Berde Anselm Shekwagu, Yalcin Siddika Songul, Ozcebe Hilal, Uner Sarp, Caman Ozge Karadag
Africa Unit for Transdisciplinary Health Research, North-West University (Potchefstroom Campus).
Department of Social Peadiatrics, Hacettepe University, Ankara, Turkey.
Afr Health Sci. 2017 Sep;17(3):690-699. doi: 10.4314/ahs.v17i3.11.
Prelacteal feeding (PLF) is a barrier to exclusive breast feeding.
To determine factors associated with PLF in rural and urban Nigeria.
We utilized data from the 2013 Nigerian Demographic and Health Survey. Bivariate and multivariate analyses were used to test for association between PLF and related factors.
Prevalence of PLF in urban Nigeria was 49.8%, while in rural Nigeria it was 66.4%. Sugar or glucose water was given more in urban Nigeria (9.7% vs 2.9%), plain water was given more in rural Nigeria (59.9% vs 40.8%). The multivariate analysis revealed that urban and rural Nigeria shared similarities with respect to factors like mother's education, place of delivery, and size of child at birth being significant predictors of PLF. Mode of delivery and type of birth were significant predictors of PLF only in urban Nigeria, whereas, mother's age at birth was a significant predictor of PLF only in rural Nigeria. Zones also showed variations in the odds of PLF according to place of residence.
Interventions aimed at decreasing PLF rate should be through a tailored approach, and should target at risk sub-groups based on place of residence.
初乳前喂养（PLF）是纯母乳喂养的一个障碍。
确定尼日利亚城乡地区与初乳前喂养相关的因素。
我们使用了2013年尼日利亚人口与健康调查的数据。采用双变量和多变量分析来检验初乳前喂养与相关因素之间的关联。
尼日利亚城市地区初乳前喂养的患病率为49.8%，而农村地区为66.4%。尼日利亚城市地区更多地给予糖或葡萄糖水（9.7%对2.9%），农村地区更多地给予白开水（59.9%对40.8%）。多变量分析显示，尼日利亚城乡地区在母亲教育程度、分娩地点和出生时孩子大小等因素方面有相似之处，这些都是初乳前喂养的重要预测因素。分娩方式和出生类型仅在尼日利亚城市地区是初乳前喂养的重要预测因素，而母亲生育时的年龄仅在尼日利亚农村地区是初乳前喂养的重要预测因素。不同地区根据居住地点在初乳前喂养的几率上也存在差异。
旨在降低初乳前喂养率的干预措施应采用量身定制的方法，并应根据居住地点针对高危亚组。
