[Knowledge, attitude, practice and related determinants on nutrition among caregivers of rural stranded children under 7-year-olds in China].

OBJECTIVE: To explore knowledge, attitude, practice (KAP) and related determinants on nutrition among caregivers of those rural stranded children under 7 years of age in China and to provide evidence for setting up relevant health education program. METHODS: 1691 caregivers of the stranded children randomly selected were surveyed by a standard questionnaire. Logistic regression models were used to screen the determinants on KAP regarding nutrition. RESULTS: Rates on awareness, positive attitude and approprite behavior were lower in caregivers of children whose parents both left (47.8%, 55.4%, 41.8%, respectively) the countryside, when compared with those only one parent was away from home (59.9%, 59.5%, 38.0%, respectively). Data from multivariable logistic regression models showed that caregivers' KAP on nutrition was related to age, educational background, average family income, and willingness on the job as well as the age of the child. CONCLUSION: Improving caregivers' KAP on nutrition and setting up appropriate health education program were in urgent need.

[Investigation on dietary nutrients among rural stranded children of 2-7 year olds in china].

OBJECTIVE: To understand the dietary nutrients among rural stranded children. METHODS: 2551 children aged 2 to 7, including 1278 stranded children in the rural areas and another 127 children served as controls were selected, using multistage stratified cluster random sampling. Dietary survey was performed with three-day weighing dietary method and questionnaire on food intake. Data on diet were analyzed and evaluated by the Dietary Reference Intakes (DRIs) recommend by Chinese Nutrition Society, to evaluate the levels on energy and nutrient intake among stranded children in the rural areas. RESULTS: The dietary pattern among rural stranded children mainly consisted of grains and vegetables, but the intakes of animal products, fruits, and snacks were significantly less than in the control group. The intakes of three major energy-producing nutrients were below the recommend nutrient intake. Minerals as calcium, zinc, selenium, kalium and vitamins as vitamin A, B1, B2 were insufficient. Most of the rural stranded children took nutrients insufficiently, with 50% lack of adequate energy and 80% of protein, 90% of minerals (calcium, zinc etc.) and vitamins (vitamin BI and vitamin B2 etc.). Sources from high quality protein was insufficient, only consisting 35% of the total protein, but overabundant (over 64%) from the plants. The intake of plant-sources iron was overabundant, accounted for 87%. CONCLUSION: The dietary pattern was unsatisfactory with insufficient intake of energy-sources proteins and some nutrients. The sources of energy, protein, and iron were mostly obtained from underbalanced foods. It is necessary to improve the dietary nutrients status among rural stranded children aged 2-7 years.