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埃塞俄比亚照护者的喂养行为:与照护者和儿童特征的关联。

Caregivers' feeding practices in Ethiopia: association with caregiver and child characteristics.

机构信息

Department of Nutrition and Dietetics, School of Public Health, Addis Ababa University, 9086 Addis Ababa, Ethiopia.

Department of Nursing and Health Promotion, Oslo Metropolitan University, Postboks 4, St. Olavs, 0130 Oslo, Norway.

出版信息

J Nutr Sci. 2021 Apr 5;10:e21. doi: 10.1017/jns.2021.14. eCollection 2021.

Abstract

Feeding is a source of interaction and communication. It affects children's physical and psychological/emotional development. The present study aims to examine the association between caregiver and child characteristics and caregivers' feeding practices among preschools in Addis Ababa. We conducted a cross-sectional study among 542 caregivers of children aged between 3 and 6 years old in selected preschools. We used the Child Feeding Questionnaire (CFQ) to measure caregivers' feeding practices. Multiple linear regression was used for analysis. Caregivers who had higher levels of perceived feeding responsibility ( 0⋅20, < 0⋅001), who were more concerned about their child being overweight ( 0⋅11, < 0⋅001) and who had more depressive symptoms ( 0⋅23, 0⋅05) were associated with food restriction practice. Caregivers who were less concerned about their child being overweight ( -0⋅10, < 0⋅001) and who had higher levels of perceived feeding responsibility ( 0⋅25, < 0⋅001) were associated with pressure to eat practice. Caregivers who had higher education ( 0⋅29, < 0⋅05), who had higher levels of perceived feeding responsibility ( 0⋅47, < 0⋅001), who were more concerned about their child being overweight ( 0⋅15, < 0⋅001) and who were less concerned about their child underweight ( -0⋅06, < 0⋅05) were associated with monitoring feeding practice. In addition, as the children have gotten older ( 0⋅08, < 0⋅05), there is increased use of monitoring feeding practice. This study is one of few studies that show the association between caregiver and child characteristics and feeding practices in developing countries such as Ethiopia. It is essential to include responsive feeding components in national nutritional programmes to improve preschool children's nutritional status in Ethiopia.

摘要

喂养是一种互动和交流的来源。它影响儿童的身体和心理/情感发展。本研究旨在探讨埃塞俄比亚亚的斯亚贝巴幼儿园中照顾者和儿童特征与照顾者喂养实践之间的关联。我们在选定的幼儿园中对 542 名 3 至 6 岁儿童的照顾者进行了横断面研究。我们使用儿童喂养问卷(CFQ)来衡量照顾者的喂养实践。采用多元线性回归进行分析。具有较高感知喂养责任水平的照顾者(0.20,<0.001)、更关心孩子超重的照顾者(0.11,<0.001)和抑郁症状更严重的照顾者(0.23,0.05)与食物限制实践有关。不太关心孩子超重的照顾者(-0.10,<0.001)和具有较高感知喂养责任水平的照顾者(0.25,<0.001)与强迫进食实践有关。受教育程度较高的照顾者(0.29,<0.05)、感知喂养责任水平较高的照顾者(0.47,<0.001)、更关心孩子超重的照顾者(0.15,<0.001)和不太关心孩子体重不足的照顾者(-0.06,<0.05)与监测喂养实践有关。此外,随着孩子年龄的增长(0.08,<0.05),监测喂养实践的使用有所增加。这项研究是为数不多的几项研究之一,它表明了在埃塞俄比亚等发展中国家照顾者和儿童特征与喂养实践之间的关联。在埃塞俄比亚,将反应性喂养内容纳入国家营养方案对于改善学龄前儿童的营养状况至关重要。

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