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西部贫困农村地区健康信息传播对婴幼儿母亲科学喂养认知的促进
引用本文:杜艳,叶睿雪,赵梓玲,刘佳欣,刘伟信,孙畅,周欢.西部贫困农村地区健康信息传播对婴幼儿母亲科学喂养认知的促进[J].现代预防医学,2020,0(21):3841-3845.
作者姓名:杜艳  叶睿雪  赵梓玲  刘佳欣  刘伟信  孙畅  周欢
作者单位:1.四川大学华西公共卫生学院(华西第四医院)健康行为与社会医学系,成都,610041;2.四川省妇幼保健院,成都,610031
摘    要:目的 明晰西部贫困农村地区健康信息传播模式对婴幼儿母亲母乳喂养认知的影响,为提高该类地区妇女的婴幼儿喂养认知,从而改善婴幼儿的健康状况,提供科学建议。 方法 分别于2014年、2019年在我国西部贫困农村地区,选取24月龄及以下婴幼儿及其母亲为研究对象,通过问卷调查收集其人口学特征、健康信息传播模式、科学喂养认知等资料。运用回归分析健康信息传播模式对婴幼儿母亲的科学喂养认知的影响。 结果 共纳入1 284对(2014年)、1 049对(2019年)母婴。2019年婴幼儿母亲早开奶知晓率(72.64%)、纯母乳喂养知晓率(31.36%)均分别显著高于2014年(65.73%,25.30%)(均 P < 0.05)。在信息传播模式中,70.54%的婴幼儿母亲主要通过基层医务工作者获取喂养信息。回归分析显示,基层医务工作者结合信息传播材料传递母乳喂养信息( OR = 2.23, 95% CI 1.03~4.85)促进了婴幼儿母亲的早开奶认知;基层医务工作者传播母乳喂养信息( OR = 1.57, 95% CI 1.04~2.38)、基层医务工作者与亲友协同传播母乳喂养信息的交互作用( OR = 2.39, 95% CI 1.48~3.87)促进了婴幼儿母亲纯母乳喂养认知。 结论 以基层医务工作者为核心的母乳喂养信息传播模式促进了西部贫困农村地区婴幼儿母亲早开奶、纯母乳喂养的认知。

关 键 词:西部贫困农村  信息传播  基层医务工作者  婴幼儿母亲  母乳喂养认知

Promoting scientific feeding knowledge of infant mothers by health information communication in poor rural areas of western China
DU Yan,YE Rui-xue,ZHAO Zi-ling,LIU Jia-xin,LIU Wei-xin,SUN Chang,ZHOU Huan.Promoting scientific feeding knowledge of infant mothers by health information communication in poor rural areas of western China[J].Modern Preventive Medicine,2020,0(21):3841-3845.
Authors:DU Yan  YE Rui-xue  ZHAO Zi-ling  LIU Jia-xin  LIU Wei-xin  SUN Chang  ZHOU Huan
Affiliation:*Department of Health Related Social and Behavioral Science, West China Schoolof Public Health, Sichuan University, Chengdu, Sichuan 610041, China
Abstract:To clarify the influence of the health information communication mode on the scientific feeding knowledge of infant mothers in poor rural areas in western China, and to provide scientific suggestions for improving the scientific feeding knowledge of women in such areas so as to improve the health status of infants and young children. Methods Infants aged 24 months and under and their mothers were selected as the research objects in the poor rural areas in western China in 2014 and 2019, respectively. Basic demographic characteristics, health information communication mode and scientific feeding knowledge were collected through questionnaire survey. Regression analysis was used to analyze the influence of health information transmission mode on scientific feeding knowledge of infant mothers. Results A total of 1 284 pairs(2014) and 1 049 pairs(2019) were included. In 2019, the awareness rates of early breast-feeding among infant mothers(72.64%) and exclusive breast-feeding(31.36%) were significantly higher than those in 2014(65.73% and 25.30%, respectively)(both P<0.05). Infant mothers obtained feeding information mainly through primary health care workers(70.54%). Regression analysis showed that primary medical workers combined with health communication materials to disseminate health information(OR=2.23, 95%CI 1.03-4.85) to promote the knowledge of early initiation of breastfeeding. Primary health care workers disseminate health information(OR=1.57, 95%CI 1.04-2.38), and interaction between primary health care workers disseminate health information and relatives and friends of infant mothers(OR=2.39, 95%CI 1.48-3.87) promotes the knowledge of infant mothers to exclusively breastfeed. Conclusion Scientific feeding knowledge of infant mothers has been improved in poor rural areas in western China, and primary health care workers have promoted the knowledge of early initiation of breastfeeding and exclusive breast-feeding.
Keywords:Poor rural areas in western China  Health information communication  Primary health care workers  Mother of infant  Knowledge of feeding
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