Influence of gender and parental migration on IYCF practices in 6-23-month-old tribal children in Banswara district, India: findings from the cross-sectional PANChSHEEEL study.
Influence of gender and parental migration on IYCF practices in 6-23-month-old tribal children in Banswara district, India: findings from the cross-sectional PANChSHEEEL study.
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DOI：
10.1186/s40795-021-00491-7
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发表时间：
2022-01-27
期刊：
影响因子：
2
通讯作者：
Lakhanpaul M
中科院分区：
文献类型：
--
作者：
Modugu HR;Khanna R;Dash A;Manikam L;Parikh P;Benton L;Sharma S;Santwani N;Roy S;Chaturvedi H;Pattanaik SP;Lall MC;Vijay VK;Lakhanpaul M
“儿童营养的跨学科参与性方法：加强健康、教育、工程和环境的联系”（PANChSHEEEL）研究采用参与性方法制定了适合当地的可行解决方案，以在个人、家庭、社区和环境层面优化婴幼儿喂养做法。本文旨在评估性别的影响；迁移;健康、教育、工程和环境（HEEE）因素对IYCF实践的影响，主要结果是最低膳食多样性（MDD）、最低进餐频率（MMF）和最低可接受饮食（MAD）三种关键的补充喂养实践。在印度拉贾斯坦邦班斯瓦拉区两个街区的9个村庄，对325个有6-23个月儿童的家庭进行了横断面调查。开发了一种调查工具，翻译成当地语言，预先测试，并以对性别问题敏感的方式加以管理。数据收集过程标准化，以确保质量措施。使用卡方检验（Mantel-Haenszel法）检验主要结局与27个变量的相关性；采用后向逐步回归分析评估影响因子（性别、父母迁移）的影响。在接受调查的孩子中，男女各占一半，有一半家庭的父亲在过去一年内为寻求额外收入而移民。父母的识字率从60%到70%不等。超过一半的家庭有产奶动物。男孩对鸡蛋（4.7%比0.7%,p < 0.02）、MDD（10.5%比3.2%,p < 0.02）和MAD（9.4%比2.6%,p < 0.02）这7种食物组的消费量均高于女孩。在控制了环境因素后，男孩患重度抑郁症的可能性是4.1倍，患重度抑郁症的可能性是3.8倍。与来自流动家庭的孩子相比，来自非流动家庭的孩子患重度抑郁症和重度抑郁症的可能性要高2.0-2.1倍。然而，回归后发现这种关联没有统计学意义。家庭中是否存在产奶动物以及儿童在过去24小时内是否食用牛奶/奶制品是MDD和MAD的另外两个强有力的预测因素，尽管在家中食用动物奶并不意味着儿童对牛奶/奶制品的消费量增加。饮食多样性和补充喂养做法方面的性别歧视从童年早期就开始了，男孩比女孩具有明显的优势。在亲代迁徙的情况下，需要进一步研究以确定它是否对喂养方式产生不利影响。在制定优化补充喂养做法的战略时，需要强调性别问题和其他背景因素。英国的UCL伦理[伦理学ID 4032/002]和印度的Sigma IRB [10025 /IRB/D/ 17-18]。在线版本包含补充材料，可在10.1186/s40795-021-00491-7获得。
The interdisciplinary Participatory Approach for Nutrition in Children: Strengthening Health, Education, Engineering and Environment Linkages (PANChSHEEEL) study used a participatory approach to develop locally-feasible and tailored solutions to optimise Infant and Young Child Feeding (IYCF) practices at an individual, household, community, and environmental level. This paper aims to evaluate the influence of gender; migration; and Health, Education, Engineering and Environmental (HEEE) factors on IYCF practices, with the primary outcomes being three key complementary-feeding practices of Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF) and Minimum Acceptable Diet (MAD). A cross-sectional survey of 325 households with children aged 6–23 months was conducted in nine purposively selected villages in two blocks of Banswara district, Rajasthan, India. A survey tool was developed, translated into the local language, pre-tested, and administered in a gender-sensitive manner. Data-collection processes were standardized to ensure quality measures. Association of the primary outcome with 27 variables was tested using a Chi-square test (Mantel-Haenszel method); backward stepwise regression analysis was conducted to assess the impact of effect modifiers (gender, parental migration). Half of the surveyed children were of each gender, and fathers from half of the households were found to have migrated within the previous year to search for additional income. Parental literacy ranged from 60 to 70%. More than half of the households had access to milk-producing animals. Consumption of each of the seven food groups, eggs (4.7% vs 0.7%; p < 0.02), MDD (10.5% vs 3.2%; p < 0.02) and MAD (9.4% vs 2.6%; p < 0.02) were higher for boys than for girls. After controlling for contextual factors, a male child was 4.1 times more likely to get a diet with MDD and 3.8 times more likely to get a diet with MAD. A child from a non-migrant household was 2.0–2.1 times more likely to get a diet with MDD and MAD as compared to a child from a migrant household. However, this association was not found to be statistically significant after regression. Presence of milk-producing animals in households and consumption of milk/milk products by children in the previous 24 h were the other two strong predictors of MDD and MAD, although access to animal milk in the house did not translate to an increase in consumption of milk/milk products by a child. Gender discrimination in diet diversity and complementary-feeding practices starts early in childhood with boys having a distinct advantage over girls. In the case of parental migration, further research is required to establish if it has an adverse impact on feeding practices. Emphasis needs to be given to gender issues and other contextual factors when developing strategies to optimise complementary feeding practices. With UCL ethics [Ethics ID 4032/002] in United Kingdom and with Sigma IRB [10,025/IRB/D/17–18] in India. The online version contains supplementary material available at 10.1186/s40795-021-00491-7.
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DOI：
10.14324/111.444/ucloe.000014
发表时间：
2021
期刊：
UCL open. Environment
影响因子：
--
作者：
Lee, Charlotte;Lakhanpaul, Monica;Stern, Bernardo Maza;Sarkar, Kaushik;Parikh, Priti
通讯作者：
Parikh, Priti
影响因子：
4.5
作者：
Chaturvedi S;Ramji S;Arora NK;Rewal S;Dasgupta R;Deshmukh V;for INCLEN Study Group
通讯作者：
for INCLEN Study Group
影响因子：
2.3
作者：
Dasgupta, Rajib;Chaand, Ipsha;Barla, Kirti Rakshit
通讯作者：
Barla, Kirti Rakshit
影响因子：
3.7
作者：
Fledderjohann J;Agrawal S;Vellakkal S;Basu S;Campbell O;Doyle P;Ebrahim S;Stuckler D
通讯作者：
Stuckler D
影响因子：
4.3
作者：
Mitra, Mitashree;Kumar, P. V.;Bharati, P.
通讯作者：
Bharati, P.