从父母和照顾者的角度探索影响亚洲补充养实践的因素:定性系统审查
Intan Noor Hanifa1, Andrew Limavady1, Mary Fewtrell1
1Institute of Child Health, University College London, London, UK.
概括
了解影响补充养的因素对于亚洲儿童营养至关重要. 干预措施必须考虑对父母和照顾者的个人,家庭和社会环境影响.
科学领域:
- 公共卫生与营养
- 儿科 儿科 儿科
- 全球健康 全球健康
背景情况:
- 儿童营养不良是一个关键的全球卫生问题,特别流行在亚洲发展中国家.
- 6-23个月的年龄段对于通过适当的补充养来预防营养不良至关重要.
- 这个年龄段的许多儿童没有获得足够的营养补充食品.
研究的目的:
- 探索影响亚洲父母和照顾者的补充养实践的多方面的因素.
- 确定影响亚洲婴儿和幼儿适当补充食品的关键决定因素.
主要方法:
- 进行了定性系统审查,搜索了五个主要数据库 (Medline,Cochrane,EMBASE,PubMed,全球健康).
- 包括的研究来自亚洲国家,采用了定性或混合方法,并以英语出版.
- 数据合成的重点是提取与补充养实践相关的主题,使用GRADE评估评估确定性.
主要成果:
- 确定了四大类影响因素:个人 (孩子的偏好,知识,自我效能,时间),家庭 (家庭动态,照顾者支持,经济),社会环境 (规范,媒体,社会支持,食物获取) 和卫生服务.
- 该综述综合了来自16项涉及955名参与者的研究中的14项研究结果.
- 关键因素包括孩子的偏好,父母的知识差距,时间限制,家庭动态,社会经济地位,社会文化规范和获得食物的机会.
结论:
- 改善补充养的干预措施必须深入考虑父母和照顾者的生活经验.
- 在不同环境中影响因素的多样性需要定制的营养教育计划.
- 有效的干预需要所有相关利益相关者的参与,并考虑当地环境.
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