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在柬埔寨城乡结合部,母亲及其幼儿对周边食品购买便利性的感知与动物肉类食品、水果和蔬菜的消费有关。

Perceived neighbourhood food access is associated with consumption of animal-flesh food, fruits and vegetables among mothers and young children in peri-urban Cambodia.

机构信息

Nutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA30322, USA.

Animal and Human Health Program, International Livestock Research Institute, Vietnam and Kenya.

出版信息

Public Health Nutr. 2022 Mar;25(3):717-728. doi: 10.1017/S1368980021004122. Epub 2021 Oct 1.

Abstract

OBJECTIVE

To examine whether mothers' perceived neighbourhood food access is associated with their own and their young children's consumption of animal-flesh food, fruits and vegetables in peri-urban areas of Cambodia.

DESIGN

A cross-sectional survey measured food consumption frequency and perceived neighbourhood food access, the latter including six dimensions of food availability, affordability, convenience, quality, safety and desirability. Multivariate logistic regression was used to assess the association between perceived food access and food consumption.

SETTING

Peri-urban districts of Phnom Penh and Siem Reap, Cambodia.

PARTICIPANTS

198 mothers of children between 6 and 24 months old.

RESULTS

Over 25 % of the mothers and 40 % of the children had low consumption (< once a day) of either animal-flesh food or fruits and vegetables. Compared with perceived high food access, perceived low food access was associated with an adjusted 5·6-fold and 4·3-fold greater odds of low animal-flesh food consumption among mothers (95 % CI 2·54, 12·46) and children (95 % CI 2·20, 8·60), respectively. Similarly, relative to perceived high food access, perceived low food access was associated with 7·6-times and 5·1-times higher adjusted odds of low fruits and vegetables consumption among mothers (95 % CI 3·22, 18·02) and children (95 % CI 2·69, 9·83), respectively.

CONCLUSIONS

Mothers' perceived neighbourhood food access was an important predictor of their own and their young children's nutrient-rich food consumption in peri-urban Cambodia. Future work is needed to confirm our findings in other urban settings and examine the role of neighbourhood food environment in the consumption of both nutrient-rich and nutrient-poor food.

摘要

目的

探讨柬埔寨城郊地区母亲对其所在社区食物可及性的感知是否与其自身以及其幼儿食用动物肉类食物、水果和蔬菜有关。

设计

横断面调查测量食物消费频率和感知社区食物可及性,后者包括食物供应、可负担性、便利性、质量、安全性和可接受性六个维度。采用多变量逻辑回归评估感知食物可及性与食物消费之间的关系。

地点

柬埔寨金边和暹粒的城郊地区。

参与者

198 名 6 至 24 个月大幼儿的母亲。

结果

超过 25%的母亲和 40%的儿童动物肉类食物或水果和蔬菜的食用量较低(<每天一次)。与感知食物可及性高相比,感知食物可及性低与母亲(95%CI2·54,12·46)和儿童(95%CI2·20,8·60)低动物肉类食物消费的调整后比值比分别为 5·6 倍和 4·3 倍相关。同样,与感知食物可及性高相比,感知食物可及性低与母亲(95%CI3·22,18·02)和儿童(95%CI2·69,9·83)低水果和蔬菜消费的调整后比值比分别为 7·6 倍和 5·1 倍相关。

结论

母亲对其所在社区食物可及性的感知是影响其自身及其幼儿在柬埔寨城郊地区摄入营养丰富食物的一个重要因素。未来需要在其他城市环境中证实我们的发现,并研究社区食物环境在营养丰富和营养贫瘠食物消费中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c33/9991642/2d8b4d1b98a4/S1368980021004122_fig1.jpg

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