Full
Outline
To analyze the trends and associated factors of complementary feeding practices (CFPs) among infants and young children (IYC) aged 6-23 months in rural areas of Liuzhou from 2017 to 2024.
Children nutrition improvement program monitoring data of 5 020 IYC in Liuzhou between 2017 and 2024 were retrospectively analyzed. The trends of CFPs were analyzed by trend χ2test, and the influencing factors of CFPs delivery by logistic regression analysis.
The prevalence of minimum dietary diversity (MDD), minimum meal frequency (MMF), minimum acceptable diet (MAD), egg and/or flesh food consumption (EFF), and zero vegetable or fruit consumption (ZVF) were 64.40%, 82.45%, 53.17%, 90.86%, and 15.14%, respectively. The prevalence of MDD and MAD decreased from 71.92% and 53.82% to 59.17% and 49.70% over the 8 year period, respectively (, 11.912, all P<0.01). The prevalence of MMF and ZVF increased from 77.20% and 9.75% in 2017 to 82.01% and 16.33% in 2024, respectively (
, 33.036, all P<0.01). Multivariate logistic regression analysis showed that children of mothers with Miao ethnic group were negatively associated with MMF (OR=1.38, 95% CI: 1.06-1.79) and MAD (OR=1.37, 95% CI: 1.11-1.68). Mothers of senior high school/technical secondary school and above education were positively associated with MDD (OR=0.72, 95% CI: 0.58-0.88), MMF (OR=0.70, 95% CI: 0.55-0.90), and MAD (OR=0.70, 95% CI: 0.57-0.87). Fathers with Miao ethnic group were negatively associated with MMF (OR=2.04, 95% CI: 1.56-2.67) , and positively associated with ZVF (OR=1.44, 95% CI: 1.16-1.80). Fathers with Dong ethnic group were negatively associated with MMF (OR=1.84, 95% CI: 1.43-2.36). Employed fathers showed a significant association with a higher prevalence of MDD (OR=0.86, 95% CI: 0.74-0.99), MAD (OR=0.78, 95% CI: 0.68-0.90) and EFF (OR=0.70, 95% CI: 0.56-0.88), and lower prevalence of ZVF (OR=0.62, 95% CI: 0.52-0.74). The score for caregiver’s knowledge of feeding and nutrition were positively associated with MDD (OR=0.94, 95% CI: 0.89-0.98), MMF (OR=0.86, 95% CI: 0.80-0.91), MAD (OR=0.86, 95% CI: 0.82-0.90), and EFF (OR=0.89, 95% CI: 0.82-0.97). Children aged 12-23 months were more likely to have MDD (OR=0.35, 95% CI: 0.30-0.41), MAD (OR=0.59, 95% CI: 0.51-0.69), and EFF (OR=0.13, 95% CI: 0.10-0.16) but less likely to have ZVF (OR=0.22, 95% CI: 0.18-0.26). Children with a birth order of being third or greater were negatively associated with MAD (OR=1.26, 95% CI: 1.06-1.50). Multiple children were positively associated with MMF (OR=0.28, 95% CI: 0.14-0.58) and MAD (OR=0.58, 95% CI: 0.41-0.83). Children with diarrhea in the last 2 weeks were positively associated with MMF (OR=0.45, 95% CI: 0.26-0.76). Taking nutrient supplements were positively associated with MDD (OR=0.82, 95% CI: 0.71-0.94), MMF (OR=0.82, 95% CI: 0.68-0.98) and EFF (OR=0.72, 95% CI: 0.58-0.90).
Improvement in CFPs among children aged 6-23 months in rural areas of Liuzhou is unsatisfactory, specifically MDD and MAD. Attention needs to be paid to ethnic minorities, mothers with low education, fathers without job, children with young age and high birth order, and strengthening caregiver’ education on IYC feeding practices, in order to improve CFPs.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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