Health Communication Patterns and Adherence to a Micronutrient Home Fortification Program in Rural China

Examine the association between ethnic health communication patterns and adherence to a micronutrient home fortification program in rural China among 3 distinct ethnic groups. Cross-sectional survey conducted in rural western China. Enrolled 283 villages across 6 national poverty counties in rural w...

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Bibliographic Details
Published in:Journal of nutrition education and behavior 2022-01, Vol.54 (1), p.36-45
Main Authors: Ye, Ruixue, Wu, Yuju, Sun, Chang, Wang, Qingzhi, Mao, Yuping, Raat, Hein, Rozelle, Scott, Johnstone, Hannah, Zhou, Huan
Format: Article
Language:English
Subjects:
adherence behavior
China
Cross-Sectional Studies
ethnic differences
Health Communication
home fortification program
Humans
Micronutrients
Rural Population
western China
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Summary:Examine the association between ethnic health communication patterns and adherence to a micronutrient home fortification program in rural China among 3 distinct ethnic groups. Cross-sectional survey conducted in rural western China. Enrolled 283 villages across 6 national poverty counties in rural western China. A total of 1,358 caregiver–children pairs with Han, Tibetan, or Yi ethnic backgrounds. A structured questionnaire was used to collect information on caregiver demographics, program adherence, and health communication about the program. Logistic regression model was used to examine the associations between health communication patterns and adherence to the program. Adherence rates across all ethnic groups were low, 55.5% (229/413) of Han, 55.0% (186/338) of Tibetan, and 47.2% (178/377) of Yi caregivers adhered to the program. Increased adherence was correlated with how each ethnic group received health information. Han caregivers were most influenced by mass media (odds ratio [OR], 1.87; 95% confidence interval [CI], 1.05–3.31), Tibetan caregivers by family (OR, 4.86; 95% CI, 1.45–16.29), and Yi caregivers by village doctors (OR, 6.63; 95% CI, 3.46–12.73). Implementing culturally sensitive health communication strategies will likely improve adherence to home fortification programs among caregivers with distinct ethnic backgrounds.
ISSN:1499-4046
1878-2620
DOI:10.1016/j.jneb.2021.07.014