摘要
目的 探究四川省偏远农村婴幼儿看护人的营养包喂服行为的现况及其影响因素。方法 于2019年采用多阶段整群随机抽样方法选取四川省5市/州6个县的6~24月龄婴幼儿的看护人作为调查对象,通过结构式访谈问卷收集看护人的营养包喂服的态度和主观规范、意向,以及喂服行为等信息。基于理性行为理论构建结构方程模型对营养包喂服行为的影响因素进行探索。结果 研究共纳入1 002个有效样本。婴幼儿看护人营养包有效喂服率为55.49%。模型结果显示:行为态度(β直=0.212,95%CI:0.105~0.327)、主观规范(β直=0.123,95%CI:0.016~0.228)和行为意向(β直=0.162,95%CI:0.093~0.224)可对营养包喂服行为产生显著的直接影响;行为态度(β间=0.044,95%CI:0.023~0.073)和主观规范(β间=0.018,95%CI:0.001~0.040)还能以行为意向为中介对喂服行为产生显著的间接影响;三个理论要素中,行为态度对喂服行为的总效应(β总=0.256,95%CI:0.148~0.366)最大。结论 四川省偏远农村婴幼儿看护人营养包有效喂服率较低。看护人的行为态度和主观规范均可对其营养包喂服行为产生直接影响,且二者均能以行为意向中介对喂服行为产生间接影响。在未来促进营养包有效喂服干预计划中,可通过对婴幼儿看护人及其重要社会关系人物开展健康教育,强化婴幼儿看护人喂服营养包的态度和意愿,从而提高营养包有效喂服率。
Objective To explore the status quo and influencing factors of feeding behaviors of micronutrient powders(MNP), or yingyangbao in Pinyin, the Chinese Romanization system, of baby caregivers in remote rural areas of Sichuan Province. Methods In 2019, caregivers of babies aged 6 to 24 months from 6 counties of Sichuan Province were selected as the respondents of the survey through a multistage cluster random sampling method. Data concerning the baby caregivers’ attitude of behavior, subjective norms, behavioral intention, and feeding behaviors about MNP feeding were collected with a questionnaire through a structured interview. Based on the theory of reasoned action, a structural equation model was constructed to explore the influencing factors of feeding behaviors. Results A total of 1 002 valid samples were included in the study. The effective feeding rate of MNP among the baby caregivers was 55.49%. The results of model analysis suggested that attitude of behavior(βdirect=0.212, 95% CI: 0.105-0.327), subjective norm(βdirect=0.123, 95%CI: 0.016-0.228), and behavioral intention(βdirect=0.162, 95% CI: 0.093-0.224) could have a significant direct impact on MNP feeding behaviors. Behavior attitude(βindirect=0.044, 95% CI: 0.023-0.073) and subjective norms(βindirect=0.018, 95% CI:0.001-0.040) could have a significant indirect impact on MNP feeding behaviors through the intermediary of behavioral intention. Among the three theoretical elements, attitude of behavior had the largest total effect on the feeding behavior(βtotal=0.256, 95% CI: 0.148-0.366). Conclusion The effective feeding rate of MNP among baby caregivers in remote rural areas of Sichuan Province is low. The attitude of behavior and subjective norms of caregivers may have a direct impact on their feeding behavior, and both attitude of behavior and subjective norms can have an indirect impact on the feeding behavior through the intermediary of behavioral intention. The influence of attitude of behavior attitude on feeding behavior is greater than that of subjective norms. Future intervention plans for promoting effective MNP feeding should incorporate health education for baby caregivers and their important social relations. Thus, baby caregivers’ attitude and willingness for MNP feeding will be strengthened and the effective feeding rate of MNP will be improved accordingly.
作者
咸显南
王庆志
蔡正杰
杜叶繁
姚秀春
孙畅
叶睿雪
周欢
XIAN Xian-nan;WANG Qing-zhi;CAI Zheng-jie;DU Ye-fan;YAO Xiuchun;SUN Chang;YE Rui-xue;ZHOU Huan(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China)
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2023年第2期380-385,共6页
Journal of Sichuan University(Medical Sciences)
基金
国家自然科学基金(No.71874114)
四川省卫生健康委员会卫生健康科研课题(No.19PJ072)
四川省科技厅科普培训项目(No.2021JDKP0042)资助。
关键词
喂服行为
营养包
理性行为理论
Feeding behavior
Micronutrient powders
Theory of reasoned action
