流动儿童2 055例婴幼儿喂养现状研究

目的 了解研究地区流动儿童婴幼儿喂养现状,以发现存在的主要喂养问题。 方法 采用横断面调查设计,两阶段随机整群抽样方法,以及联合国儿童基金会标准问卷,分别对广东和浙江两省各一个流动人口密集的区市的2 055名2岁以下儿童看护人进行问卷调查,对8个婴幼儿喂养指标进行了描述与分析。结果 调查地区流动儿童婴幼儿早开奶率为18.0%、纯母乳喂养率为13.6%、1岁时持续母乳喂养率为17.0%、2岁时持续母乳喂养率为5.2%、辅食及时添加率为81.1%、辅食添加种类合格率53.9%、辅食添加频率合格率为26.9%、辅食合理添加率为16.9%。 结论研究地区流动儿童母乳喂养和辅食添加的情况水平差,提示流入地应加强对流动人口中婴幼儿喂养的健康促进,改善保健服务利用。

Current status of 2 055 migrant infants and young children feeding practices

Objective To understand current situation of infants and young children feeding(IYCF) practice among internal migrants in study areas of China and to explore the existing problem on IYCF. Methods A cross-sectional study with two-stage cluster sampling method was conducted,and totally 2 055 caregivers of children under 2 years old from two districts with high density of immigrants of Guangdong province and Zhejiang province were selected to investigate their feeding practice with standard questionnaire designed by UNICEF.8 indicators listed in the WHO document "Indicators for assessing infant and young child feeding practice" were described and analyzed. Results A total of 8 indicators among migrant children in study areas were:early initiation of breastfeeding 18.0%,exclusive breastfeeding under 6 months 13.6 %,continued breastfeeding at 1 year old 17.0%,continued breastfeeding at 2 years old 5.2%,introduction of solid,semi-solid or soft foods 81.1%,minimum dietary diversity 53.9%,minimum meal frequency 26.9%,minimum acceptable diet 16.9%. Conclusions Indicators IYCF including breastfeeding and complementary feeding practice among migrants in study areas are poorer than those from rural areas of middle and western China.Our study suggests health promotion targeted IYCF and utilization of child health care of migrant children should be improved in inflow areas.