与护理人员响应和不响应的养方式相关的因素在内华达州克拉克县的克拉克县
Amanda Castelo Saragosa1, Sheniz Moonie2, Christopher Johansen1
1School of Public Health, Department of Social and Behavioral Health, University of Nevada, Las Vegas, Las Vegas, NV, USA.
Public health nutrition
|January 30, 2025
概括
低收入和母亲心理健康等社会生态因素影响内华达州婴儿的照顾者养方式 (CFS). 量身定制的干预措施可以帮助预防儿童早期肥胖 (ECO).
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 儿童早期肥胖 (ECO) 在美国越来越令人担忧,特别是在两岁以下的婴儿中.
- 现有的ECO干预措施往往忽视了针对这个年龄组的预防策略.
- 护理人员养方式 (CFS) 被认为是ECO发展的重要因素,但对CFS的研究有限.
研究的目的:
- 调查与内华达州两岁以下婴儿的各种照顾者养方式 (CFS) 相关的社会生态因素.
- 确定与不同CFS相关的特定家庭,母亲心理健康和婴儿养特征.
- 为制定针对性干预措施提供信息,以预防生态污染.
主要方法:
- 在内华达州克拉克县采用了横截面调查设计.
- 从304名照顾2岁以下婴儿的护理人员收集了数据.
- 统计分析包括描述性统计和层次逻辑回归,以检查CFS结构 (响应性,不响应性限制性,施压性,自由放任,宽容性) 和社会生态因素之间的关联.
主要成果:
- 非响应性 (NRP) 养方式与社会生态因素有显著的关联.
- 具体发现包括与低收入家庭相关的NRP限制性养 (AOR=2.60) 和轻度抑郁风险 (AOR=0.50).
- NRP压力与水的不安全性 (AOR=2.46) 和中度到严重的焦虑风险 (AOR=0.32) 相关,而NRP-Laissez-Faire与年轻的母亲 (AOR=2.39) 有关. 响应性养与较低的母亲教育 (AOR=0.58) 有关.
结论:
- 这项研究确定了影响内华达州护理人员养方式的关键社会生态决定因素.
- 调查结果突出了与社会经济地位,母亲心理健康和人口统计相关的CFS差异.
- 这些见解对于设计文化敏感和有效的教育计划来缓解儿童早期肥胖至关重要.
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