母亲赋权,养知识和婴儿营养:来自中国农村的证据
Yunwei Chen1, Yian Guo2, Yuju Wu3
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
母亲赋权和护理人员知识显著改善婴儿营养. 赋权的母亲和知识博的祖母促进了独家母乳养和儿童成长,强调了让所有照顾者参与干预的重要性.
科学领域:
- 孕产妇和儿童的健康
- 营养科学 营养科学
- 家庭社会学 家庭社会学
背景情况:
- 母亲赋权,定义为决策能力,与改善儿童营养有关.
- 现有的研究往往忽视了祖母在儿童保育决策中的作用.
- 护理人员知识在母亲赋权和儿童结果中的调解作用需要进一步研究.
研究的目的:
- 检查在儿童保育决策中赋予母亲权力与婴儿养实践和营养状况之间的关系.
- 评估护理人员在这种关系中养知识的调解作用.
- 调查母亲和二级照顾者 (通常是祖母) 对婴儿营养的影响.
主要方法:
- 通过中国西部农村地区的家庭调查 (2019年,2021年) 从1190个家庭收集的初级数据,其中包括0-6个月的婴儿.
- 确定了初级和二级照顾者,评估了他们的养知识和做法,以及婴儿营养状况.
- 构建了一个母亲赋权指数,并分析了与护理人员的知识,养习惯和婴儿结果的关联.
主要成果:
- 母亲的养知识 (5.4/9) 比二级照顾者 (4.1/9,主要是祖母) 高.
- 母亲和二级照顾者的更高的养知识与增加的纯母乳养率 (11-15个百分点) 相相关.
- 母亲赋权与更高的纯母乳养 (12-13 pp),减少配方奶粉使用 (9-10 pp) 和改善婴儿成长Z-score.
结论:
- 母亲和祖母的养知识对于婴儿营养至关重要,而祖母的知识对于纯母乳养尤为重要.
- 在决策过程中赋予母亲权力,独立地与更好的婴儿养结果有关,即使在控制知识时也是如此.
- 干预措施应考虑涉及二级照顾者,如祖母,并授权母亲改善儿童营养状况.
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