Kavanagh Katherine F, Habibi Mona, Anderson Kirsten, Spence Marsha
Department of Nutrition, The University of Tennessee, Knoxville, TN 37996-1920, USA.
J Am Diet Assoc. 2010 Oct;110(10):1485-91. doi: 10.1016/j.jada.2010.07.009.
The aim of this project was to collect data from focus-group participants to inform the future development of region-specific educational strategies to modify infant-feeding practices that may predispose children to obesity. Infant-feeding perceptions and practices were collected from participants of the Special Supplemental Nutrition Program for Women, Infants, and Children, through recorded focus groups, in two East Tennessee counties. Focus groups replaced the participants' required, prescheduled nutrition-education classes for participants with infants younger than 6 months of age. Twenty-nine focus groups were convened and recorded, reaching a total of 109 participants. Results of this series of focus groups indicate that the Special Supplemental Nutrition Program for Women, Infants, and Children population in rural East Tennessee was similar to populations elsewhere in terms of early solid-food introduction, frequent switching of formula, and sources of and valuation of infant-feeding advice. However, this population seemed to be different in the magnitude at which they introduce infant cereal early (primarily as an addition to the bottle). For this reason, interventions designed to reduce inappropriate infant-feeding behaviors in this population should focus on early introduction of solid food (especially infant cereal) first. In addition to these findings, a model of infant-feeding strategy development based on caregiver-orientation (framed within parenting styles) is presented and discussed.
本项目的目的是从焦点小组参与者那里收集数据，为未来制定针对特定地区的教育策略提供信息，以改变可能使儿童易患肥胖症的婴儿喂养方式。通过在田纳西州东部的两个县进行的有记录的焦点小组访谈，从妇女、婴儿和儿童特别补充营养项目的参与者那里收集了婴儿喂养观念和做法。焦点小组取代了为6个月以下婴儿的参与者预先安排的必修营养教育课程。共召集并记录了29个焦点小组，共有109名参与者。这一系列焦点小组的结果表明，田纳西州东部农村地区的妇女、婴儿和儿童特别补充营养项目人群在早期引入固体食物、频繁更换配方奶粉以及婴儿喂养建议的来源和重视程度方面与其他地区的人群相似。然而，该人群在早期引入婴儿谷物（主要是添加到奶瓶中）的程度上似乎有所不同。因此，旨在减少该人群中不适当婴儿喂养行为的干预措施应首先侧重于早期引入固体食物（尤其是婴儿谷物）。除了这些发现之外，还提出并讨论了一种基于照顾者导向（以育儿方式为框架）的婴儿喂养策略制定模型。
