Abstract: Objective To explore effective Methods of resolving infant feeding problems by learning infant and young child feeding and feeding difficult situation in poor areas of Gansu province. Method Cluster sampling method was used to obtain 6 to 36-month-old infant feeding patterns,feeding behavior and feeding difficulties through a questionnaire. Results 1) Prominent problems of feeding patterns and behaviors were:50.6% chose pure milk or goat milk as a substitute for breast milk;56.5% weaned when child was 6~12 months;51.2% and 15.8% began complementary feeding at 7~8 months and > 9 months,respectively;72.9% added new foods attempts <5 times.2)The factors significantly associated with feeding difficulties (P<0.05) were weaning time <6 months,giving children not fresh food and correcting kids bad eating habits. Conclusions Infant feeding problems in poor western regions have emerged in the early time.Thus,scientific concepts and Methods must be introduced to dependents from early infancy.

Key words: infants, feeding difficulties, poverty stricken area

摘要： 目的 通过了解甘肃省贫困地区婴幼儿喂养与喂养困难的状况,探索解决贫困地区婴幼儿喂养问题的有效途径。方法 采取整群抽样的方法,通过问卷,调查 6~36个月龄婴幼儿的喂养方式、喂养行为及喂养困难。结果 1)喂养人喂养方式与喂养行为方面突出的问题是:50.6%将纯牛奶或纯羊奶作为母乳的替代物;56.5%在 6~12月完全断母乳;51.2%和15.8% 分别到7~8月和>9月开始添加辅食;72.9%对新添加的食物让婴儿尝试的次数<5次。2)不合理喂养与喂养困难间差异有统计学意义(P<0.05)的因素有:完全断母乳时间<6月;给婴儿吃剩饭;对不好的饮食习惯不矫正。结论 西部贫困地区婴幼儿喂养的问题在起步阶段就出现一些不正确的喂养观念与行为,因此,通过健康教育及早的向抚养人宣传科学喂养的理念及方法是丞待解决的问题。

关键词: 婴幼儿, 喂养困难, 贫困地区