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父亲的儿童喂养知识与行为对儿童饮食多样性的影响:2013年埃塞俄比亚北部城乡地区研究

The influence of father's child feeding knowledge and practices on children's dietary diversity: a study in urban and rural districts of Northern Ethiopia, 2013.

作者信息

Bilal Selamawit M, Dinant GeertJan, Blanco Roman, Crutzen Rik, Mulugeta Afework, Spigt Mark

机构信息

Department of Public Health, Mekelle University, Mekelle, Ethiopia.

Department of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.

出版信息

Matern Child Nutr. 2016 Jul;12(3):473-83. doi: 10.1111/mcn.12157. Epub 2014 Dec 17.

Abstract

Infant and young child feeding has been recognised as an essential element to improve growth of children, especially in developing countries where malnutrition among children and its dire consequences are very prevalent. However, little attention has been paid on the influence of fathers on child feeding practices, although fathers are very important in raising well-adjusted, happy and successful children. Therefore, this study aimed to assess the influence of fathers' child feeding knowledge and practice on children's dietary diversity. A community-based comparative cross-sectional study was conducted among 850 eligible urban and rural households with children of 6-23 months. The father and mother of the child were interviewed on children's dietary diversity and fathers' knowledge and practice of child feeding. Nearly half (46%) of the children in the rural district did not meet the minimum dietary diversity, and in the urban district, the rate was even worse (72%). Grains were the common food group given to the children in both districts, whereas flesh food was the least commonly consumed food group. Additionally, low vitamin A-rich food and other fruit and vegetable consumption seem to be a problem in both districts. Almost all dimensions of fathers' knowledge and practice were significantly related to children's minimum dietary diversity; especially, fathers' knowledge of food groups was an important predictor (P-value < 0.001) in both districts. Interventions that focus on the fathers' knowledge of child feeding, especially about food groups, are recommended to improve children's dietary diversity in the study communities.

摘要

婴幼儿喂养已被视为促进儿童成长的关键因素,在儿童营养不良及其严重后果极为普遍的发展中国家尤为如此。然而,尽管父亲在养育适应良好、快乐且成功的孩子方面非常重要,但父亲对儿童喂养行为的影响却很少受到关注。因此,本研究旨在评估父亲的儿童喂养知识与行为对儿童饮食多样性的影响。在850个有6至23个月大孩子的符合条件的城乡家庭中开展了一项基于社区的比较横断面研究。就儿童的饮食多样性以及父亲的儿童喂养知识与行为对孩子的父亲和母亲进行了访谈。农村地区近一半(46%)的儿童未达到最低饮食多样性标准,而在城市地区,这一比例甚至更高(72%)。谷物是两个地区给孩子食用的常见食物类别,而肉类食物是食用最少的食物类别。此外,富含维生素A的食物以及其他水果和蔬菜的摄入量低似乎在两个地区都是个问题。父亲的知识与行为的几乎所有方面都与儿童的最低饮食多样性显著相关;特别是,父亲对食物类别的了解在两个地区都是一个重要的预测因素(P值<0.001)。建议开展侧重于父亲的儿童喂养知识,尤其是关于食物类别的知识的干预措施,以改善研究社区中儿童的饮食多样性。

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