| ObjectiveThe aim of this thesis is to study the complementary feeding between 6 to 23 months old infants in China in 2013,and to evaluate the quality of infants complementary feeding recommended by World Health Organization including complementary feeding time,introduction of solid semi-solid or soft foods,minimum dietary diversity,minimum feeding frequency,minimum acceptable diet.Additional,to we will discuss the role of social,economical and culture on the complementary feeding.MethodsThe data is from Nutrition and Health Surveillance in Chinese Children Aged 0-5 years old(2013).The survey participants were selected using stratified cluster random sampling,which including 55 urban and rural survey sites(four types of areas:large cities,small and medium-sized cities,normal rural areas and poor rural areas).The content of survey included interview,body measurement,dietary survey,and laboratory test.The data of the research was from interview using the questionnaires,and analyzed by SAS 9.4.All the results were calculated by the post stratification weight derived from China’s sixth census in 2010.TThe data were calculated by SAS code of proc surveymeans and proc surveyfreq.Multivariate analysis was carried out by proc surveylogistic.Results1.There is 9718 infants in the survey,5019 boys and 4699 girls;4140 infants between 6 to 11 months,2906 infants between 12 to 17 months,2672 infants between 18 to 23 months;4905 infants in urban,4815 infants in rural,of which is 2123 infants from large cities,2782 infants from small and medium-sized cities,3204 infants from normal rural areas,1609 infants from poor rural areas;8242 infants in han-region,1476 infants in non-han-region;the number of infants’mother under primary level is 1094,6285 within junior high school/high school/technical secondary school,2177 up to university level,162 non-response;the incoming of families between 0 to 9999 is 3601,between 10000 to 24999 is 3314,up to 25000 is 2798,5 non-response;the number of mothers living at home is 8949,being worked outside is 645,124 non-response.2.This study was evaluated by five indicators including complementary feeding time,introduction of solid semi-solid or soft foods,minimum dietary diversity,minimum feeding frequency,minimum acceptable diet.The average rate of solid semi-solid or soft foods in China is 76.5%,the rate of the boy infant is 76.8%,the girl rate is 76.1%;the rate in urban is 90.0%,the rural is 73.0%,the rate of large cities is 90.1%,the rate of small and medium-sized cities is 89.8%,the rate of normal rural areas is 78.4%and the rate of poor rural areas is 62.3%.The average complementary feeding time between 6 to 23 months is 5.5 months,the average time of boys is 5.5 months,the average time of girls is also 5.5 months,the average in cites is 5.3 months,the average in rural is 5.7 months,the average of large cities is 5.3 months,the average of small and medium-sized cities is 5.3 months,the average of normal rural areas is 5.9 months,the average of poor rural areas is 5.3 months.3.The average rate of the minimum dietary diversity between 6 to 23 months is 46.4%,the rate of infants within breastfeeding is 27.9%,the rate of infants within non-breastfeeding is 58.4%;The average rate of the minimum feeding frequency between 6 to 23 months is 66.1%,the rate of infants within breastfeeding is 51.7%,the rate of infants within non-breastfeeding is 75.3%;The average rate of the minimum acceptable diet between 6 to 23 months is 20.5%,the rate of infants within breastfeeding is 13.9%,the rate of infants within non-breastfeeding is 24.9%.4.There is no statistically significant in the effect of gender and ethnicity on complementary feeding.There is statistically significant association between the complementary feeding and areas,education levels,families incoming,babysitting.ConclusionThe rate of introduction of solid semi-solid or soft foods,minimum dietary diversity,minimum feeding frequency,minimum acceptable diet among infants.in China was necessary to improve,especially in rural areas and poor rural areas.We should take nutritional intervention in poor rural areas,to promote health education in normal rural areas,and keep the breastfeeding as the first chair in the health education. |
