London School of Hygiene & Tropical Medicine, Faculty of Public Health & Policy, London, UK.
Helen Keller International, New York, New York, USA.
Matern Child Nutr. 2023 Dec;19 Suppl 2(Suppl 2):e13600. doi: 10.1111/mcn.13600. Epub 2023 Dec 7.
Caregivers in low- and middle-income countries increasingly feed commercially produced complementary foods (CPCF) to older infants and young children-shaped by factors including industry promotion. The dynamics of CPCF consumption and caregiver knowledge, attitudes and behaviours regarding complementary feeding practices are poorly understood in these settings. We examined how caregiver knowledge/attitudes/behaviours about CPCF shape the feeding of older infants and young children in the capital cities of five countries in Southeast Asia (Bangkok, Hanoi, Jakarta, Kuala Lumpur, Manila). An online, web-based, cross-sectional panel survey was conducted among mothers of a child aged 6-23 months. One hundred participants were included in each of the five capital cities. Questionnaires were undertaken in the official language of each city. Data were analysed in Stata (version 17.0), using χ tests to examine difference between variables of interest. All mothers purchased CPCF for their youngest child aged 6-23 months at the time of survey. CPCF were commonly fed to children at least once per day, and in many of the five cities at most or every feeding. While factors such as convenience and affordability influenced CPCF purchase, mothers primarily purchased CPCF for nutritional reasons. The most common source of feeding information was health care professionals, followed by social media. CPCF are ubiquitous in the diets of older infants and young children of educated middle-upper socioeconomic status mothers in capital cities of Southeast Asia, with perceived healthiness a key driver in selecting CPCF. A strong governmental regulatory response to industry marketing/promotion will be critical to addressing CPCF appropriateness, including health and nutritional claim use.
在中低收入国家，看护人越来越多地给较大婴儿和幼儿喂食商业生产的补充食品（CPCF），这些食品的形状受到包括行业推广在内的各种因素的影响。在这些环境中，对 CPCF 消费以及看护人在补充喂养实践方面的知识、态度和行为的动态了解甚少。我们研究了看护人对 CPCF 的知识/态度/行为如何影响较大婴儿和幼儿的喂养，调查对象是东南亚五个国家首都（曼谷、河内、雅加达、吉隆坡、马尼拉）的 6-23 个月大儿童的母亲。采用在线、基于网络的横断面小组调查，在每个首都城市招募了 100 名参与者。调查问卷使用各城市的官方语言进行。在 Stata（版本 17.0）中进行数据分析，使用 χ 检验来检验感兴趣变量之间的差异。所有母亲在调查时都为 6-23 个月大的最小孩子购买了 CPCF。CPCF 通常每天至少喂食一次，在五个城市中的许多城市，最频繁或每餐都喂食。尽管便利性和可负担性等因素影响 CPCF 的购买，但母亲主要出于营养原因购买 CPCF。喂养信息的最常见来源是医疗保健专业人员，其次是社交媒体。在东南亚首都城市受过教育的中上社会经济地位母亲的较大婴儿和幼儿饮食中，CPCF 无处不在，认为 CPCF 健康是选择 CPCF 的关键驱动因素。政府对行业营销/推广的有力监管反应对于解决 CPCF 的适当性至关重要，包括对健康和营养声称的使用。
