印度尼西亚补充喂养指标和不良喂养行为决定因素：2007 年人口与健康调查数据的二次分析。

Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data.

机构信息

Sydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, NSW 2006, Australia.

出版信息

Public Health Nutr. 2012 May;15(5):827-39. doi: 10.1017/S1368980011002485. Epub 2011 Oct 11.

DOI:10.1017/S1368980011002485

PMID:22014663

Abstract

OBJECTIVE

The present study aimed to assess complementary feeding practices and identify the potential risk factors associated with inappropriate complementary feeding in Indonesia for a nationally representative sample of births from 2004 to 2007.

DESIGN

The data source for the analysis was the 2007 Indonesia Demographic and Health Survey. Multiple logistic regression was performed to analyse the factors associated with complementary feeding, using individual-, household- and community-level determinants.

SETTING

Indonesia.

SUBJECTS

Children (n 4604) aged 6-23 months.

RESULTS

Multivariate analysis revealed that infants from poor households were significantly less likely to be introduced to complementary feeding (adjusted odds ratio, AOR = 4.32; 95 % CI 1.46, 12.80) and meet the minimum dietary diversity (AOR = 1.76; 95 % CI 1.16, 2.68). Mother's education (AOR for no education in dietary diversity = 1.92; 95 % CI 1.09, 3.38; AOR for no education in meal frequency = 2.03; 95 % CI 1.13, 3.64; AOR for no education in acceptable diet = 3.84; 95 % CI 2.07, 7.12), residence and decreased age of the infant were negatively associated with minimum dietary diversity, minimum meal frequency and an acceptable diet. Infants aged 6-11 months were also significantly less likely to meet minimum dietary diversity (AOR = 6.36; 95 % CI 4.73, 8.56), minimum meal frequency (AOR = 2.30; 95 % CI 1.79, 2.96) and minimum acceptable diet (AOR = 2.27; 95 % CI 1.67, 3.09). All geographical regions compared with Sumatra were more likely to give the recommended meal frequency and an acceptable diet to breast-fed children.

CONCLUSIONS

Public health interventions to improve complementary feeding should address individual-, household- and community-level factors which significantly influence the introduction of complementary feeding. Complementary feeding intervention programmes in Indonesia should ensure that restraints on families with low socio-economic status are addressed. Infants aged 6-11 months and mothers with low education levels may also need special focus. Promotion strategies should also target the health-care delivery system and the media.

摘要

目的

本研究旨在评估 2004 年至 2007 年印度尼西亚全国代表性出生队列的补充喂养实践，并确定与补充喂养不适当相关的潜在风险因素。

设计

本分析的数据来源为 2007 年印度尼西亚人口与健康调查。采用个体、家庭和社区层面的决定因素，对与补充喂养相关的因素进行多变量逻辑回归分析。

地点

印度尼西亚。

研究对象

年龄为 6-23 个月的儿童（n=4604）。

结果

多变量分析显示，来自贫困家庭的婴儿开始补充喂养的可能性显著降低（调整后的优势比，AOR=4.32；95%CI 1.46，12.80），且满足最低饮食多样性的可能性也降低（AOR=1.76；95%CI 1.16，2.68）。母亲的教育程度（饮食多样性无教育程度的 AOR=1.92；95%CI 1.09，3.38；餐次无教育程度的 AOR=2.03；95%CI 1.13，3.64；可接受饮食的无教育程度的 AOR=3.84；95%CI 2.07，7.12）、居住地点和婴儿年龄的降低与最低饮食多样性、最低餐次频率和可接受饮食呈负相关。6-11 个月大的婴儿也不太可能满足最低饮食多样性（AOR=6.36；95%CI 4.73，8.56）、最低餐次频率（AOR=2.30；95%CI 1.79，2.96）和最低可接受饮食（AOR=2.27；95%CI 1.67，3.09）。与苏门答腊相比，所有其他地理区域都更有可能按照建议的喂养频率和可接受的饮食来喂养母乳喂养的儿童。