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【目的】了解重庆市南岸区婴儿母乳喂养及辅食添加现状,并探索其影响因素,为加强科学喂养提供依据。【方法】通过整群随机抽样方式抽取两社区卫生服务中心,对来两中心进行儿童保健的0～12月婴儿母亲或看护人进行婴儿喂养及其影响因素调查。采用非条件Logistic回归分别分析母乳喂养和辅食添加影响因素。【结果】<4月婴儿母乳喂养率为76.56%,纯母乳喂养率占45.63%。4～6月婴儿喂养方式以部分母乳喂养和人工喂养为主,分别为52.8%、42.23%;7月～和10～12月,婴儿喂养方式以人工喂养为主,分别占69.66%、87.00%。辅食添加基本从4月龄开始,米粉/米糕和菜泥/果泥添加率分别在5、6月龄达到最高,分别为84%、84.5%;到7月以后粥/面条、碎菜/水果、蛋类和肉类添加率逐渐增加,到12月时基本能达到90%左右。辅食添加顺序大致为米粉/米糕、菜泥/果泥、碎菜/水果、蛋黄、粥/面条、蛋羹、肉类。【结论】该区婴儿母乳喂养情况有待改善,辅食添加情况可观。妇幼保健等相关部门应做好普及科学喂养知识的宣传工作,提高人群母乳喂养意识,从而改善婴儿母乳喂养情况和辅食添加行为。
【Objective】 To understand the status of infant breastfeeding and complementary food supplement in Nanan District of Chongqing and explore its influencing factors to provide basis for strengthening scientific feeding. 【Method】 Two groups of community health service centers were drawn by cluster random sampling. Infant feeding and its influencing factors were investigated for 0 ~ 12 months old mothers or caregivers who came to the two centers for child health care. Non-conditional Logistic regression was used to analyze the influencing factors of breastfeeding and complementary feeding respectively. 【Results】 The rate of breastfeeding in April was 76.56% and the rate of exclusive breastfeeding was 45.63%. From April to June, infant feeding patterns were mainly breastfeeding and artificial feeding respectively, accounting for 52.8% and 42.23% respectively. In July and October-December, the pattern of infant feeding was mainly artificial feeding, accounting for 69.66% and 87.00% . Supplementary food supplement basically from the age of 4 months, rice noodles / rice crackers and puree / mud addition rates reached the highest at 5,6 months, respectively, 84%, 84.5%; to July after porridge / noodles, broken vegetables / Fruit, eggs and meat add rate gradually increased to about 90% by December basically. The order of complementary feeding is roughly rice flour / rice cake, puree / puree, minced vegetables / fruit, egg yolk, porridge / noodles, custard, meat. 【Conclusion】 The situation of infant breastfeeding in this area needs to be improved, and the supplementary food supplement is considerable. Maternal and child health and other relevant departments should do a good job disseminating scientific knowledge of the publicity work to raise awareness of breastfeeding, thereby improving the situation of infant breastfeeding and complementary feeding behavior.