Objective To investigate the status and influencing factors of pressuring feeding style among caregivers in remote rural areas of Sichuan province. Methods Multistage sampling was conducted to select infants of 6-11 months old who had received complementary food and their caregivers in remote rural areas of Sichuan province.A questionnaire was used to collect sociodemographic characteristics of infants and their caregivers,pressuring feeding behaviors,feeding environment,and caregivers' negative emotions.Quantile regression was employed to analyze the factors influencing pressuring feeding among caregivers of infants. Results A total of 1358 pairs of infants and their caregivers were included,with the pressuring feeding behavior score of 11 (8,14).Parity was the protective factor for caregivers' pressuring feeding (β25=-1.17,P<0.001;β50=-1.40,P=0.002;β75=-2.18,P<0.001).Whether infants played with toys while eating (β25=1.00,P<0.001;β50=1.20,P=0.003;β75=1.42,P<0.001) and whether infants watched TV/mobile phones (β25=0.50,P=0.048;β50=1.07,P=0.004) were the risk factors.At the 75th percentile,caregivers' negative emotions were the risk factor for pressuring feeding (β75=0.94,P=0.015).Caregivers' education background (β25=0.83,P=0.034;β50=0.87,P=0.021) and family income (β75=1.09,P=0.012) were also significantly associated with pressuring feeding scores at different quartile points. Conclusion Pressuring feeding behaviors of caregivers in remote rural areas of Sichuan province need to be improved.Based on the characteristics of infants and their families,guidance should be carried out to improve the feeding environment and the mental health of caregivers,thereby promoting reasonable feeding behaviors among caregivers of infants in rural areas.
目的 了解四川省偏远农村地区看护人压力性喂养现状,探寻压力性喂养的影响因素。方法 采用多阶段抽样,选取四川省偏远农村地区6~11月龄已添加辅食的婴儿及其看护人作为研究对象。采用问卷调查法收集婴儿及其看护人社会人口学特征、压力性喂养水平、喂养环境以及看护人的负性情绪。运用分位数回归分析婴儿看护人压力性喂养的影响因素。结果 共纳入1358对婴儿及其看护人,看护人压力性喂养行为得分为11(8,14)分。婴儿胎次是看护人压力性喂养的保护因素(β25=-1.17,P<0.001;β50=-1.40,P=0.002;β75=-2.18,P<0.001),进食时是否玩玩具(β25=1.00,P<0.001;β50=1.20,P=0.003;β75=1.42,P<0.001)、是否看电视/手机(β25=0.50,P=0.048;β50=1.07,P=0.004)则是危险因素。在75分位数,看护人抑郁是压力性喂养的危险因素(β75=0.94,P=0.015)。看护人教育程度(β25=0.83,P=0.034;β50=0.87,P=0.021)、家庭收入(β75=1.09,P=0.012)与压力性喂养得分在不同分位数点也有显著关联。结论 四川省偏远农村地区看护人压力性喂养方式有待改善。应基于婴儿及其家庭特征,开展针对改善喂养环境以及看护人心理健康状态相关的喂养行为指导,以促进农村地区婴儿看护人的科学喂养行为。.
Keywords: caregiver; feeding style; infants; pressuring feeding; quantile regression.