埃塞俄比亚奥罗米亚州西阿尔西地区沙舍梅内市6至23个月儿童的辅食喂养习惯及家庭粮食不安全状况

Complementary Feeding Practices and Household Food Insecurity Status of Children Aged 6-23 Months in Shashemene City West Arsi Zone, Oromia, Ethiopia.

作者信息

Ahmed Junayde Abdurahmen, Sadeta Kebede Kumsa, Lembo Kelil Hussen

机构信息

Department of of Public Health, School of Health Sciences, Shashemene Campus of Madda Walabu University, Robe, Ethiopia.

Departement of Nursing, School of Health Sciences, Shashemene Campus of Madda Walabu University, Robe, Ethiopia.

出版信息

Nurs Res Pract. 2022 Apr 12;2022:9387031. doi: 10.1155/2022/9387031. eCollection 2022.

INTRODUCTION

Appropriate infant feeding practices are critical to a child's growth, health, and development during the first 1000 days of life. One in every six children worldwide receives a minimum acceptable diet. According to the EDHS 2016, the status of the minimum acceptable diet was 7 percent among children aged 6-23 months in Ethiopia. The study sought to ascertain the relationship between complementary feeding (CF) indicators and household food insecurity in children aged 6-23 months.

METHODS

A systematic sampling method was used to conduct a cross-sectional study of 536 mother-child pairs aged 6-23 months. The 24-hour dietary recall was used to collect data on CF practices using face-to-face interviews with socioeconomic and food security questionnaires. The relationship between complementary feeding indicators and household food insecurity was investigated using logistic regression analysis. The relationship between independent variables and complementary feeding indicators was determined using multivariate logistic regression.

RESULTS

Overall, a total of 67.9% of children received timely introduction of CF and Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), and Minimum Acceptable Diet were met by 61.7%, 42.5%, and 41.7%, respectively. Result of multivariate logistic regression showed there is significant association between household food security with MMF, MDD, and MAD [AOR: 2.02, 95% CI: (1.25-3.24); AOR: 1.55, 95% CI: (1.02-2.36); and AOR: 1.62, 9595% CI: (1.06-2.47)], respectively, while there was no association with introduction of CF [AOR = 0.87, 95% CI: (0.55-1.39)].

CONCLUSION

This study revealed that the rates of MMF, MDD, and MAD remained low in this study setting. Household socioeconomic status (wealth index, food security status, household income) and child age were found to be among the factors statistically significantly associated with complementary feeding practices indicators.

引言

恰当的婴儿喂养方式对于儿童生命最初1000天的生长、健康和发育至关重要。全球每六个儿童中就有一个能获得最低可接受饮食。根据2016年埃塞俄比亚 DHS（埃塞俄比亚人口与健康调查），在埃塞俄比亚6至23个月大的儿童中，最低可接受饮食的比例为7%。该研究旨在确定6至23个月大儿童的辅食添加（CF）指标与家庭粮食不安全之间的关系。

方法

采用系统抽样方法对536对6至23个月大的母婴进行横断面研究。通过面对面访谈，利用24小时膳食回顾法收集关于辅食添加做法的数据，并结合社会经济和粮食安全问卷。使用逻辑回归分析研究辅食添加指标与家庭粮食不安全之间的关系。使用多变量逻辑回归确定自变量与辅食添加指标之间的关系。

结果

总体而言，共有67.9%的儿童及时开始添加辅食，最低进餐频率（MMF）、最低膳食多样性（MDD）和最低可接受饮食的达标率分别为61.7%、42.5%和41.7%。多变量逻辑回归结果显示，家庭粮食安全与最低进餐频率、最低膳食多样性和最低可接受饮食之间存在显著关联 [调整后比值比（AOR）：2.02，95%置信区间（CI）：（1.25 - 3.24）；AOR：1.55，95%CI：（1.02 - 2.36）；AOR：1.62，95%CI：（1.06 - 2.47）]，而与开始添加辅食无关联 [AOR = 0.87，95%CI：（0.55 - 1.39）]。