Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
BMC Public Health. 2012 Mar 23;12:235. doi: 10.1186/1471-2458-12-235.
Apart from basic determinants, appropriate child care practices are important in prevention of growth faltering and undernutrition. Providing safe and appropriate quality complementary foods is crucial to child growth and development. However, some children in low-income communities grow normally mainly due to proper caregiver feeding behaviors. Hence, the objective of this study was to determine caregivers' feeding styles as well as to indentify predictors in Derashe special district, Southern Ethiopia.
A community based cross-sectional study design was employed in the seven randomly selected Kebeles (smallest administrative unit) of Derashe special district. A total of 826 caregivers provided data pertaining to socio-demographic variables. However, 764 caregivers had complete data for the outcome variable (caregiver feeding style). A multistage stratified sampling technique was used to identify study subjects. An adapted Caregiver's Feeding Styles Questionnaire (CFSQ) was used to gather information about caregivers' feeding styles. Multivariate multinomial logistic regression was employed to identify predictors of caregivers' feeding style.
The majority (80.6%) of caregivers were biological mothers. Nearly seventy-six percent of the caregivers practiced a responsive feeding style. Caregivers other than the biological mother favoured a laissez-faire feeding style, while caregivers residing in rural Kebeles were more responsive. Caregivers with a breastfeeding frequency of more than eight times predicted both laissez-faire (RRR = 1.88; 95% CI = 1.03-3.41) and controlling (RRR = 1.7; 95% CI = 1.02-2.85) feeding styles as compared to responsive feeding.
Responsive feeding was the commonest style practiced by the caregivers. Many of the caregivers who were rural residents and birth parents have been responsive in child feeding. The instruments needed to be validated in the Ethiopian context and an additional prospective study based on direct observation of caregiver-child interactions is recommended.
除了基本决定因素外，适当的儿童护理实践对于预防生长迟缓与营养不足至关重要。提供安全且适宜的高质量补充食品对于儿童的生长和发育至关重要。然而，一些低收入社区的儿童之所以能正常生长，主要得益于适当的照护者喂养行为。因此，本研究旨在确定德拉斯特区的照护者喂养方式，并确定其影响因素。
本研究采用了社区为基础的横断面研究设计，在德拉斯特区的七个随机选定的 kebeles（最小行政单位）中进行。共有 826 名照护者提供了与社会人口学变量相关的数据。然而，只有 764 名照护者完成了与结局变量（照护者喂养方式）相关的全部数据。采用多阶段分层抽样技术来确定研究对象。使用经过改编的照护者喂养方式问卷（CFSQ）来收集有关照护者喂养方式的信息。采用多变量多项逻辑回归来确定照护者喂养方式的预测因素。
大多数（80.6%）照护者是孩子的亲生母亲。近 76%的照护者采用了响应式喂养方式。除了亲生母亲之外的照护者更倾向于放任式喂养方式，而居住在农村 kebeles 的照护者则更具响应性。与采用响应式喂养方式的照护者相比，母乳喂养频率超过 8 次的照护者更倾向于采用放任式（RRR = 1.88；95%CI = 1.03-3.41）和控制式（RRR = 1.7；95%CI = 1.02-2.85）喂养方式。
响应式喂养方式是最常见的喂养方式。许多农村地区的和亲生父母的照护者在儿童喂养方面都很有响应性。需要在埃塞俄比亚背景下验证这些工具，并且建议开展一项基于照护者-儿童互动直接观察的前瞻性研究。
