He Ya-di, Xu Tian-Xin, Tian Yi-Ran, Xian Xian-Nan, Wu Yu-Ju, Zhou Huan
Department of Health Behavior and Social Medicine, est China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China.
Department of Child Health and Maternal and Child Health, West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2024 Aug;46(4):490-496. doi: 10.3881/j.issn.1000-503X.15935.
Objective To investigate the status and influencing factors of pressuring feeding style among caregivers in remote rural areas of Sichuan province. Methods Multistage sampling was conducted to select infants of 6-11 months old who had received complementary food and their caregivers in remote rural areas of Sichuan province.A questionnaire was used to collect sociodemographic characteristics of infants and their caregivers,pressuring feeding behaviors,feeding environment,and caregivers' negative emotions.Quantile regression was employed to analyze the factors influencing pressuring feeding among caregivers of infants. Results A total of 1358 pairs of infants and their caregivers were included,with the pressuring feeding behavior score of 11 (8,14).Parity was the protective factor for caregivers' pressuring feeding (=-1.17,<0.001;=-1.40,=0.002;=-2.18,<0.001).Whether infants played with toys while eating (=1.00,<0.001;=1.20,=0.003;=1.42,<0.001) and whether infants watched TV/mobile phones (=0.50,=0.048;=1.07,=0.004) were the risk factors.At the 75th percentile,caregivers' negative emotions were the risk factor for pressuring feeding (=0.94,=0.015).Caregivers' education background (=0.83,=0.034;=0.87,=0.021) and family income (=1.09,=0.012) were also significantly associated with pressuring feeding scores at different quartile points. Conclusion Pressuring feeding behaviors of caregivers in remote rural areas of Sichuan province need to be improved.Based on the characteristics of infants and their families,guidance should be carried out to improve the feeding environment and the mental health of caregivers,thereby promoting reasonable feeding behaviors among caregivers of infants in rural areas.
目的 调查四川省偏远农村地区照顾者强迫喂养方式的现状及其影响因素。方法 采用多阶段抽样方法，选取四川省偏远农村地区6至11个月已添加辅食的婴幼儿及其照顾者。通过问卷调查收集婴幼儿及其照顾者的社会人口学特征、强迫喂养行为、喂养环境以及照顾者的负面情绪。采用分位数回归分析影响婴幼儿照顾者强迫喂养的因素。结果 共纳入1358对婴幼儿及其照顾者，强迫喂养行为得分中位数为11（8，14）。胎次是照顾者强迫喂养的保护因素（=-1.17，<0.001；=-1.40，=0.002；=-2.18，<0.001）。婴幼儿进食时是否玩玩具（=1.00，<0.001；=1.20，=0.003；=1.42，<0.001）以及是否看电视/玩手机（=0.半0，=0.048；=1.07，=0.004）是危险因素。在第75百分位数时，照顾者的负面情绪是强迫喂养的危险因素（=0.94，=0.015）。照顾者的教育背景（=0.83，=0.034；=0.87，=0.021）和家庭收入（=1.09，=0.012）在不同四分位点时也与强迫喂养得分显著相关。结论 四川省偏远农村地区照顾者的强迫喂养行为有待改善。应根据婴幼儿及其家庭的特点进行指导，改善喂养环境，提高照顾者的心理健康水平，从而促进农村地区婴幼儿照顾者的合理喂养行为。
