四川省偏远农村地区婴幼儿看护人辅食喂养行为影响因素研究
Influencing factors of complementary food feeding behavior of infant caregivers in remote rural areas of Si-chuan Province
经文铎 1吴凤仪 1张紫怡 1韩睿 1周鑫茹 1李麟华 1崔罗晟 1周欢1
作者信息
- 1. 四川大学华西公共卫生学院/华西第四医院,四川 成都 610041
- 折叠
摘要
目的 基于综合行为模型探究四川省偏远农村地区婴幼儿看护人辅食喂养行为的现况及影响因素.方法 于2022年采用多阶段整群随机抽样方法选取四川省收入水平为中低等的2个县的6～23月龄婴幼儿及其看护人,基于综合行为模型收集看护人辅食喂养态度、辅食喂养主观规范等信息,采用多因素Logistic回归模型分析看护人辅食喂养行为的影响因素.结果 共纳入556个样本,看护人辅食喂养行为达标率为49.64％.多因素Logistic回归结果表明,辅食喂养自我效能(OR=1.07,95％CI:1.03～1.11)与辅食喂养行为意向(OR=1.08,95％CI:1.01～1.15)为辅食喂养行为达标的积极因素,而抑郁程度(OR=0.95,95％CI:0.91～0.99)为辅食喂养行为达标的消极因素.结论 四川省偏远农村地区婴幼儿看护人辅食喂养行为现状不容乐观,看护人辅食喂养的行为意向、自我效能以及抑郁程度均会对喂养行为造成影响,在未来干预中应在加强宣教与随访的同时关注看护人的心理问题.
Abstract
Objective To explore the current situation and its influencing factors of supplementary feeding behav-iors of infant caregivers in remote rural areas of Sichuan Province based on the Integrated Behavioral Model.Methods In 2022,infants aged 6 to 23 months and their caregivers from two counties with low and middle income levels in Sichuan Prov-ince were selected through a multistage cluster random sampling method.Information such as caregivers'attitudes and subjec-tive norms of supplementary feeding was collected based on the Integrated Behavioral Model,and the influencing factors of caregivers'supplementary feeding behavior were analyzed by multiple logistic regression model.Results A total of 556 sam-ples were included,and the rate of standard supplementary feeding behavior was 49.64％.The results of multiple logistic re-gression showed that supplementary feeding self-efficacy(OR=1.07,95％CI:1.03-1.11)and behavioral intention(OR=1.08,95％CI:1.01-1.15)were the positive factors for achieving the standard of supplementary feeding behav-ior,while the degree of depression(OR=0.95,95％CI:0.91-0.99)was the negative factor of standard supplementa-ry feeding behavior.Conclusion The current situation of supplementary feeding behavior of infant caregivers in remote rural areas of Sichuan province is not optimistic.The behavioral intention,self-efficacy and depression of caregivers will affect their feeding behavior.It is suggested to strengthen education and follow-up while paying attention to the psychological dilem-ma of caregivers in future intervention.
关键词
辅食喂养/看护人/婴幼儿/综合行为模型Key words
Supplementary feeding/Caregivers/Infants/Integrated Behavioral Model引用本文复制引用
基金项目
国家自然科学基金面上项目(72274130)
出版年
2024
NETL
NSTL
万方数据