Obstetrical care is associated with child's dietary diversity in Indonesia: analysis from Demographic and Health Survey 2017.
Obstetrical care is associated with child's dietary diversity in Indonesia: analysis from Demographic and Health Survey 2017.
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印度尼西亚的产科护理与儿童饮食多样性有关：2017 年人口与健康调查分析。
DOI：
10.1017/s1368980020002396
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发表时间：
2021
影响因子：
3.2
通讯作者：
Kang,Yunhee
中科院分区：
文献类型：
--
作者：
Young,AnnaMariePacheco;Kang,Yunhee
目的探讨产科护理因素对印尼饮食多样性和个体食物消费的影响。设计横断面研究，评估孕期护理因素与饮食多样性得分、最小膳食多样性(MDD)和7类食物消费之间的关系。数据来自印度尼西亚2017年人口与健康调查。参与者共有5113名6-23个月的儿童。结果母亲接受过4次或更多产前护理、在医疗机构分娩、拥有受过专业培训的助产士和剖腹产的儿童饮食多样性得分显著较高。在卫生机构出生和由卫生专业人员接生的儿童符合MDD的几率更高(调整后的OR(AOR)1·45，95%CI 1·18，1·79和OR 2·10，95%CI 1·54，2·87)。产前检查4次或以上、在卫生机构分娩和有专业接生员与小扁豆的消费几率相关(AOR 1.66，95%CI 1.23，2.25，AOR 1.30，95%CI 1.02，1.65和AOR 1.79，95%CI 1.19，2.69)。产前检查4次或以上、在保健机构分娩、有专业接生员接生的孕妇食用其他水果和蔬菜的几率较高(OR 1.70，95%CI 1·23，2·35，OR 1·23，95%CI 1·03，1·61和OR 1·90，95%CI 1·29，2·79)。结论应鼓励孕妇在产前护理和分娩期间提供营养教育，尤其是在保健机构外寻求护理的母亲。
ObjectiveTo explore the influence of obstetrical care factors on dietary diversity and individual food group consumption in Indonesia.DesignCross-sectional study to assess the association between pregnancy care factors and dietary diversity score, minimum dietary diversity (MDD) and consumption of seven food groups.SettingData from the Indonesia Demographic and Health Survey 2017.ParticipantsA total of 5113 children aged 6–23 months.ResultsDietary diversity score was significantly higher for children whose mothers received four or more prenatal care visits, were delivered at a health facility, had a professionally trained delivery assistant and were delivered by C-section. Children born at a health facility and delivered by a health professional had higher odds of meeting MDD (adjusted OR (AOR) 1·45, 95 % CI 1·18, 1·79 and OR 2·10, 95 % CI 1·54, 2·87, respectively). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant were associated with higher odds of consumption of lentils (AOR 1·66, 95 % CI 1·23, 2·25, AOR 1·30, 95 % CI 1·02, 1·65 and AOR 1·79, 95 % CI 1·19, 2·69). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant had higher odds of consumption of other fruits and vegetables (AOR 1·70, 95 % CI 1·23, 2·35, OR 1·23, 95 % CI 1·03, 1·61 and OR 1·90, 95 % CI 1·29, 2·79).ConclusionsEfforts focusing on providing nutritional education during antenatal care and delivery should be encouraged, especially for mothers seeking care outside of a health facility.