|
|
|
| Intervention effect of health education on feeding behavior of children in poverty and ethnic minorities areas |
| LIU Xiaoxi1,2 CHEN Yongchao2 DING Xue2 WANG Fang2 |
| 1.National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China; 2.Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
|
|
|
Abstract Objective To evaluate the intervention effect of ethnic-sensitive health education on feeding behavior of children in poverty and ethnic minorities areas. Methods A total of 869 and 897 caregivers of preschool children in Nujiang Prefecture, Yunnan Province were sampled respectively by multi-stage random sampling from May to June 2012 and November 2015 to January 2016. The release of ethnic-sensitive health communication materials, publicity activities, and nutrition counseling through routine outpatient were included in the interventions. Chi-square test and logistic regression were adopted for statistical analysis. Results After the intervention, the proportion of preschool children who did not or less than 4 times/month eat milk, beans, meat and eggs were lower than other eating frequencies, and the differences were highly statistically significant (P ＜ 0.01). With the exception of legumes, the frequency of eating other types of food ≥5 times/week were significantly higher than those of other eating frequencies, and the differences were highly statistically significant (P ＜ 0.01). Acceptance of intervention, high family income, and parents not working outside were influencing factors of eating various types of food (OR ＞ 1, P ＜ 0.05). Conclusion Health education is helpful to improve the feeding behavior of children in poverty and ethnic areas. It is suggested to take comprehensive interventions such as health education, raising family income and paying attention to left behind children.
|
|
|
|
|
|
[1] 章志红，朱小康，廖承红，等.学龄前儿童家长喂养行为及其影响因素分析[J].中国妇幼保健，2019，34（15）：3549-3552.
[2] Nowicka P，Flodmard C，Hales D，et al. Assessment of parental overt and covert control of child′s food intake：A population-based validation study with mothers of preschoolers [J]. Eat Behav，2014，15（4）：673-678.
[3] 杜维婧，刘语方，程玉兰，等.贫困地区3岁以下农村留守儿童与非留守儿童喂养状况比较研究.中国妇幼保健，2015，30（17）：2184-2787.
[4] 陈永超，王芳，曹彬，等.云南省怒江州儿童健康状况及影响因素分析[J].中国卫生政策研究，2014，7（2）：57-64.
[5] 尤莉莉，刘璐，毛春蕊，等.农村贫困地区学龄儿童的食物摄入情况分析[J].中国生育健康杂志，2017，28（4）：306-310.
[6] 蒋秋静，肖年，杨莉，等.重庆市贫困地区6～24月龄儿童营养及喂养现状调查[J].中国儿童保健杂志，2017，25（1）：97-99.
[7] 张延峰，吴琼，王玮，等.青海省贫困农村6～23个月龄儿童喂养和营养状况调查分析[J].中国妇幼保健，2016，31（13）：2712-2717.
[8] 段丹辉，朱明元，罗家有，等.中国部分农村地区2～7岁留守儿童膳食营养现况研究[J].中华流行病学杂志，2009， 30（4）：326-330.
[9] 汤蕾，罗霞，李英，等.中国农村贫困地区6～30月龄儿童喂养状况和影响因素的实证研究[J].华东师范大学学报：教育科学版，2019，37（3）：84-96.
[10] 荫士安.中国0～6岁儿童营养与健康状况——2002年中国居民营养与健康状况调查[M].人民卫生出版社，2008.
[11] 黄润平，王旗，韩萍，等.儿童膳食营养知-信-行问卷的编制及信效度评价[J].中国全科医学，2011，14（34）：3918-3920.
[12] 陈永超，刘晓曦，丁雪，等.云南省怒江州儿童健康教育实践经验与启示[J].中国初级卫生保健，2018，32（7）：65-66，74.
[13] 刘月芬，黄蕾，张玲，等.甘肃省贫困地区婴幼儿喂养与喂养困难状况分析[J].中国儿童保健杂志，2014，22（5）：530-533.
[14] 许媛媛，陶芳标.儿童少年缺铁性贫血筛查管理[J].中国学校卫生，2012，33（11）：1398-1401.
[15] 李曼丽，于冬梅，刘爱东，等.中国贫困地区2～5岁儿童的贫血患病现状及家长喂养行为的影响因素分析[J].卫生研究，2011，40（2）：147-149.
[16] 袁静，杨显君，张昊，等.学龄前儿童照护人喂养行为与儿童饮食行为相关性研究[J].中国儿童保健杂志，2019， 27（3）：244-247.
[17] 何美坤，刘晓君，毛宗福.健康相关行为影响因素[J].中华流行病学杂志，2019，40（3）：366-370.
[18] 谢洁妍，严学勤，曾洁.5302例0～6岁儿童喂养状况调查[J].中国妇幼保健，2019，34（19）：4533-4536.
[19] 杨吉酉，岳爱.陕南贫困农村婴幼儿食物喂养特征及其风险因素分析[J].中国儿童保健杂志，2014，26（8）：823-826，830.
[20] 高春海，胡小琪，许娟，等.我国贫困农村地区留守与非留守儿童早餐现况及影响因素[J].中国健康教育，2019， 35（4）：291-294. |
|
|
|
