Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, P,o, Box: 139 Bale, Goba, Ethiopia.
BMC Pediatr. 2014 Feb 18;14:49. doi: 10.1186/1471-2431-14-49.
Combining various aspects of child feeding into an age-specific summary index provides a first answer to the question of how best to deal with recommended feeding practices in the context of HIV pandemic. The objective of this study is to assess feeding practices of HIV exposed infants using summary index and its association with nutritional status in Southern Ethiopia.
Facility based cross-sectional study design with cluster random sampling technique was conducted in Sidama Zone, Southern Ethiopia. Bivariate and multivariable linear regression analyses were performed to assess the association between summary index (infant and child feeding index) (CS-ICFI) and nutritional status.
The mean (±standard deviation (SD)) cross-sectional infant and child feeding index (CS-ICFI) score of infants was 9.09 (±2.59), [95% CI: 8.69-9.49]). Thirty seven percent (36.6%) of HIV exposed infants fell in the high CS-ICFI category while 31.4% of them were found in poor feeding index tertile. About forty two percent (41.6%) of urban infants were found in the high index tertile but only 24% of the rural infants were found in high index tertile. Forty six percent (46%) of the rural infants were found in low (poor) feeding index category. The CS-ICFI has a statistically significant association with weight for age z score (WAZ) (ß = 0.168, p = 0.027) and length for age z score (LAZ) (ß = 0.183 p = 0.036). However CS-ICFI was not significantly associated with weight for height z score (WLZ) (p = 0.386).
Majority of HIV exposed infants had no optimum complementary feeding practices according to cross-sectional infant and child feeding index. CS-ICFI was statistically associated especially with chronic indicators of nutritional status (LAZ and WAZ). More rural infants were found in poor index tertile than urban infants. This may suggest that rural infants need more attention than urban infants while designing and implementing complementary feeding interventions.
将儿童喂养的各个方面综合为一个特定年龄的综合指数，可以初步回答在 HIV 大流行背景下如何最好地处理推荐的喂养实践这一问题。本研究的目的是使用综合指数评估 HIV 暴露婴儿的喂养实践及其与营养状况的关系。
在埃塞俄比亚南部的西达玛地区，采用基于机构的横断面研究设计和聚类随机抽样技术进行了这项研究。采用双变量和多变量线性回归分析来评估综合指数（婴儿和儿童喂养指数）（CS-ICFI）与营养状况之间的关联。
婴儿的 CS-ICFI 平均值（±标准偏差（SD））为 9.09（±2.59），[95%置信区间：8.69-9.49]）。37%（36.6%）的 HIV 暴露婴儿属于高 CS-ICFI 类别，而 31.4%的婴儿处于不良喂养指数三分位数。约 42%（41.6%）的城市婴儿处于高指数三分位数，但只有 24%的农村婴儿处于高指数三分位数。46%（46%）的农村婴儿处于低（不良）喂养指数类别。CS-ICFI 与年龄别体重 z 评分（WAZ）（β=0.168，p=0.027）和年龄别身长 z 评分（LAZ）（β=0.183，p=0.036）呈统计学显著相关。然而，CS-ICFI 与身高别体重 z 评分（WLZ）（p=0.386）无显著相关性。
根据横断面婴儿和儿童喂养指数，大多数 HIV 暴露婴儿没有最佳的补充喂养实践。CS-ICFI 与营养状况的慢性指标（LAZ 和 WAZ）呈统计学相关。与城市婴儿相比，农村婴儿更多地处于不良指数三分位数。这可能表明，在设计和实施补充喂养干预措施时，农村婴儿比城市婴儿更需要关注。
