Allotey Diana, Flax Valerie L, Ipadeola Abiodun F, Kwasu Sarah, Adair Linda S, Valle Carmina G, Bose Sujata, Martin Stephanie L
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
RTI International, Research Triangle Park, Durham, NC, USA.
Curr Dev Nutr. 2022 Jun 2;6(7):nzac098. doi: 10.1093/cdn/nzac098. eCollection 2022 Jul.
Evidence about the effects of mothers' decision-making autonomy on complementary feeding is not consistent, generating hypotheses about whether complementary feeding social support moderates the relation between mothers' decision-making autonomy and the practice of complementary feeding.
This study examined the moderation effect of fathers' complementary feeding support on the association of mothers' decision-making autonomy with the WHO complementary feeding indicators of minimum dietary diversity, minimum meal frequency, and minimum acceptable diet, and post hoc secondary outcomes of feeding eggs or fish the previous day. The study also examined the concordance between mothers' and fathers' perspectives of mothers' autonomy and fathers' complementary feeding support.
Data were from cross-sectional surveys of 495 cohabiting parents of children aged 6-23 mo enrolled in an Alive & Thrive initiative implementation research study in Kaduna State, Nigeria. Logistic regression models were used to examine moderation, and κ statistics and 95% CIs were used to assess the concordance in reported perspectives of the parents.
The moderation results show that the simple slopes for decision-making were significant for minimum meal frequency, minimum acceptable diet, and feeding children fish the previous day when fathers offered ≥2 complementary feeding support actions. There were no significant findings in the moderation models for minimum dietary diversity or feeding children eggs the previous day. The findings from the concordance tests show moderate to substantial agreement (ranging from 57.6% to 76.0%) between parents' perspectives of mothers' autonomy, and moderate to excellent agreement (ranging from 52.1% to 89.1%) between parents' perspectives of fathers' complementary feeding support.
In Nigeria, high levels of fathers' complementary feeding support strengthen the association of mothers' decision-making autonomy with minimum meal frequency, minimum acceptable diet, and feeding children fish the previous day.This study was registered with clinicaltrials.gov (NCT04835662).
关于母亲决策自主权对辅食喂养影响的证据并不一致，由此产生了关于辅食喂养社会支持是否调节母亲决策自主权与辅食喂养实践之间关系的假设。
本研究考察了父亲辅食喂养支持对母亲决策自主权与世界卫生组织辅食喂养指标（即最低饮食多样性、最低进餐频率和最低可接受饮食）之间关联的调节作用，以及前一天喂养鸡蛋或鱼类的事后次要结果。该研究还考察了母亲和父亲对母亲自主权及父亲辅食喂养支持看法的一致性。
数据来自对尼日利亚卡杜纳州参与“活力与成长”倡议实施研究的495名6至23个月大儿童的同居父母进行的横断面调查。采用逻辑回归模型检验调节作用，并用κ统计量和95%置信区间评估父母报告看法的一致性。
调节结果显示，当父亲提供≥2项辅食喂养支持行为时，决策的简单斜率在最低进餐频率、最低可接受饮食以及前一天喂养儿童鱼类方面具有显著性。在最低饮食多样性或前一天喂养儿童鸡蛋的调节模型中未发现显著结果。一致性检验结果显示，父母对母亲自主权看法之间的一致性为中度到高度（范围为57.6%至76.0%），父母对父亲辅食喂养支持看法之间的一致性为中度到高度（范围为52.1%至89.1%）。
在尼日利亚，高水平的父亲辅食喂养支持加强了母亲决策自主权与最低进餐频率、最低可接受饮食以及前一天喂养儿童鱼类之间的关联。本研究已在clinicaltrials.gov（NCT04835662）注册。
