Objective: To explore the main factors on caregivers' compliance behaviors in nutrition packages feeding in poor rural areas of Southern Shaanxi Province based on PRECEDE theory in terms of the predisposing factors( related knowledge and intentions of themselves), the enabling factors( social conditions and skills of behavior fulfillment) and the reinforcing factors( attitude of the important people around and rewards for persistent behavior).
Methods: The target villages were selected using multistages random sampling method( county-township-village) in the poor counties of Southern Shaanxi Province. Then we investigated all of the main caregivers whose family have an infant aged 6-12 months in these sampling villages. A follow-up investigation was conducted 6 months after the nutrition packages were given. A structured questionnaire was applied to collect data, which including the information about the nutrition packages feeding behavior of the caregivers and the related factors to their behaviors based on the PRECEDE theory, and the social demographic information of infants and their caregivers. Information about the questionnaire by the face-to-face interview at their home was collected. At the same time, we counted empty nutrition packages by the method of onsite enumeration, and checked with the questionnaire to obtain the information of caregivers' feeding behavior. Single factor analysis and multivariate Logistic regression analysis was used to analyze the factors associated with caregivers 'compliance to feed their infants nutrition packages.
Results: A total of 910 samples were interviewed, and the rate of caregivers' compliance to feed their infants nutrition packages was 64. 0%. The willing of caregivers to feed their infants nutrition packages( OR = 1. 582, 95% CI1. 117-2. 242) was a favorable predisposing factor to promote caregivers feed their infants nutrition packages. The preference of infants to nutrition packages( OR = 5. 116, 95% CI4. 064-6. 441), villages' encouragement( OR = 1. 527, 95% CI 1. 094-2. 132) as well as infants' changes in health status( OR = 1. 615, 95% CI 1. 231-2. 118) were positive reinforcing factors of feeding nutrition packages compliance of caregivers.
Conclusion: The compliance of caregivers feed nutrition packages to their infants is low. The reinforcing factors are the key factors that affected the feeding behavior of caregivers' nutrition packages.
Keywords: PRECEDE theory; compliance behavior; infant caregivers; nutrition package feeding.