目的 了解贫困农村地区婴幼儿食物喂养现状及其风险因素,为改善贫困农村地区家庭喂养行为提供参考。方法 基于2014年在陕南贫困农村地区收集的1 354例18~24月龄婴幼儿的个人基本信息、家庭基本信息和食物喂养行为信息,运用描述性分析和多因素OLS回归分析方法分析。结果 1)食物喂养行为不能满足WHO要求的最小饮食多样性标准和最小进食频率标准、最小可接受饮食标准的比例分别为18.09%、37.81%和66.17%,出生后从未补充营养元素铁的比例高达73.26%;2)独生子女,监护人为母亲,母亲教育程度,非低保户与营养元素补充行为有显著的正向关系。结论 应加强喂养知识的宣传力度,改善农村地区婴幼儿家庭的喂养行为,以促进儿童健康和认知发展。
Abstract
Objective To understand the status of food feeding and risk factors for infants in poor rural areas, in order to provide reference for improving family feeding behavior in poor rural areas. Methods Based on the basic personal information, family basic information and feeding behaviors information collected in poor rural areas in 1 354 infants aged 18~24 months. Descriptive analysis and multi-variate OLS regression analysis were used to analyze data. Results 1) The ratio of food and feed supplement trace elements can not meet minimum requirements of the WHO standard diet diversity, minimum food frequency standard, minimum acceptable standard diet ratio were 18.09%, 37.81% and 66.17%, respectively.The ratio of never adding trace elements (iron) was as high as 73.26% after birth.2) Only child, mother as the guardian, maternal education level, and unavailability for minimum living allowances were positively correlated with the nutrient elements supplement behavior. Conclusion Feeding knowledge is supposed to be strengthened in order to improve the feeding behavior of infants in rural areas, and ultimately to promote children′s health and cognitive development.
关键词
喂养 /
贫困农村 /
婴幼儿 /
风险因素
Key words
feeding /
poorrural areas /
infants /
risk factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Walker SP, Wachs TD, Gardner JM, et al.Child development:risk factors for adverse outcomes in developing countries[J].Lancet, 2007, 369(9556):145-157.
[2] Maluccio JA, Hoddinott J, Behrman JR, et al.The impact of improving nutrition during early childhood on education among Guatemalan adults[J].Social Science Electronic Publishing, 2009, 119(537):734-763.
[3] 蒋志阳,黎海芪.婴儿早期接受新食物的影响因素分析[J].中华儿科杂志, 2010, 48(7):497-501.
[4] 张现格.安徽省部分贫困地区7～14岁学龄儿童营养健康状况及其影响因素分析[D].合肥:安徽医科大学, 2015.
[5] 刘娜, 王妍, 熊超,等.中国西部五省农村婴儿喂养行为与营养不良相关性研究[C].西安:全国妇幼保健学术交流会,2011.
[6] 刘倩筠, 林穗方, 郭勇.家庭喂养行为对婴儿早期发育的影响[J].中国儿童保健杂志, 2010, 18(10):794-795.
[7] 张玉英, 李凤娥, 马翠翠,等.儿童铁缺乏症的调查分析及家庭喂养行为教育[J].中国妇幼保健, 2016, 31(21):4529-4532.
[8] Engle PL, Black M, Behrman JR, et al.Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world[J].Lancet, 2007, 369(9557):229.
[9] Horton R.Maternal and child undernutrition:an urgent opportunity[J].Lancet, 2008, 371(9608):179.
[10] Currie J,Almond D.Human capital development before age five[J].Handbook of Labor Economics, 2011, 4:1315-1486.
[11] 罗仁福, 梁夏, 刘承芳, 等.陕南农村地区 6～12 月龄婴儿贫血的风险因素分析[J].中国当代儿科杂志, 2016, 18(8):736-741.
[12] 雷庆龄, 戴碧涛,宪莹, 等.儿童营养性缺铁性贫血的危险因素分析[J].中国当代儿科杂志, 2014, 16(1):16-19.
[13] 许媛媛, 陶芳标.儿童少年缺铁性贫血筛查管理[J].中国学校卫生, 2012, 33(11):1398-1401.
[14] 赵慧君.儿童缺铁和缺铁性贫血的防治[J].实用儿科临床杂志, 2012, 27(3):163-165.
[15] 华欣洋, 江震, 王志锋, 等.贵州省农村地区儿童微量元素补充现状、影响因素及对生长发育迟缓效果预测研究[J].中国儿童保健杂志, 2014,22(8):791-794. [16] Wu Q.Sibship size and children′s family resources:findings from a nationally representative survey in China[J].Journal of Adolescence, 2015, 36(4):575-594.
[17] Zhou C, Sylvia S, Zhang L, et al.China′s left-behind children:impact of parental migration on health, nutrition, and educational outcomes[J].Health Affairs,2015,34(11):1964.
[18] 郑小璇, 熊超, 刘娜, 等.中国西部五省农村婴幼儿营养不良及影响因素分析[J].中国公共卫生, 2013, 29(1):19-22
[19] 钱莹莹,翠青,兰秋.儿童体格发育家庭影响因素分析[J].中国公共卫生,2009,5(8):947-949.
[20] 党少农, 颜虹.影响中国西部农村婴幼儿营养状况的因素[J].中华预防医学杂志,2007, 41(Suppl 1):108-114.
基金
国家自然科学基金(71403205);111高等学校学科创新引智计划自主项目(B16031)
PDF(612 KB)
