[三个贫困农村省份婴幼儿营养包依从性现状及其影响因素]

[Status of Yingyangbao's compliance and its affected factors among infants in three poor rural provinces].

作者信息

Niu He, Wang Yan, Tang He, Gong Limin

机构信息

Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100081, China.

出版信息

Wei Sheng Yan Jiu. 2017 Mar;46(2):262-271.

PMID:29903104

Abstract

OBJECTIVE

This study aimed to analyze the consumption status of Yingyangbao and its affected factors in 3 poor rural Provinces.

METHODS

Appling stratified cluster sampling method, 447 caregivers from Guizhou, Yunnan and Shanxi Provinces were investigated to analyze the compliance and caregivers' awareness of Yingyangbao, as well as the method to acquire the knowledge of Yingyangbao in 2014. Affected factors were detected by Chi-square test and multiple logistic regression. 43 caregivers with poor compliance were interviewed under the guidance of interview outline. The matic framework was applied to do interview data analysis, including infants, caregivers and village doctors.

RESULTS

0% infants and children ate more than 3sachets of Yingyangbao last week. More than half of the caregivers( 83. 0% and 66. 0%)knew that the Yingyangbao can prevent malnutrition and anemia. 80. 8% caregivers achieved the knowledge of Yingyangbao through village doctors. Compared withbreastfeeding, mixed feeding( OR = 26. 698, 95% CI 4. 411 ~ 161. 614) and formulas feeding( OR = 4. 709, 95% CI 1. 089 ~ 20. 369) were the protecting factors, children who like eating Yingyangbao( OR = 4. 369, 95% CI 1. 859 ~ 10. 395) and caregivers who know that Yingyangbao( OR = 4. 421, 95% CI 1. 335 ~ 14. 638) can prevent malnutrition were the protecting factors.

CONCLUSION

Infants and caregivers were the key factors affecting children eating Yingyangbao effectively.

摘要

目的

本研究旨在分析3个贫困农村省份营养包的食用状况及其影响因素。

方法

采用分层整群抽样方法，对来自贵州、云南和山西3省的447名照料者进行调查，分析2014年营养包的依从性、照料者对营养包的认知情况以及获取营养包知识的途径。采用卡方检验和多因素logistic回归分析影响因素。对43名依从性差的照料者按照访谈提纲进行访谈。采用主题框架法进行访谈数据分析，涉及婴幼儿、照料者和乡村医生。

结果

81.0%的婴幼儿上周食用营养包超过3袋。超过半数的照料者（83.0%和66.0%）知晓营养包可预防营养不良和贫血。80.8%的照料者通过乡村医生获取营养包知识。与母乳喂养相比，混合喂养（OR = 26.698，95%CI 4.411～161.614）和配方奶喂养（OR = 4.709，95%CI 1.089～20.369）是保护因素，喜欢吃营养包的儿童（OR = 4.369，95%CI 1.859～10.395）以及知晓营养包可预防营养不良的照料者（OR = 4.421，95%CI 1.335～14.638）是保护因素。