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印度尼西亚6至23个月儿童的饮食多样性及相关因素

Dietary Diversity and Associated Factors Among Children Aged 6-23 Months in Indonesia.

作者信息

Sekartaji Rizky, Suza Dewi Elizadiani, Fauziningtyas Rista, Almutairi Wedad M, Susanti Ika Adelia, Astutik Erni, Efendi Ferry

机构信息

Faculty of Nursing, Universitas Airlangga, Indonesia.

Faculty of Nursing, Universitas Sumatera Utara, Indonesia.

出版信息

J Pediatr Nurs. 2021 Jan-Feb;56:30-34. doi: 10.1016/j.pedn.2020.10.006. Epub 2020 Nov 9.

Abstract

BACKGROUND

Optimum feeding practice is the key to determine development and growth among infants and young children. Dietary diversity is considered an indicator to assess nutritional adequacy.

OBJECTIVES

This study aimed to determine the factors that associated with minimum dietary diversity types among children aged 6-23 months in Indonesia.

METHODS

Secondary data analysis was carried out for this study using the Indonesian Demographic and Health Survey (IDHS) 2017. The study was conducted with inclusion criteria in women of childbearing age with ages ranging from 15 to 49 years, having children aged 6-23 months, and living with respondents (n = 4861). Data obtained using a questionnaire with cross-sectional design approach. Chi-square test, and logistic regression test were used to measure the determinants of minimum dietary diversity.

RESULTS

The prevalence of children aged 6-23 months who received various foods was 3070 (63.15%) respondents. Age of child of 18-23 months [AOR = 5.88; 95% CI = 4.48-7.14], mother graduated from university level [AOR = 5.16; 95% CI = 2.07-12.89], access to maternal information on mass media (reading newspapers or magazines [AOR = 1.30; 95% CI = 1.10-1.55] and watching television [AOR = 1.56; 95% CI = 1.06-2.30]), and richest wealth quintile [AOR = 1.91; 95% CI = 1.32-2.75] significantly related to minimum dietary diversity in children aged 6-23 months in Indonesia.

CONCLUSIONS

The current study revealed that minimum dietary diversity among Indonesian children remain related to education, mass media and socio-economic level.

PRACTICE IMPLICATIONS

Pediatric nurses can play a critical role here by delivering the messages through educational outreach visits that focus on poor uneducated mother.

摘要

背景

最佳喂养方式是决定婴幼儿发育和成长的关键。饮食多样性被视为评估营养充足程度的一项指标。

目的

本研究旨在确定与印度尼西亚6至23个月儿童最低饮食多样性类型相关的因素。

方法

本研究使用2017年印度尼西亚人口与健康调查(IDHS)进行二次数据分析。研究纳入年龄在15至49岁的育龄妇女,其育有6至23个月的子女且与受访者共同生活(n = 4861)。数据通过采用横断面设计方法的问卷获取。使用卡方检验和逻辑回归检验来衡量最低饮食多样性的决定因素。

结果

6至23个月接受各类食物的儿童患病率为3070名受访者(63.15%)。18至23个月的儿童[AOR = 5.88;95% CI = 4.48 - 7.14]、母亲大学毕业[AOR = 5.16;95% CI = 2.07 - 12.89]、通过大众媒体获取孕产妇信息(阅读报纸或杂志[AOR = 1.30;95% CI = 1.10 - 1.55]以及观看电视[AOR = 1.56;95% CI = 1.06 - 2.30])以及最富裕财富五分位数[AOR = 1.91;95% CI = 1.32 - 2.75]与印度尼西亚6至23个月儿童的最低饮食多样性显著相关。

结论

当前研究表明,印度尼西亚儿童的最低饮食多样性仍与教育、大众媒体和社会经济水平相关。

实践意义

儿科护士可通过针对贫困未受过教育母亲的教育外展访视传递信息,在此发挥关键作用。

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