目的 了解重庆市彭水县0~2岁婴幼儿喂养现状,探讨其影响因素。方法 采用方便抽样,对重庆市彭水县县城中7个社区及8个乡镇中606名0~2岁婴幼儿的母乳喂养情况和半固体食物引入时间进行问卷调查,调查数据录入Epidata3.1数据库,采用SPSS19.0 软件进行统计分析。结果 4月龄内婴儿纯母乳喂养率为63.6%,6月龄内婴儿纯母乳喂养率为35.3%,63.9%的婴幼儿在出生24 h后开奶。大部分婴幼儿蔬菜、水果、谷类、蛋类、豆类、禽畜类、鱼类添加过晚。多因素Logistic回归分析显示,婴幼儿居住地为乡镇,开奶时间较早,是婴儿4月龄内纯母乳喂养的保护因素;喂养人年龄>40岁,母乳喂养知识得分优秀者,是婴儿4月龄内纯母乳喂养的危险因素。结论 调查地区婴幼儿喂养中开奶不及时,纯母乳喂养率和持续时间有待提高,半固体食物添加月龄不合理,添加过晚现象严重,应向家长提供正确喂养婴幼儿知识指导。
Abstract
Objective To investigate feeding status and its influencing factors of infants aged 0~2 years old in Pengshui county of Chongqing.Methods By convenience sampling,a total of 606 infants' breastfeeding status and their semisolid feed were investigated by questionnaire in seven communities and eight selected townships in Pengshui county of Chongqing.Epidata 3.1 was used for data processing,and SPSS 19.0 was used for data analysis. Results Exclusive breastfeeding rate of infants under 4 and 6 months were 63.6% and 35.3% respectively.63.9% mother started breastfeeding after 24 hours of birth.Vegetables,fruits,cereals,eggs,beans and livestock,fish were added too late for most of the infants.The multivariate logistic regression showed that living in rural townships and first breastfeeding earlier were the protect factors of exclusive breastfeeding of infants within 4 months;the fosters older than 40 years old and with higher breastfeeding knowledge scores were risk factors.Conclusion s It's not timely for the infants to have the first breastfeeding in the survey.The exclusive breastfeeding rate and duration time should be improved.The timing of introducing semisolid food is unreasonable,and introducing too late seems to be a big problem.Correct feeding guidance should be provided for the main fosters of infants.
关键词
母乳喂养 /
半固体食物 /
影响因素 /
婴幼儿
Key words
breastfeeding /
semisolid foods /
influencing factor /
infants and young children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 程文龙,陈大方,李永进,等.2011年北京顺义区1岁以内婴儿喂养状况调查分析[J].卫生研究,2013,42(1):148-151.
[2] 石淑华.儿童保健学[R].2版.北京:人民卫生出版社,2005:67-68.
[3] 王杰,杨晓光,赵丽云,等.2009年8省(市)婴幼儿喂养状况[J].卫生研究,2011,40(3):385-386.
[4] 吕亚兰,蒋小强,王健,等.重庆市南岸区婴儿喂养级影响因素分析[J].中国儿童保健杂志,2012,20(11):1046-1049.
[5] 中国儿童发展纲要(2011-2020年).国务院办公厅[EB/OL] .(2011-07-30)[2011-08-08] http://www.gov.cn/zwgk/2011-08/08/content_1920457.htm
[6] Black RE.妇幼营养不足:全球和区域影响及健康后果[J].柳叶刀,2008,371(9609):243-260.
[7] 马西,马莉,甘露,等.分娩方式对母乳喂养影响的队列研究[J].中国儿童保健杂志,2009,17(4):428-429.
[8] 王玲.影响初产妇产后一周内母乳喂养的原因分析与护理对策[J].临床护理,2009,47(34):70-72.
[9] Berthold K.临床儿科营养[M].王卫平.北京:人民卫生出版社,2009:100-103.
[10] 王文蕾,林绚晖,郭艳萍,等.我国婴儿辅食添加现状及影响因素[J].中国妇幼保健,2012,27(10):1589-1592.
[11] 张玲,刘月芬,黄蕾,等.贫困地区婴幼儿喂养健康教育路径效果评价[J].中国儿童保健杂志,2014,22(8):888-891.
[12] 何辉,陈欣欣,王燕.北京市6月内婴儿母乳喂养状况及其对体格发育的影响[J].中国儿童保健杂志,2010,18(9):686-689.
[13] 何伟丽,许丽丽,闻颖,等.黑龙江省0~11月婴儿母乳喂养与辅食添加情况分析[J].中国公共卫生管理,2014,30(4):606-610.