四川农村地区看护人营养包认知与喂服行为的关系:自我效能的中介作用

Association between Yingyangbao cognition and feeding behavior of caregivers in rural areas of Sichuan Province:the mediating effect of self-efficacy

目的评估四川农村地区营养包喂服现状,探讨营养包认知、自我效能和喂服行为三者之间作用机制。方法采用多阶段整群抽样方法,于2019年10月在四川省2个汉族县、2个藏族县、2个彝族县,共6个样本县的36个乡的108个村,整群纳入6~24月龄婴幼儿看护人作为研究对象,使用自行设计结构式问卷进行面对面访谈式调查。结果共纳入765名6~24月龄婴幼儿看护人。营养包有效喂服率为54.43%。看护人营养包认知、自我效能和喂服行为分值分别为3.80±1.16、7.96±1.53和0.83±0.38,两两之间呈显著正相关。自我效能在看护人营养包认知和喂服行为间起部分中介效应,中介效应在总效应中的占比为23.37%。结论营养包认知直接影响喂服行为,营养包认知通过自我效能间接影响喂服行为。

OBJECTIVE To describe the current situation of Yingyangbao feeding in rural areas of Sichuan,and to explore the mechanism among micronutrient powder cognition,self-efficacy and feeding behavior.METHODS The multi-stage cluster sampling method was adopted.In October 2019,in 2 Han counties,2 Tibetan counties,and 2 Yi counties in Sichuan Province,a total of 108 villages in 36 townships in 6 sample counties were included in the cluster.Caregivers of infants and young children aged 6-24 months were selected as the research subjects,and a face-to-face interview survey was conducted using a self-designed structured questionnaire.RESULTS A total of 765 caregivers of infants and young children aged 6-24 months were included in this study.The effective feeding rate of the Yingyangbao was 54.43%.The average scores of caregivers Yingyangbao cognition,self-efficacy and feeding behavior were 3.80±1.16,7.96±1.53 and 0.83±0.38,and there was a significant positive correlation between them.Self-efficacy played a partial mediating effect between caregivers'Yingyangbao cognition and feeding behavior,and the mediating effect accounted for 23.37%of the total effect.CONCLUSION Yingyangbao cognition directly affects feeding behavior and indirectly affects feeding behavior through self-efficacy.