Bekele A, Berhane Y
Department of Community Health, Faculty of Medicine, Addis Ababa University, Ethiopia.
East Afr Med J. 1999 Sep;76(9):516-9.
Though bottle feeding is known to be hazardous either due to over-dilution of the supplement or faulty hygienic techniques during its preparation, especially in areas where general sanitation is poor, very little attention has been paid to it in developing countries.
To determine the extent of bottle use in child feeding and the factors associated with its use in rural communities.
Community based cross-sectional study.
One thousand five hundred and thirty six children, aged 0-23 months and their mothers were included in the study.
The overall prevalence of bottle feeding was 11.3%. Out of the 174 children who were bottle fed, only 11(6.3%) were exclusively on it. Residence, maternal education and occupation were significantly associated with the practice of bottle feeding in the crude analysis and after adjusting for parental and child characteristics (p < 0.05).
The extent of bottle feeding in the studied communities is generally high, with a higher rate among town women, a trend which was seen in the developed world at the beginning of the century. Improvement in maternal and child health services including education on child feeding are recommended.
尽管已知奶瓶喂养存在风险,这要么是由于补充剂稀释过度,要么是在制备过程中卫生技术不当,尤其是在总体卫生条件较差的地区,但在发展中国家,人们对此关注甚少。
确定农村社区儿童喂养中使用奶瓶的程度及其相关因素。
基于社区的横断面研究。
1536名年龄在0至23个月的儿童及其母亲被纳入研究。
奶瓶喂养的总体患病率为11.3%。在174名使用奶瓶喂养的儿童中,只有11名(6.3%)完全依赖奶瓶喂养。在粗分析以及调整父母和儿童特征后,居住地、母亲的教育程度和职业与奶瓶喂养行为显著相关(p<0.05)。
在所研究的社区中,奶瓶喂养的程度普遍较高,城镇妇女的比例更高,这是本世纪初在发达国家出现的一种趋势。建议改善母婴健康服务,包括开展儿童喂养方面的教育。