Department of Biomedical Sciences and Technology, Maseno University, Maseno, Kenya.
BMC Int Health Hum Rights. 2013 Nov 15;13:47. doi: 10.1186/1472-698X-13-47.
The effects of malnutrition on health status and survival of children has been the subject of extensive research for several decades. Malnutrition affects physical growth, cognitive development of children, morbidity and mortality. The current study was an exploratory survey that focused on factors affecting feeding of nursery school children as perceived by their mothers in a rural setting in Usigu Division of Bondo County, Kenya.
The sampling frame was mothers whose children were in Kanyibok, Sanda and Usenge nursery schools. Purposive sampling methods were used to draw a total of 108 respondents. In a logistic regression model, bad management of feeding was the dependent variable while factors perceived to affect management of feeding were the independent variables.
Married mothers were more likely to manage good feeding practices (OR, 0.34, 95% CI, 0.21-0.76; P = 0.022) relative to those who were single or widowed. Additional analyses showed that low education levels (OR, 7.33, 95% CI, 3.37-12.91; P = 0.023), younger mothers (OR, 6.04, 95% CI, 3.22-9.68; P = 0.029) and mothers engaged in business (OR, 4.02, 95% CI, 2.11-7.85; P = 0.027) increased their likelihood of not feeding the pre-school children. Majority of the children who ate the main meals in other houses belonged to young mothers in the age category of 15-29 years. Further analyses demonstrated that if the order of serving food was to the children first, then they had high likelihood of having good feeding relative to when the father was served first (OR, 0.22, 95% CI, 0.14-0.61; P = 0.011).
Based on these findings, there is an urgent need for sensitization of the mothers on the management of feeding of these pre-school children in Bondo County. It is hoped that relevant interventions would then be designed with the view of managing children feeding in such rural settings as in Bondo County in Kenya.
几十年来，营养不良对儿童健康状况和生存的影响一直是广泛研究的主题。营养不良会影响儿童的身体发育、认知发展、发病率和死亡率。本研究是一项探索性调查，重点关注肯尼亚邦多县乌西古地区农村地区母亲认为影响幼儿园儿童喂养的因素。
抽样框架是其子女在 Kanyibok、Sanda 和 Usenge 幼儿园的母亲。采用目的抽样方法，共抽取了 108 名受访者。在逻辑回归模型中，不良喂养管理是因变量，而被认为影响喂养管理的因素是自变量。
已婚母亲更有可能进行良好的喂养实践（OR，0.34，95%CI，0.21-0.76；P=0.022），而单身或丧偶母亲则不然。进一步的分析表明，低教育水平（OR，7.33，95%CI，3.37-12.91；P=0.023）、年轻母亲（OR，6.04，95%CI，3.22-9.68；P=0.029）和从事商业活动的母亲（OR，4.02，95%CI，2.11-7.85；P=0.027）增加了他们不喂养学龄前儿童的可能性。在其他房屋吃主餐的大多数孩子属于 15-29 岁年龄段的年轻母亲。进一步的分析表明，如果先给孩子上菜，那么他们的喂养情况很可能很好，而如果先给父亲上菜，则情况就不一样了（OR，0.22，95%CI，0.14-0.61；P=0.011）。
基于这些发现，邦多县迫切需要提高母亲对这些学龄前儿童喂养管理的认识。希望随后能设计出相关干预措施，以管理肯尼亚邦多县等农村地区的儿童喂养问题。
