中国西部农村少数民族的补充喂养模式。

Complementary feeding patterns among ethnic groups in rural western China.

机构信息

Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.

Obstetrical Department, Shaanxi Provincial People's Hospital, Xi'an 710068, China.

出版信息

J Zhejiang Univ Sci B. 2018;19(1):71-78. doi: 10.1631/jzus.B1600504.

DOI:10.1631/jzus.B1600504

PMID:29308610

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5802972/

Abstract

OBJECTIVE

This study investigated complementary feeding practices among four ethnic groups (Han, Uygur, Tibetan, and Zhuang) based on a cross-sectional survey in rural western China.

METHODS

In 2005, a stratified multistage cluster random sampling method was used to recruit 9712 children (7411 Han, 1032 Uygur, 678 Tibetan, and 591 Zhuang) between 6 and 35 months of age and their mothers from 45 counties in 10 provinces (autonomous regions, municipalities) in western China.

RESULTS

The rates of early introduction (before 6 months) of complementary foods in four ethnic groups (Han, Uygur, Tibetan, and Zhuang) were 71.30%, 95.95%, 82.40%, and 72.30%, respectively. The Infant and Child Feeding Index (ICFI) for Uygur and Tibetan children was lower than that for Han children at all age groups. Uygur children were more likely to have unqualified ICFI compared with Han children in a multivariate logistic regression (odds ratio (OR)=5.138, 95% confidence interval (CI): 4.340-6.084). A higher level of maternal education, greater family wealth, and the availability of complementary feeding educational materials decreased the likelihood of an unqualified ICFI. The nutritional status of children (Han, Tibetan, and Zhuang) with qualified ICFI was better than that for children with unqualified ICFI.

CONCLUSIONS

Appropriate interventions are required to improve complementary feeding practices in rural western China.

摘要

目的

本研究通过在中国西部农村进行横断面调查，研究了四个民族（汉族、维吾尔族、藏族和壮族）的补充喂养实践。

方法

2005 年，采用分层多阶段整群随机抽样方法，从中国西部 10 个省（自治区、直辖市）的 45 个县招募了 9712 名 6 至 35 月龄的儿童（汉族 7411 名、维吾尔族 1032 名、藏族 678 名、壮族 591 名）及其母亲。

结果

四个民族（汉族、维吾尔族、藏族和壮族）的早期引入（6 个月前）补充食品的比例分别为 71.30%、95.95%、82.40%和 72.30%。在所有年龄组中，维吾尔族和藏族儿童的婴儿和儿童喂养指数（ICFI）均低于汉族儿童。维吾尔族儿童在多变量逻辑回归中比汉族儿童更有可能具有不合格的 ICFI（比值比（OR）=5.138，95%置信区间（CI）：4.340-6.084）。母亲教育程度较高、家庭财富较多以及补充喂养教育材料的可获得性降低了 ICFI 不合格的可能性。具有合格 ICFI 的儿童（汉族、藏族和壮族）的营养状况优于不合格 ICFI 的儿童。