zhou H, Yang K, et al.Current status and influencing factors of the nurturing care ability of primary intergenerational caregivers for infants and young children aged 0 - 3 years old[J].Chin J Mod Nurs,2024,30(36):4990-4995.(in Chinese)
[27] Daelmans B,Manji SA,Raina N.Nurturing care for early childhood development:Global perspective and guidance[J].Indian Pediatr, 2021,58(Suppl 1):11-15.
[28] 胡丹,倪波,苏淑阁,等.大连市0～3岁儿童养育技能相关因素分析[J].中国预防医学杂志, 2021,22(8):603-607.
Hu D, Ni B, Su SG, et al.Factors associated with parenting skills for children aged 0 - 3 years in Dalian[J].Chin Prev Med, 2021,22(8):603-607.(in Chinese)
[29] 徐玉英,郭晨鸣,张玺,等.1～3岁儿童家庭养育环境与回应性照护的关系研究[J].中国儿童保健杂志,2024, 32(12), 1364-1368,1378.
Xu YY, Guo CM, Zhang X, et al.Relationships between family rearing environment and responsive caregiving for children aged 1 - 3 years[J].Chin J Child Health Care,2024,32(12):1364-1368,1378.(in Chinese)
[30] Wimer C,Wolf S.Family income and young children's development[J].The Future of Children, 2020,2(30):191-211.