埃塞俄比亚东北部阿米巴拉地区母乳喂养早期开始的决定因素：一项基于社区的横断面研究。
Determinants of early initiation of breastfeeding in Amibara district, Northeastern Ethiopia: a community based cross-sectional study.
作者信息
Liben Misgan Legesse, Yesuf Ebrahim Mohammed
机构信息
Department of Public Health, College of Medical and Health Sciences, Samara University, Samara, Afar Ethiopia.
出版信息
Int Breastfeed J. 2016 Apr 8;11:7. doi: 10.1186/s13006-016-0067-8. eCollection 2016.
BACKGROUND
Early initiation of breastfeeding has lifetime benefits for the mother and the child. It has a positive impact on the duration of exclusive breastfeeding. Hence, the initiation of breastfeeding within the first hour of life lays the foundation for optimal breastfeeding. This study aimed to assess early and timely initiation of breastfeeding practices and associated factors among mothers of children aged less than 24 months in Amibara district of Northeast Ethiopia during April 2015.
METHODS
A quantitative community based cross-sectional study was employed on 407 mothers of children aged less than 24 months in Amibara district. Descriptive statistics, binary and multivariable logistic regression analysis were employed to identify the factors associated with early initiation of breastfeeding. The strength of the association was measured by odds ratio, and p-value < 0.05 was considered statistically significant.
RESULTS
Three hundred eighty one (94.5 %) of the respondents had ever breastfed their index child. Of those who had ever breastfed, 151, 39.6 % (95 % Confidence Interval [CI] 35.0 %, 45.0 %) of mothers initiated breastfeeding within 1 h after birth. In multivariable logistic regression analysis mothers living in urban areas (Adjusted Odds Ratio [AOR] 3.8; 95 % CI 2.32, 6.06) and who attended formal education (AOR 2.0; 95 % CI 1.21, 3.46) were associated with increased odds of early initiation of breastfeeding. The factors associated with decreased odds of timely initiation of breastfeeding were caesarean section delivery (AOR 0.46; 95 % CI 0.22, 0.97) and mothers with two or three children (AOR 0.59; 95 % CI 0.35, 0.99).
CONCLUSION
This study showed that four in ten infants were breastfed within the first hour after birth. Therefore, providing proper support and guidance of health professionals during cesarean section delivery and breastfeeding education programs at the village level for girls and young women without formal education are important interventions to promote early initiation of breastfeeding in the study area.
背景
尽早开始母乳喂养对母亲和孩子都有终身益处。它对纯母乳喂养的持续时间有积极影响。因此，在出生后一小时内开始母乳喂养为最佳母乳喂养奠定了基础。本研究旨在评估2015年4月埃塞俄比亚东北部阿米巴拉地区24个月以下儿童的母亲中母乳喂养的早期和及时开始情况及相关因素。
方法
对阿米巴拉地区407名24个月以下儿童的母亲进行了一项基于社区的定量横断面研究。采用描述性统计、二元和多变量逻辑回归分析来确定与早期开始母乳喂养相关的因素。关联强度用比值比衡量，p值<0.05被认为具有统计学意义。
结果
381名（94.5%）受访者曾对其指标儿童进行母乳喂养。在那些曾进行母乳喂养的人中，151名母亲（39.6%，95%置信区间[CI]35.0%，45.0%）在出生后1小时内开始母乳喂养。在多变量逻辑回归分析中，居住在城市地区的母亲（调整后比值比[AOR]3.8；95%CI 2.32，6.06）和接受过正规教育的母亲（AOR 2.0；95%CI 1.21，3.46）与早期开始母乳喂养的几率增加有关。与及时开始母乳喂养几率降低相关的因素是剖宫产分娩（AOR 0.46；95%CI 0.22，0.97）以及有两个或三个孩子的母亲（AOR 0.59；95%CI 0.35，0.99）。
结论
本研究表明，十分之四的婴儿在出生后一小时内进行了母乳喂养。因此，在剖宫产分娩期间提供健康专业人员的适当支持和指导，以及在村级为未接受正规教育的女孩和年轻女性开展母乳喂养教育项目，是促进研究地区早期开始母乳喂养的重要干预措施。
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