School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pediatr. 2019 Sep 2;19(1):304. doi: 10.1186/s12887-019-1692-3.
A Shortage or excessive intake of the nutrient is malnutrition; affecting every aspect of human beings. Malnutrition at childhood has long-lasting and multiple effects. In Ethiopia significant numbers of children were suffering from malnutrition that might be associated with parents' food preference; the fact not yet investigated. Therefore the aim of this study was to assess parents' food preferences and its implication for child malnutrition.
The study was conducted among 7150 mothers/caretakers in Dabat demographic and health surveillance site. Data were collected by experienced data collectors working for the surveillance centers after extensive training. A multinomial logistic regression model was fitted to determine the effect of factors on the dependent variable and model fitness was checked using a likelihood ratio test.
About 62.55% of mothers/caretakers prefer to feed children with a family and 16.45% of them prefer to feed children with a specific type of food. Mothers/caretakers who introduce semisolid food after 6 months 2.34(1.50-3.96) were times more likely prefer to feed with family food for their children than a balanced diet. Regarding the specific type of food preference mothers who introduce semisolid food after 6 months and those obtain food from the market were 6.53(3.80-11.24) and 4.38(3.45-5.56) times more likely to prefer to feed specific types of than balanced diet respectively.
Food preference had contributed to the increased and persistent magnitude of child malnutrition as 62.55% of mothers prefer to feed children with family and only 21% of them prefer to feed a balanced diet for under-five children. Therefore we recommended integration of child dietary diversity, acceptability and safety counseling session for mothers visiting health institutions for child vaccination, ANC and PNC services.
营养物质的缺乏或摄入过多都会导致营养不良;它会影响人类的各个方面。儿童时期的营养不良会产生长期且多方面的影响。在埃塞俄比亚,大量儿童患有营养不良,这可能与父母的食物偏好有关;但这一事实尚未得到调查。因此,本研究旨在评估父母的食物偏好及其对儿童营养不良的影响。
该研究在达巴特人口和健康监测点的 7150 名母亲/照顾者中进行。数据由经过广泛培训后为监测中心工作的经验丰富的数据收集员收集。使用多项逻辑回归模型来确定因素对因变量的影响,并用似然比检验来检查模型的拟合度。
约 62.55%的母亲/照顾者喜欢用家庭食物喂养孩子,16.45%的母亲/照顾者喜欢用特定类型的食物喂养孩子。与均衡饮食相比,在 6 个月后给孩子引入半固体食物的母亲/照顾者更有可能选择家庭食物喂养孩子,其几率是前者的 2.34 倍(1.50-3.96)。关于特定类型食物的偏好,在 6 个月后给孩子引入半固体食物的母亲和从市场获取食物的母亲,分别更有可能选择特定类型的食物喂养孩子,其几率是均衡饮食的 6.53 倍(3.80-11.24)和 4.38 倍(3.45-5.56)。
食物偏好导致儿童营养不良的程度增加和持续存在,因为 62.55%的母亲喜欢用家庭食物喂养孩子,只有 21%的母亲喜欢给 5 岁以下儿童喂养均衡饮食。因此,我们建议在儿童接种疫苗、ANC 和 PNC 服务等卫生机构为母亲提供儿童饮食多样性、可接受性和安全性咨询。