【摘要】 目的 探讨福建省6～23月龄婴幼儿辅食喂养现状及其相关因素，为制定有针对性的营养干预措施提供依据。方法 采用多阶段整群随机抽样方法，选用2017-2018年中国儿童与乳母营养健康监测项目中福建省6～23月龄的581名婴幼儿及其看护人作为研究对象，参照WHO 2008年《婴幼儿喂养评估指标》中的最少膳食种类(MDD)、最少膳食频率(MMF)和最低可接受膳食(MAD)等指标分析婴幼儿辅食添加情况，采用多因素非条件logistic回归模型分析辅食喂养相关因素。结果 福建省6～23月龄婴幼儿MDD、MMF和MAD合格率分别为80.72%、75.56%和46.99%。低月龄、母亲学历低、父母职业是农民、母乳喂养、家庭有多个孩子为辅食喂养不合格的危险因素。相对于6～11月龄，18～23月龄婴幼儿MDD不合格的O R值为0.11,12～17、18～23月龄婴幼儿MAD不合格的O R值为0.55和0.50;相对于母亲学历是小学及以下，母亲学历是初高中的婴幼儿MDD不合格的O R值为0.38;相对于母亲职业是农民，母亲职业是无业的婴幼儿的MMF不合格的O R值为0.45;相对于父亲职业是农民，父亲职业是其他的婴幼儿的MAD不合格的O R值为0.26;相对于非母乳喂养，母乳喂养的婴幼儿的MDD和MMF不合格的O R值分别为3.06和2.08;相对于家庭第1个孩子，家庭第3个孩子MAD不合格的O R值为3.67(P均<0.05)。结论 6～23月龄婴幼儿MDD和MMF合格率较高，但MAD的合格率较低。低月龄、父母亲职业是农民、母亲学历低、母乳喂养婴幼儿以及家庭多个孩子为辅食喂养不合格的高危人群。更多还原

【Abstract】 Objective To explore the current situation and related factors of complementary feeding of infants aged 6-23 months in Fujian province, so as to provide basis for formulating targeted nutrition intervention. Methods Adopting a multi-stage cluster random sampling method, a total of 581 infants aged 6-23 months in Fujian province and their caregivers with complete questionnaire information from the 2017-2018 China children and lactating mothers nutrition and health monitoring project were selected as the research objects, the addition of complementary foods for infants and young children was analyzed with reference to the minimum dietary type(MDD),the minimum dietary frequency(MMF) and the minimum acceptable diet(MAD) in the WHO 2008 Infant Feeding Evaluation Index, multivariate unconditional logistic regression model was used to analyze the related factors of complementary feeding. Results The qualified rates of MDD,MMF and mad of infants aged 6-23 months in Fujian province were 80.72%,75.56% and 46.99% respectively.Low-month age, low educational background of mother, occupation of parents as farmers, breast-feeding, and multiple children in a family as complementary feeding were the risk factors for disqualification.Compared with 6-11 months old, the OR value of MDD disqualification of 18-23 months old infants was 0.11,and the OR value of mad disqualification of 12-17 and 18-23 months old infants was 0.55 and 0.50;Compared with infants whose mother’s education was primary school or below and whose mother’s education was junior high school, the OR value of MDD disqualification was 0.38;The OR value of MMF disqualification of infants whose mother occupation was farmers and whose mother occupation was unemployed was 0.45;The OR value of mad disqualification of infants whose father occupation was farmer and whose father occupation was other was 0.26;Compared with non breastfeeding, the OR values of MDD and MMF of breastfed infants were 3.06 and 2.08 respectively; Relative to the first child of the family, the OR value of MAD disqualification for the third child was 3.67(allP<0.05). Conclusion The qualified rates of MDD and MMF are higher in most infants aged 6-23 months, but the qualified rate of MAD is lower; Low month old, parents’ occupation as farmers, mothers with low education, breastfeeding and multiple children in the family as a high-risk group for substandard complementary feeding.更多还原