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埃塞俄比亚西南部索罗地区农村6至23个月大儿童辅食的及时添加:一项横断面研究

Timely initiation of complementary feeding to children aged 6-23 months in rural Soro district of Southwest Ethiopia: a cross-sectional study.

作者信息

Yohannes Bereket, Ejamo Elias, Thangavel Thilagavathi, Yohannis Mulugeta

机构信息

School of public Health, Wolaita Sodo University, P.o.box 126, Wolaita Sodo, Ethiopia.

Centre for international Health, the University of Bergen, Bergen, Norway.

出版信息

BMC Pediatr. 2018 Jan 31;18(1):17. doi: 10.1186/s12887-018-0989-y.

Abstract

BACKGROUND

Poor complementary feeding practice to infants is one of risk factors for child undernutrition in Ethiopia. This would vary across the culturally and socioeconomically diverse settings in this country. Thus, this study was aimed to determine the proportion of timely initiated complementary feeding practice of women to their children aged 6-23 months in rural Soro district in Southwest Ethiopia.

METHODS

A community based crossectional survey was conducted in Soro district from August to September in 2015. Randomly selected 543 women having children aged 6-23 months were the final sampling units for this study. First, local administrative units (kebeles) of residents were randomly selected from such lists in the district. Secondly, the sample size was proportionally allocated to each selected kebele by population sizes. Individual households were selected by systematic random technique. Data was collected by using a structured questionnaire through face to face interview. Descriptive statistics was done for univariate results, and we applied bivariate logistic regression to look for crude association, and multivariate logistic regression to model predictors with effect measures and 95% confidence intervals (CI). Statistical significance was decaled at P < 0.05.

RESULTS

The proportion of timely initiated complementary feeding was 34.3% at 95%CI: (30.31, 38.29) in this study. Secondary and above education levels of respondents (AOR = 2.25 95%CI: 1.17, 4.30) and husbands (AOR = 2.33 at 95% CI: 1.06, 5.14), and maternal Postnatal Care visits (AOR = 1.94 at 95% CI: 1.19, 3.16) were found independent predictors for timely initiated complementary feeding practice in this study.

CONCLUSIONS

Timely complementary feeding practice in the study area was low compared to the standard recommends for it. Education in general and equipping child bearing women with specific messages on Infant and Child Feeding Practices may improve infant and child feeding practice in the area. Optimizing utilization of Postnatal Care by post partum women and including specific advices on complementary feeding are recommended.

摘要

背景

在埃塞俄比亚,对婴儿辅食喂养不当是儿童营养不良的风险因素之一。在该国文化和社会经济背景各异的地区,情况可能有所不同。因此,本研究旨在确定埃塞俄比亚西南部索罗区农村地区6至23个月大儿童的母亲及时开始辅食喂养的比例。

方法

2015年8月至9月在索罗区进行了一项基于社区的横断面调查。随机选择543名有6至23个月大孩子的妇女作为本研究的最终抽样单位。首先,从该地区的此类名单中随机选择居民的当地行政单位( Kebeles)。其次,根据人口规模将样本量按比例分配给每个选定的 Kebeles。通过系统随机技术选择个体家庭。通过面对面访谈使用结构化问卷收集数据。对单变量结果进行描述性统计,并应用双变量逻辑回归寻找粗略关联,应用多变量逻辑回归对具有效应量和95%置信区间(CI)的预测因素进行建模。当P < 0.05时表示具有统计学意义。

结果

在本研究中,及时开始辅食喂养的比例为34.3%,95%CI为:(30.31,38.29)。受访者(AOR = 2.25,95%CI:1.17,4.30)和丈夫(AOR = 2.33,95%CI:1.06,5.14)的中学及以上教育水平,以及产妇产后护理就诊次数(AOR = 1.94,95%CI:1.19,3.16)被发现是本研究中及时开始辅食喂养的独立预测因素。

结论

与标准建议相比,研究地区及时进行辅食喂养的比例较低。一般教育以及向育龄妇女提供有关婴幼儿喂养实践的具体信息可能会改善该地区的婴幼儿喂养实践。建议产后妇女优化产后护理的利用,并包括有关辅食喂养的具体建议。

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