Objectives To investigate responsive feeding behaviors among caregivers of infants aged 7 - 24 months,and to analyze influencing factors, in order to provide evidence to better guide caregivers' feeding practices and promote responsive feeding. Methods A self-designed questionnaire was administered to 306 infants aged 7 - 24 months and their caregivers, who were selected via random sampling from healthy infants receiving preventive healthcare at four community health service centers in Nanjing. Results The highest domain score in responsive feeding behaviors was "caregiver-child interaction" [4.60 (4.00, 5.00)], while the lowest was "negative feeding practices" [3.75 (3.00, 4.25)]. Significant differences were observed across dimensions based on gestational age, current age, primary caregiver type, caregiver education level, family structure, number of children, household income, and complementary feeding initiation time (P<0.05) . Multiple linear regression revealed that caregiver education level was positively associated with responsive feeding behavior scores (β= 0.200,P<0.01), whereas the timing of complementary feeding introduction was negatively associated with responsive feeding behavior scores (β =0.164,P<0.01). Conclusions Awareness of responsive feeding among caregivers needs improvement, with behaviors influenced by caregiver type, education level, family structure, and socioeconomic status. Educational interventions should be tailored to caregivers' and families' specific circumstances, adjusting guidance strategies to reduce negative feeding practices and enhance infant feeding quality.
Key words
responsive feeding /
feeding behaviors /
caregivers /
infant and toddlers
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