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Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China
Hipgrave, D. B.1,2; Fu, X.2; Zhou, H.3; Jin, Y.2; Wang, X.3; Chang, S.2; Scherpbier, R. W.2; Wang, Y.3; Guo, S.2
刊名EUROPEAN JOURNAL OF CLINICAL NUTRITION
2014-08-01
DOI10.1038/ejcn.2014.98
68期:8页:916-924
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Nutrition & Dietetics
研究领域[WOS]Nutrition & Dietetics
关键词[WOS]MIDDLE-INCOME COUNTRIES ; IRON-DEFICIENCY ANEMIA ; NUTRITIONAL-STATUS ; EARLY-CHILDHOOD ; INTERVENTIONS ; HEALTH ; GROWTH ; DETERMINANTS ; INDIA ; UNDERNUTRITION
英文摘要

BACKGROUND/OBJECTIVES: Infant and young child feeding (IYCF) has not been documented in central and western China, where anaemia is prevalent. To support policy advocacy, we assessed IYCF and anaemia there using standardized methods.

SUBJECTS/METHODS: A community-based, cross-sectional survey of 2244 children aged 6-23 months in 26 counties of 12 provinces. Analysis of associations between haemoglobin concentration (HC), IYCF indicators and other variables using crude and multivariate techniques.

RESULTS: Only 41.6% of those surveyed consumed a minimum acceptable diet. Fewer still-breastfeeding than non-breastfeeding children consumed the recommended minimum dietary diversity (51.7 versus 71.9%; P < 0.001), meal frequency (57.7% v. 81.5%; P < 0.001) or iron-rich food (63.3% v. 78.9%; P < 0.001). Anaemia (51.3% overall) fell with age but was significantly associated with male sex, extreme poverty, minority ethnicity, breastfeeding and higher altitude. Dietary diversity, iron intake, growth monitoring and being left behind by out-migrating parents were protective against anaemia. A structural equation model demonstrated associations between IYCF, HC and other variables. Meal frequency, iron intake and altitude were directly and positively associated with HC; dietary diversity was indirectly associated. Health service uptake was not associated. Continued breastfeeding was directly associated with poor IYCF and indirectly with reduced HC, as were having a sibling and poor maternal education.

CONCLUSION: Infant and young child anaemia is highly prevalent and IYCF is poor in rural central and western China. Continued breastfeeding and certain other variables indicate risk of poor IYCF and anaemia. Major policy commitment to reducing iron deficiency and improving IYCF is needed for China′s rural poor.

语种英语
WOS记录号WOS:000340308200010
资助机构UNICEF China
引用统计
被引频次:13[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51918
专题北京大学公共卫生学院
作者单位1.UNICEF, Hlth Sect, New York, NY 10017 USA
2.UNICEF Off China, Hlth Nutr & WASH Sect, Beijing, Peoples R China
3.Peking Univ, Div Maternal & Child Hlth, Sch Publ Hlth, Beijing 100083, Peoples R China
推荐引用方式
GB/T 7714
Hipgrave, D. B.,Fu, X.,Zhou, H.,et al. Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China[J]. EUROPEAN JOURNAL OF CLINICAL NUTRITION,2014,68(8):916-924.
APA Hipgrave, D. B..,Fu, X..,Zhou, H..,Jin, Y..,Wang, X..,...&Guo, S..(2014).Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China.EUROPEAN JOURNAL OF CLINICAL NUTRITION,68(8),916-924.
MLA Hipgrave, D. B.,et al."Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China".EUROPEAN JOURNAL OF CLINICAL NUTRITION 68.8(2014):916-924.
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