Kassa Tigist, Meshesha Berhan, Haji Yusuf, Ebrahim Jemal
Affiliate of School of Public & Environmental Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
School of Public & Environmental Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
BMC Pediatr. 2016 Aug 19;16:131. doi: 10.1186/s12887-016-0675-x.
Poor complementary feeding of children aged 6-23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Evidences have shown that promotion of appropriate complementary feeding practices reduces the incidence of stunting and leads to better health and growth outcome. This study was aimed at assessing practices of complementary feeding and associated factors among mothers of children aged 6-23 months.
A community-based cross sectional study design was conducted among 611 mothers who had children with 6-23 months of age in the ten randomly selected Kebeles (smallest administrative unit). A multistage sampling technique was used to identify study subjects. Data were collected using pre-tested structured questionnaire. Data were entered in to Epi info version 3.5.1. Data cleaning and analysis were done using SPSS version 16. Odds ratios (ORs) with 95 % confidence interval (CI) were computed to measure the strength of association.
The response rate was 97.6 % (611/626). The practices of timely initiation of complementary feeding, minimum meal frequency and minimum dietary diversity were 72.5, 67.3 and 18.8 % among mothers of 6-23 months aged children, respectively. The practice of appropriate complementary feeding was 9.5 %. Child's age (12-17 and 18-23 months) [Adjusted OR: 2.75 (95 % CI: 1.07 7.03), 2.64 (95 % CI: 1.06 6.74)], educational level of mother (primary and secondary and above schools) [AOR: 3.24 (1.28 8.20), 3.21 (1.1.07 9.70)], and smaller family size [AOR: 12.10 (95 % CI: 1.10 139.7)] were found to be independent predictors of appropriate complementary feeding practice of 6-23 months old children.
Low appropriate complementary feeding of children aged 6-23 months was observed. Mothers who are illiterate, children age 6-11 months and families with large size were associated factors for inappropriate feeding practices. Therefore, nutritional counseling on child feeding practices were recommended.
6至23个月儿童的辅食喂养不当导致了发展中国家出现负面生长趋势和死亡现象。有证据表明,推广适当的辅食喂养方法可降低发育迟缓的发生率,并带来更好的健康和生长结果。本研究旨在评估6至23个月儿童的母亲的辅食喂养做法及相关因素。
在十个随机选取的社区(最小行政单位)中,对611名有6至23个月大孩子的母亲开展了一项基于社区的横断面研究设计。采用多阶段抽样技术确定研究对象。使用预先测试的结构化问卷收集数据。数据录入Epi info 3.5.1版本。使用SPSS 16版本进行数据清理和分析。计算比值比(OR)及95%置信区间(CI)以衡量关联强度。
应答率为97.6%(611/626)。6至23个月大孩子的母亲中,及时开始辅食喂养、最低进餐频率和最低饮食多样性的做法分别为72.5%、67.3%和18.8%。适当辅食喂养的做法为9.5%。孩子年龄(12至17个月和18至23个月)[调整后OR:2.75(95% CI:1.07至7.03),2.64(95% CI:1.06至6.74)]、母亲教育水平(小学及初中以上学历)[调整后OR:3.24(1.28至8.20),3.21(1.07至9.70)]以及家庭规模较小[调整后OR:12.10(95% CI:1.10至139.7)]被发现是6至23个月大孩子适当辅食喂养做法的独立预测因素。
观察到6至23个月大孩子的适当辅食喂养率较低。文盲母亲、6至11个月大的孩子以及大家庭是喂养做法不当的相关因素。因此,建议对儿童喂养做法进行营养咨询。