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坦桑尼亚6至23个月儿童不适当辅食喂养行为的相关因素。

Factors associated with inappropriate complementary feeding practices among children aged 6-23 months in Tanzania.

作者信息

Victor Rose, Baines Surinder K, Agho Kingsley E, Dibley Michael J

机构信息

School of Health Sciences, Faculty of Health, University of Newcastle, Callaghan, New South Wales, Australia.

出版信息

Matern Child Nutr. 2014 Oct;10(4):545-61. doi: 10.1111/j.1740-8709.2012.00435.x. Epub 2012 Aug 23.

Abstract

Inappropriate complementary feeding is one of the major causes of undernutrition among young children in Tanzania. Prevalence of newly developed World Health Organization complementary feeding indicators and their associated factors were determined among 2402 children aged 6-23 months in Tanzania using data from the 2010 Tanzania Demographic and Health Survey. The survey used a multistage cluster sample of 10 300 households from the eight geographical zones in the country. The prevalence of the introduction of soft, semi-solid or solid foods among infants aged 6-8 months was 92.3%. Of all the children aged 6-23 months, the prevalence of minimum dietary diversity, meal frequency and acceptable diet were 38.2%, 38.6% and 15.9%, respectively. Results from multivariate analyses indicated that the main risk factors for inappropriate complementary feeding practices in Tanzania include young child's age (6-11 months), lower level of paternal/maternal education, limited access to mass media, lack of post-natal check-ups, and poor economic status. Overall, complementary feeding practices in Tanzania, as measured by dietary diversity, meal frequency and acceptable diet, are not adequately met, and there is a need for interventions to improve the nutritional status of young children in Tanzania.

摘要

不适当的辅食喂养是坦桑尼亚幼儿营养不良的主要原因之一。利用2010年坦桑尼亚人口与健康调查的数据,对坦桑尼亚2402名6至23个月大的儿童进行了新制定的世界卫生组织辅食喂养指标及其相关因素的患病率测定。该调查采用了该国八个地理区域10300户家庭的多阶段整群抽样。6至8个月婴儿中引入软质、半固体或固体食物的患病率为92.3%。在所有6至23个月大的儿童中,最低饮食多样性、进餐频率和可接受饮食的患病率分别为38.2%、38.6%和15.9%。多变量分析结果表明,坦桑尼亚不适当辅食喂养行为的主要风险因素包括幼儿年龄(6至11个月)、父母教育水平较低、接触大众媒体的机会有限、缺乏产后检查以及经济状况不佳。总体而言,以饮食多样性、进餐频率和可接受饮食衡量的坦桑尼亚辅食喂养行为未得到充分满足,需要采取干预措施来改善坦桑尼亚幼儿的营养状况。

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