Psychosocial Care and Nutritional Status of Children Aged 6-36 Months among Patrilineal (Karo) and Matrilineal (Minangkabau) Households in Jakarta

雅加達父系（Karo）及母系（Minangkabau）家庭中6－36個月兒童之心理社會照護與營養狀況

Judhiastuty Februhartanty ； Avita A Usfar ； Ermita Dianawati ； Duma O Fransisca ； Airin Roshita ； Umi Fahmida

《Asia Pacific Journal of Clinical Nutrition》 16卷2期 (2007/06) Pp. 293-300

https://doi.org/10.6133/apjcn.2007.16.2.14

摘要

研究印尼雅加達Karo（父系親系）及Minangkabau（母系親系）家庭的心理社會照護，目的為探討母親的心理社會照護行為及心理社會照護與6－36個月的兒童營養狀況之相關，以年齡別體重（WFA）、身高別體重（WFH）及年齡別身高（HFA）之Z分數作為指標。本研究是一個橫斷性研究。心理社會照護採用嬰幼兒家庭環境評估量表（HOME）為評估工具。52名Karo及87名Minangkabau受試者受試者其心理社會照護普遍良好。在HOME量表中共有45題及6個次量表，次量表I的1題（情感及言語應答）、次量表II的4題（小孩行為舉止的接受度）、次量表IV的1題（遊戲材料的提供）、次量表V的1題（父母親參與小孩）及次量表VI的3題（日常刺激變化的機會）在兩個氏族有統計上的差異。Minangkabau兒童比起Karo的兒童有較多體重過輕及耗損之現象。在Karo組中，以WFA及WHA而言，良好營養狀況的兒童比起體重過輕及耗損傾向的兒童有較高的總HOME分數。在Minangkabau組，以WFA、WHA 及HFA而言，良好營養狀況的兒童比起體重過輕、耗損及有發育遲緩傾向的兒童有較高的總HOME分數。以WFA、WFH及HFA而言，Karo營養狀況良好的兒童，其總HOME分數較營養狀況良好的Minangkabau兒童高。

關鍵字

印尼 ； Karo ； Minangkabau ； 營養狀況 ； 心理社會照護

並列摘要

A study on psychosocial care among Karo (patrilineal kinship) and Minangkabau (matrilineal kinship) households who lived in Jakarta, Indonesia was aimed at investigating psychosocial care practices of mothers and the relation of psychosocial care to the nutritional status of children aged 6-36 months as indicated by Weight-for- Age (WFA), Weight-for-Height (WFH), and Height-for-Age (HFA) Z-scores. The study was a cross sectional study. The tool used to assess the psychosocial care was the Home Observation for Measurement of the Environment (HOME) inventory scale for infants and toddlers. Psychosocial care of 52 respondents from Karo and 87 from Minangkabau were generally good. Out of the total 45 items of the six sub-scales HOME inventory, 1 item in sub-scale I (Emotional and verbal responsiveness), 4 items in sub-scale II (Acceptance of child's behavior), 1 item in sub-scale IV (Provision of play materials), 1 item in sub-scale V (Parental involvement with child), and 3 items in sub-scale VI (Opportunities for variety in daily stimulation) were statistically different between the two ethnic groups. More Minangkabau children were underweight and wasting compared to Karo children. Within the Karo group, well-nourished children in terms of WFA and WHA tended to have greater total HOME scores than their underweight and wasting counterparts. Among Minangkabau group, well-nourished children in terms of WFA, WHA, and HFA tended to have greater total HOME scores than their underweight, wasting, and stunting counterparts. The total HOME score of well-nourished Karo children in terms of WFA, WFH and HFA were greater than that of well-nourished Minangkabau children.

並列關鍵字

Indonesia ； Karo ； Minangkabau ； nutritional status ； psychosocial care