Thet May Me, Richards Leah-Mari, Sudhinaraset May, Paw Naw Eh Thi, Diamond-Smith Nadia
Population Services International, Myanmar, No. 16, Shwe Gon Taing Street 4, Yangon, Myanmar (Burma).
University of California, San Francisco, Global Health Group/UCSF Global Health Sciences, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA.
Matern Child Health J. 2016 Aug;20(8):1688-95. doi: 10.1007/s10995-016-1968-2.
Objectives To ensure proper nutrition and optimal health outcomes, it is critical that infants are exclusively breastfed (0-6 months) and then receive adequate feeding from 6-23 months (breastfeeding and frequent feedings of complementary foods). Despite policies and guidelines on adequate feeding in Myanmar, past research has found low rates of adequately fed infants 0-11 months and little is known about the adequacy of feeding practices for children 12-23 months. The aim of this study is to understand the feeding practices of children aged 0-24 months in Myanmar and maternal characteristics associated with adequate feeding practices. Methods This study examines the rates of adequately fed infants and young children (0-23 months) in hard-to-reach townships in Myanmar from a cross-sectional, multistage cluster survey. Survey data on nutritional practices were collected from 489 mothers. Data were analyzed using multivariate regressions. Results We found that 41.8 % of infants under 6 months were exclusively breastfed, 63.2 % of those aged 6-11 months were adequately fed, and 10.3 % of 12-23 month-olds were adequately fed. In multivariate regressions we found that antenatal care visits [1-4 visits, AOR = 6.59 (p < 0.01) and >4 visits, AOR = 6.63 (p < 0.05)] was associated with exclusive breastfeeding for under 6 month old infants. Having >4 antenatal care visits [AOR = 9.97 (p < 0.05)] was associated with adequate feeding for 6-11 months old infants. Conclusions Future nutritional interventions and policies should focus on improving messaging about adequate feeding practices, especially for 12-23 months olds.
目标 为确保适当的营养和最佳健康结果，至关重要的是婴儿在0至6个月时完全母乳喂养，然后在6至23个月时获得充足喂养（母乳喂养和频繁喂食辅食）。尽管缅甸有关于充足喂养的政策和指南，但过去的研究发现，0至11个月婴儿的充足喂养率较低，而对于12至23个月儿童的喂养方式是否充足知之甚少。本研究的目的是了解缅甸0至24个月儿童的喂养方式以及与充足喂养方式相关的母亲特征。方法 本研究通过横断面、多阶段整群调查，考察了缅甸难以到达的乡镇中0至23个月婴幼儿的充足喂养率。从489名母亲那里收集了关于营养实践的调查数据。使用多变量回归分析数据。结果 我们发现，6个月以下婴儿中有41.8%完全母乳喂养，6至11个月婴儿中有63.2%喂养充足，12至23个月婴儿中有10.3%喂养充足。在多变量回归分析中，我们发现产前检查次数[1至4次，调整后比值比（AOR）=6.59（p<0.01），超过4次，AOR=6.63（p<0.05）]与6个月以下婴儿的纯母乳喂养有关。产前检查次数超过4次[AOR=9.97（p<0.05）]与6至11个月婴儿的充足喂养有关。结论 未来的营养干预措施和政策应侧重于改善关于充足喂养方式的宣传，特别是针对12至23个月的儿童。
