埃塞俄比亚西北部达巴特卫生和人口监测系统站点早期新生儿喂养实践的相关因素
Correlates of early neonatal feeding practice in Dabat HDSS site, northwest Ethiopia.
作者信息
Derso Terefe, Biks Gashaw Andargie, Tariku Amare, Tebeje Nigusie Birhan, Gizaw Zemichael, Muchie Kindie Fentahun, Shimeka Alemayehu, Kebede Yigzaw, Abebe Solomon Mekonnen, Yitayal Mezgebu, Ayele Tadesse Awoke, Wubeshet Mamo, Azmeraw Temesgen, Birku Melkamu, Fekadu Abel, Asrade Geta, Gebeyehu Abebaw, Tesfahun Adino, Alemu Kassahun
机构信息
Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Service Management and Heath Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Int Breastfeed J. 2017 Jun 6;12:25. doi: 10.1186/s13006-017-0116-y. eCollection 2017.
BACKGROUND
Delaying the start of breastfeeding and giving prelacteal feeding leads to a significant increase in neonatal and infant deaths, particularly in a resource limited countries, like Ethiopia. Therefore, this study aimed to assess early neonatal feeding practice and its determinants in Dabat HDSS site, northwest Ethiopia.
METHODS
The census for the reconciliation of the surveillance of the Dabat Health and Demographic Surveillance System (HDSS) site was conducted from October to December 2014. Data were entered into the Household Registration System (HRS) version 2.1 and analyzed using Stata version 14. A total of 6,761 mother-child pairs were included in the study. Sociodemographic factors, maternal health care and early neonatal feeding practices (early initiation of breastfeeding and prelacteal feeding) were collected by interviewing the mothers. The prevalence of early/timely initiation of breastfeeding was computed as the ratio of children put to the breast within one hour of delivery to the total number of children. Prelacteal feeding was defined as giving anything to drink other than breast milk in the first three days following birth. Binary logistic regression models were used to identify variables which were associated with the dependent variable. A multivariable logistic regression analysis was carried out to identify factors associated with early initiation of breastfeeding.
RESULTS
The prevalence of early initiation of breastfeeding was 43.9% (95% CI, 41.6, 46.2). More than half (56%) of the mothers gave prelacteal feeds. An urban residence (Adjusted Odds Ratio [AOR] 1.47, 95% Confidence Interval [CI] 1.25. 1.73) and antenatal care (AOR 1.41, 95% CI 1.24, 1.59) were correlated with early initiation of breastfeeding. Similarly, increased odds of timely initiation of breastfeeding were observed among mothers who didn't give prelacteal feeds (AOR 5.72; 95% CI, 5.12, 6.40).
CONCLUSION
Delayed initiation of breastfeeding and prelacteal feeding still remain public health concerns in this community. The promotion of improved infant and young child feeding (IYCF) practices and the utilization of antenatal care services should be intensified.
背景
推迟开始母乳喂养以及进行开奶前喂养会导致新生儿和婴儿死亡显著增加，尤其是在像埃塞俄比亚这样资源有限的国家。因此，本研究旨在评估埃塞俄比亚西北部达巴特卫生和人口监测系统（HDSS）站点的早期新生儿喂养实践及其决定因素。
方法
2014年10月至12月对达巴特卫生和人口监测系统（HDSS）站点的监测数据进行了核对普查。数据录入家庭登记系统（HRS）2.1版本，并使用Stata 14版本进行分析。本研究共纳入6761对母婴。通过访谈母亲收集社会人口学因素、孕产妇保健和早期新生儿喂养实践（早期开始母乳喂养和开奶前喂养）。母乳喂养早期/及时开始的患病率计算为出生后一小时内开始母乳喂养的儿童数量与儿童总数的比率。开奶前喂养定义为在出生后的头三天内给予除母乳以外的任何饮品。使用二元逻辑回归模型来识别与因变量相关的变量。进行多变量逻辑回归分析以确定与早期开始母乳喂养相关的因素。
结果
早期开始母乳喂养的患病率为43.9%（95%置信区间，41.6，46.2）。超过一半（56%）的母亲进行了开奶前喂养。城市居住（调整后的优势比[AOR]1.47，95%置信区间[CI]1.25，1.73）和产前保健（AOR 1.41，95%CI 1.24，1.59）与早期开始母乳喂养相关。同样，在未进行开奶前喂养的母亲中，及时开始母乳喂养的几率增加（AOR 5.72；95%CI，5.12，6.40）。
结论
母乳喂养开始延迟和开奶前喂养仍然是该社区的公共卫生问题。应加强对改善婴幼儿喂养（IYCF）实践的推广以及产前保健服务的利用。
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