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Feeding styles of caregivers of children 6-23 months of age in Derashe special district, Southern Ethiopia

Mekitie Wondafrash Kibebew UGent, Tseganeh Amsalu and Mirkuzie Woldie (2012) BMC PUBLIC HEALTH. 12.
abstract
Background: Apart from basic determinants, appropriate child care practices are important in prevention of growth faltering and undernutrition. Providing safe and appropriate quality complementary foods is crucial to child growth and development. However, some children in low-income communities grow normally mainly due to proper caregiver feeding behaviors. Hence, the objective of this study was to determine caregivers' feeding styles as well as to indentify predictors in Derashe special district, Southern Ethiopia. Methods: A community based cross-sectional study design was employed in the seven randomly selected Kebeles (smallest administrative unit) of Derashe special district. A total of 826 caregivers provided data pertaining to socio-demographic variables. However, 764 caregivers had complete data for the outcome variable (caregiver feeding style). A multistage stratified sampling technique was used to identify study subjects. An adapted Caregiver's Feeding Styles Questionnaire (CFSQ) was used to gather information about caregivers' feeding styles. Multivariate multinomial logistic regression was employed to identify predictors of caregivers' feeding style. Results: The majority (80.6%) of caregivers were biological mothers. Nearly seventy-six percent of the caregivers practiced a responsive feeding style. Caregivers other than the biological mother favoured a laissez-faire feeding style, while caregivers residing in rural Kebeles were more responsive. Caregivers with a breastfeeding frequency of more than eight times predicted both laissez-faire (RRR = 1.88; 95% CI = 1.03-3.41) and controlling (RRR = 1.7; 95% CI = 1.02-2.85) feeding styles as compared to responsive feeding. Conclusion: Responsive feeding was the commonest style practiced by the caregivers. Many of the caregivers who were rural residents and birth parents have been responsive in child feeding. The instruments needed to be validated in the Ethiopian context and an additional prospective study based on direct observation of caregiver-child interactions is recommended.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
RURAL BANGLADESH, DEVELOPING-COUNTRIES, FOOD-CONSUMPTION, YOUNG-CHILDREN, MOTHERS, MALNUTRITION, GROWTH, INTERVENTIONS, OVERWEIGHT, CHILDHOOD
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
12
article number
235
pages
8 pages
Web of Science type
Article
Web of Science id
000302858400001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.076 (2012)
JCR rank
55/157 (2012)
JCR quartile
2 (2012)
ISSN
1471-2458
DOI
10.1186/1471-2458-12-235
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
5753787
handle
http://hdl.handle.net/1854/LU-5753787
date created
2014-11-12 19:41:44
date last changed
2016-12-21 15:41:34
@article{5753787,
  abstract     = {Background: Apart from basic determinants, appropriate child care practices are important in prevention of growth faltering and undernutrition. Providing safe and appropriate quality complementary foods is crucial to child growth and development. However, some children in low-income communities grow normally mainly due to proper caregiver feeding behaviors. Hence, the objective of this study was to determine caregivers' feeding styles as well as to indentify predictors in Derashe special district, Southern Ethiopia. 
Methods: A community based cross-sectional study design was employed in the seven randomly selected Kebeles (smallest administrative unit) of Derashe special district. A total of 826 caregivers provided data pertaining to socio-demographic variables. However, 764 caregivers had complete data for the outcome variable (caregiver feeding style). A multistage stratified sampling technique was used to identify study subjects. An adapted Caregiver's Feeding Styles Questionnaire (CFSQ) was used to gather information about caregivers' feeding styles. Multivariate multinomial logistic regression was employed to identify predictors of caregivers' feeding style. 
Results: The majority (80.6\%) of caregivers were biological mothers. Nearly seventy-six percent of the caregivers practiced a responsive feeding style. Caregivers other than the biological mother favoured a laissez-faire feeding style, while caregivers residing in rural Kebeles were more responsive. Caregivers with a breastfeeding frequency of more than eight times predicted both laissez-faire (RRR = 1.88; 95\% CI = 1.03-3.41) and controlling (RRR = 1.7; 95\% CI = 1.02-2.85) feeding styles as compared to responsive feeding. 
Conclusion: Responsive feeding was the commonest style practiced by the caregivers. Many of the caregivers who were rural residents and birth parents have been responsive in child feeding. The instruments needed to be validated in the Ethiopian context and an additional prospective study based on direct observation of caregiver-child interactions is recommended.},
  articleno    = {235},
  author       = {Wondafrash Kibebew, Mekitie and Amsalu, Tseganeh and Woldie, Mirkuzie},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {RURAL BANGLADESH,DEVELOPING-COUNTRIES,FOOD-CONSUMPTION,YOUNG-CHILDREN,MOTHERS,MALNUTRITION,GROWTH,INTERVENTIONS,OVERWEIGHT,CHILDHOOD},
  language     = {eng},
  pages        = {8},
  title        = {Feeding styles of caregivers of children 6-23 months of age in Derashe special district, Southern Ethiopia},
  url          = {http://dx.doi.org/10.1186/1471-2458-12-235},
  volume       = {12},
  year         = {2012},
}

Chicago
Wondafrash Kibebew, Mekitie, Tseganeh Amsalu, and Mirkuzie Woldie. 2012. “Feeding Styles of Caregivers of Children 6-23 Months of Age in Derashe Special District, Southern Ethiopia.” Bmc Public Health 12.
APA
Wondafrash Kibebew, M., Amsalu, T., & Woldie, M. (2012). Feeding styles of caregivers of children 6-23 months of age in Derashe special district, Southern Ethiopia. BMC PUBLIC HEALTH, 12.
Vancouver
1.
Wondafrash Kibebew M, Amsalu T, Woldie M. Feeding styles of caregivers of children 6-23 months of age in Derashe special district, Southern Ethiopia. BMC PUBLIC HEALTH. 2012;12.
MLA
Wondafrash Kibebew, Mekitie, Tseganeh Amsalu, and Mirkuzie Woldie. “Feeding Styles of Caregivers of Children 6-23 Months of Age in Derashe Special District, Southern Ethiopia.” BMC PUBLIC HEALTH 12 (2012): n. pag. Print.