Correlation of caregivers' nutrition knowledge, attitudes, and practices with  childhood malnutrition among preschool children in rural  poverty-alleviated areas of Sichuan Province

CHEN Shiqi; ZHANG Piao; LIANG Xuemei; LUO Liwei; ZHANG Jiawen; YE Yujiao; ZHAO Ziling; LUO Min; ZHU Rui; LIU Weixin

doi:10.11852/zgetbjzz2024-0313

PDF(721 KB)

Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (8) : 902-906. DOI: 10.11852/zgetbjzz2024-0313

Correlation of caregivers' nutrition knowledge, attitudes, and practices with childhood malnutrition among preschool children in rural poverty-alleviated areas of Sichuan Province

CHEN Shiqi¹, ZHANG Piao¹, LIANG Xuemei², LUO Liwei¹, ZHANG Jiawen¹, YE Yujiao¹, ZHAO Ziling¹, LUO Min¹, ZHU Rui², LIU Weixin¹

Author information +

History +

Abstract

Objective To investigate the nutritional status of preschool children in rural poverty-alleviated areas of Sichuan Province, and to explore its correlation with caregivers' nutrition knowledge, attitudes, and practices(KAP). Methods Data from the "Nutrition Improvement Pilot Project for Preschool Children in Sichuan" by the United Nations World Food Programme(WFP) were utilized. From December 2021 to May 2022, a baseline survey was conducted among 180 preschool children and their caregivers from Wangcang County, a poverty-alleviated area in Sichuan Province. The 2006 World Health Organization(WHO) growth and development evaluation criteria were used for assessment. Statistical analysis were performed using t-tests, χ² tests, Pearson correlation analysis, logistic regression analysis, and other methods. Results The prevalence of protein-energy malnutrition among the surveyed children was 20.0%(36/180), with rates of stunting, underweight, and wasting being 15.0%(27/180), 7.8%(14/180) and 4.4%(8/180), respectively. The caregivers scored low on nutrition knowledge, with an average score of 8.95±3.01 and a passing rate of 29.4%(53/180). They scored higher on nutrition attitudes, with an average score of 26.80±4.67, and scored moderately on nutrition practices, with an average score of 5.14±1.36. There was a negative correlation between caregivers' nutrition practice scores and the detection rate of protein-energy malnutrition in children(OR=0.72, 95%CI: 0.53 - 0.97). Conclusions The prevalence of protein-energy malnutrition is high among preschool children in poverty-alleviated areas of Sichuan Province, and their caregivers have low levels of nutrition knowledge. Improving caregivers' nutrition practices can reduce the risk of malnutrition in children. Nutrition and health education tailored to the characteristics of local caregivers is needed to guide and improve their nutrition practices and enhance the nutritional status of preschool children.

Key words

malnutrition / caregivers / nutritional knowledge, attitude and practice / correlation / preschool children

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

CHEN Shiqi, ZHANG Piao, LIANG Xuemei, LUO Liwei, ZHANG Jiawen, YE Yujiao, ZHAO Ziling, LUO Min, ZHU Rui, LIU Weixin. Correlation of caregivers' nutrition knowledge, attitudes, and practices with childhood malnutrition among preschool children in rural poverty-alleviated areas of Sichuan Province[J]. Chinese Journal of Child Health Care. 2025, 33(8): 902-906 https://doi.org/10.11852/zgetbjzz2024-0313

References

[1] World health statistics 2023:Monitoring health for the SDGs, sustainable development goals[M]. Geneva: World Health Organization, 2023.
[2] Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries[J]. Lancet, 2013,382(9890):427-451.
[3] 朱丽君,李彪章,周嘉雯,等. 1990—2019年中国5岁以下儿童低体重疾病负担分析[J]. 中国儿童保健杂志, 2023,31(7):790-793.
Zhu LJ, Li BZ, Zhou JW, et al. Disease burden of low body weight in children under 5 years old in China from 1990 to 2019[J]. Chin J Child Health Care, 2023,31(7):790-793.(in Chinese)
[4] 李辉霞,黄广文,王华,等. 湖南省六岁以下儿童营养不良现状及影响因素分析[J]. 中华儿科杂志, 2021,59(9):759-766.
Li HX, Huang GW, Wang H, et al. Prevalence and associated factors for malnutrition among children under 6 years of age in Hunan province[J]. Chin J Pediatr, 2021,59(9):759-766.(in Chinese)
[5] 谭雪梅,颜敏,罗静,等. 农村隔代抚养留守儿童营养状况影响因素的研究进展[J]. 卫生软科学, 2022,36(4):87-91.
Tan XM, Yan M, Luo J, et al.Research progress on influencing factors the nutritional condition of rural skip - generation raising left - behind children[J]. Soft Science Health, 2022,36(4):87-91.(in Chinese)
[6] 罗婷,林芸竹,杨春松,等. 我国部分地区留守儿童体质健康现状的系统评价[J]. 中华妇幼临床医学杂志(电子版), 2020,16(1):50-58.
Luo T, Lin Y Z, Yang C S, et al.Physical health status of left-behind children in some rural areas of China: A systematic review[J].Chin J Obstet Gynecol Pediatr(Electron Ed), 2020,16(1):50-58.(in Chinese)
[7] Chilot D, Belay DG, Merid MW, et al. Triple burden of malnutrition among mother-child pairs in low-income and middle-income countries: A cross-sectional study[J]. BMJ Open, 2023,13(5):e70978.
[8] 蔡佳音. 我国5岁以下儿童营养问题及影响因素研究[D]. 北京: 北京协和医学院, 2013.
CaiI JY. Research on the nutritional problems and its influencing factors of the children under five in China[D].Beijing: Peking Union Medical College, 2013.(in Chinese)
[9] 吴凤娥,何亚利,麻玲,等. 399名农村幼儿抚养人营养KAP现状及影响因素研究[J]. 现代食品, 2022,28(16):135-137.
Wu FE, He YL, Ma L, et al. Research on the status and influencing factors of nutritional KAP among 399 rural children's caregivers[J].Modern Food, 2022,28(16):135-137.(in Chinese)
[10] 杜春华,冯晓燕. 2018年成都市龙泉驿区390名学龄前儿童家长营养知信行调查[J]. 预防医学情报杂志, 2020,36(6):690-695.
Du CH, Feng XY. Nutritional knowledge and beliefs of 390 preschool children's parents in longquanyi district, Chengdu city in 2018[J]. J Prev Med Inf, 2020,36(6):690-695.(in Chinese)
[11] 国家卫生健康委疾病预防控制局. 中国居民营养与慢性病状况报告(2020年)[M]. 北京: 人民卫生出版社, 2022.
[12] 罗敏,赵梓伶,何琳坤,等. 2019年四川省5岁以下儿童营养状况分析[J]. 现代预防医学, 2021,48(1):44-46.
Luo M, Zhao ZL, He LK, et al. Nutritional status of children under 5 years old in Sichuan, 2019[J].Mod Prev Med,2021,48(1):44-46.(in Chinese)
[13] 万青青,张强,万蓉,等. 2016—2017年云南省5岁以下儿童营养不良状况及影响因素[J]. 卫生研究, 2022,51(1):51-55.
Wan QQ, Zhang Q, Wan R, et al. Status of malnutrition and its influencing factors in children under 5 years old in Yunnan Province from 2016 to 2017[J]. Journal of Hygiene Research, 2022,51(1):51-55.(in Chinese)
[14] 王情情,曹薇,甘倩,等. 中国贫困农村家长与学生营养知识的关系[J]. 中国学校卫生, 2018,39(3):361-363.
Wang QQ, Cao W, Gan Q, et al. Nutrition knowledge status of students and the relationships to the guardians in poor rural areas of China[J]. Chin J Sch Health, 2018,39(3):361-363.(in Chinese)
[15] 杨雨程,洪倩,杨舒馨薏,等. 全面二孩政策背景下安徽省0～2岁婴儿母亲生命早期营养知识知晓情况分析[J]. 中国全科医学, 2020,23(11):1411-1415.
Yang YC, Hong Q, Yang SXY, et al. Knowledge of early Life nutrition of mothers with children 0-2 years under the background of two-child policy in Anhui province[J]. Chin Gen Pract, 2020,23(11):1411-1415.(in Chinese)
[16] 邱烈峰,肖爽. 河南大学生营养知信行与体质量指数的相关性[J]. 中国学校卫生, 2018,39(8):1144-1146.
Qiu LF, Xiao S. College students' nutritional knowledge-attitude-practice and its correlation with their body mass index[J]. Chin J Sch Health, 2018,39(8):1144-1146.(in Chinese)
[17] 梁雨,任海燕,左彭湘. 母亲营养知信行与婴幼儿维生素D水平的关联[J]. 中国卫生统计, 2018,35(6):919-921, 925.
Liang Y, Ren HY, Zuo PX, et al. The correlation between maternal nutritional knowledge-attitude-practice and vitamin D levels in infants[J].Chin J Health Stat, 2018,35(6):919-921, 925.(in Chinese)