1School of Social Sciences and Psychology,Western Sydney University,Locked Bag 1797,Penrith,NSW 2751,Australia.
2School of Science and Health,Western Sydney University,Penrith,NSW,Australia.
Public Health Nutr. 2017 Dec;20(17):3135-3144. doi: 10.1017/S1368980017002014. Epub 2017 Aug 29.
The present cross-sectional study aimed to determine population-attributable risk (PAR) estimates for factors associated with inappropriate complementary feeding practices in The Gambia.
The study examined the first and most recent Demographic and Health Survey of The Gambia (GDHS 2013). The four complementary feeding indicators recommended by the WHO were examined against a set of individual-, household- and community-level factors, using multilevel logistic analysis. PAR estimates were obtained for each factor associated with inappropriate complementary feeding practices in the final multivariate logistic regression model.
The Gambia.
Last-born children (n 2362) aged 6-23 months.
Inadequate meal frequency was attributed to 20 % (95 % CI 15·5 %, 24·2 %) of children belonging to the youngest age group (6-11 months) and 9 % (95 % CI 3·2 %, 12·5 %) of children whose mothers were aged less than 20 years at the time of their birth. Inadequate dietary diversity was attributed to 26 % (95 % CI 1·9 %, 37·8 %) of children who were born at home and 20 % (95 % CI 8·3, 29·5 %) of children whose mothers had no access to the radio. Inadequate introduction of solid, semi-solid or soft foods was attributed to 30 % (95 % CI 7·2 %, 38·9 %) of children from poor households.
Findings of the study suggest the need for community-based public health nutrition interventions to improve the nutritional status of Gambian children, which should focus on sociocultural and economic factors that negatively impact on complementary feeding practices early in infancy (6-11 months).
本横断面研究旨在确定冈比亚与不当补充喂养行为相关因素的人群归因风险（PAR）估计值。
本研究检查了冈比亚的第一次也是最新一次人口与健康调查（GDHS 2013）。使用多水平逻辑分析方法，根据世界卫生组织（WHO）推荐的四项补充喂养指标，针对一系列个体、家庭和社区层面的因素进行了检查。在最终的多变量逻辑回归模型中，对与不当补充喂养行为相关的每个因素进行了 PAR 估计。
冈比亚。
年龄在 6-23 个月的最后出生的儿童（n 2362）。
在最年轻的年龄组（6-11 个月）中，20%（95%CI 15.5%，24.2%）的儿童存在进餐频率不足，9%（95%CI 3.2%，12.5%）的儿童其母亲在分娩时年龄小于 20 岁。饮食多样性不足归因于 26%（95%CI 1.9%，37.8%）在家中出生的儿童和 20%（95%CI 8.3%，29.5%）的母亲无法收听广播的儿童。固体、半固体或软食物引入不足归因于 30%（95%CI 7.2%，38.9%）来自贫困家庭的儿童。
研究结果表明，需要开展以社区为基础的公共卫生营养干预措施，以改善冈比亚儿童的营养状况，干预应侧重于在婴儿期（6-11 个月）早期对补充喂养行为产生负面影响的社会文化和经济因素。
