Department of Paediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Childhood Nutrition Research Centre, UCL Great Ormond Street Institute of Child Health, London, UK.
Nutr Diet. 2019 Feb;76(1):57-66. doi: 10.1111/1747-0080.12474. Epub 2018 Sep 14.
Urban families in middle-income countries are currently facing cultural and lifestyle transition. Changing from an agricultural to an industrial society may affect family roles and child-care practices. The present study aims to reveal family attitudes, knowledge and practices focusing on complementary feeding (CF).
A cross-sectional study was conducted in three Child Health Clinics in Chiang Mai, Thailand. Self-administered questionnaires were given to families caring for healthy infants and children less than 18 months of age during October to November 2016.
One-hundred and eight respondents completed questionnaires. The study found different attitudes and knowledge gaps between the respondents who were mothers and other family members ('others'). The 'others' were less likely to value CF as a crucial factor promoting child growth and development. Moreover, they had misperceptions about the benefits of animal-based protein and were less confident in their ability to feed the child properly. Most families reported timely introduction of complementary food, using proper milk products and encouraging age-appropriate feeding methods. However, there were undesirable practices including delaying introduction of animal-based protein, inadequate food diversity, the use of seasoning, feeding premasticated food and offering food as a reward.
These findings suggest that nutritional education should be extended to all caregivers involved in CF to improve the adherence to feeding recommendations.
目前，中等收入国家的城市家庭正面临着文化和生活方式的转变。从农业社会向工业社会的转变可能会影响家庭角色和儿童保健实践。本研究旨在揭示家庭在关注婴幼儿补充喂养（CF）方面的态度、知识和实践。
本研究于 2016 年 10 月至 11 月在泰国清迈的 3 家儿童保健诊所进行了一项横断面研究。对照顾健康婴儿和不满 18 个月大的儿童的家庭发放了自填式问卷。
108 名受访者完成了问卷。研究发现，母亲和其他家庭成员（“其他人”）在态度和知识方面存在差异。“其他人”不太重视 CF，认为其是促进儿童生长发育的关键因素。此外，他们对动物蛋白的益处存在误解，并且对自己正确喂养孩子的能力缺乏信心。大多数家庭报告及时引入补充食品，使用适当的奶制品，并鼓励采用适合年龄的喂养方法。然而，也存在一些不良做法，包括延迟引入动物蛋白、食物多样性不足、使用调味料、喂食预先咀嚼的食物以及将食物作为奖励。
这些发现表明，应向所有参与 CF 的照顾者提供营养教育，以提高喂养建议的依从性。
