Dallazen Camila, Silva Sara Araújo da, Gonçalves Vivian Siqueira Santos, Nilson Eduardo Augusto Fernandes, Crispim Sandra Patricia, Lang Regina Maria Ferreira, Moreira Júlia Dubois, Tietzmann Daniela Cardoso, Vítolo Márcia Regina
Programa de Pós-graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brasil.
Coordenação Geral de Alimentação e Nutrição, Ministério da Saúde, Brasília, Brasil.
Cad Saude Publica. 2018 Feb 19;34(2):e00202816. doi: 10.1590/0102-311X00202816.
The study aimed to identify factors associated with the introduction of inappropriate complementary feeding in the first year of life in children living in municipalities (counties) with low socioeconomic statusl. This was a cross-sectional multicenter study in 1,567 children 12 to 59 months of age in 48 municipalities participating in the Brazil Without Poverty plan in the South of Brazil. A structured questionnaire was applied to the children's parents to obtain socio-demographic information and the age at which inappropriate complementary foods were introduced for the first time in complementary feeding. Prevalence of introduction of sugar before four months of age was 35.5% (n = 497; 95%CI: 33.1-38.0). The prevalence rates for the introduction of cookies/crackers, creamy yogurt, and jelly before six months of age were 20.4% (n = 287; 95%CI: 18.3-22.3), 24.8% (n = 349; 95%CI: 22.4-27.1), and 13.8% (n = 192; 95%CI: 12.0-15.7), respectively. Associations were identified between low maternal schooling (PR = 1.25; 95%CI: 1.03-1.51) and low monthly family income (PR = 1.22; CI95%: 1.01-1.48) and the introduction of inappropriate complementary feeding. The study identified the introduction of inappropriate complementary feeding in the first year of life among children in municipalities with high socioeconomic vulnerability in the South of Brazil, associated with low maternal schooling and low monthly family income.
该研究旨在确定与巴西南部社会经济地位较低的市（县）中儿童一岁内引入不适当辅食相关的因素。这是一项横断面多中心研究，涉及巴西南部参与“无贫困巴西”计划的48个市的1567名12至59月龄儿童。对儿童家长应用结构化问卷，以获取社会人口学信息以及首次在辅食喂养中引入不适当辅食的年龄。4个月前引入糖的患病率为35.5%（n = 497；95%CI：33.1 - 38.0）。6个月前引入饼干/薄脆饼干、奶油酸奶和果冻的患病率分别为20.4%（n = 287；95%CI：18.3 - 22.3）、24.8%（n = 349；95%CI：22.4 - 27.1）和13.8%（n = 192；95%CI：12.0 - 15.7）。研究发现母亲受教育程度低（PR = 1.25；95%CI：1.03 - 1.51）和家庭月收入低（PR = 1.22；95%CI：1.01 - 1.48）与引入不适当辅食喂养之间存在关联。该研究确定，在巴西南部社会经济脆弱性高的市中，儿童一岁内存在引入不适当辅食喂养的情况，这与母亲受教育程度低和家庭月收入低有关。
