Reda Ermyas Brhane, Teferra Alemayehu Shimeka, Gebregziabher Measho Gebreslassie
Department of Public Health, College of Health Sciences, Aksum University, P.O. Box: 298, Aksum, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, The University of Gondar, P.O. Box 196, Gondar, Ethiopia.
BMC Res Notes. 2019 Jan 14;12(1):17. doi: 10.1186/s13104-019-4061-2.
In Ethiopia, only 51% of the infants start complementary feeding on time. Therefore this study is aimed to determine the time to initiate complementary feeding and associated factors among mothers with children aged 6-24 months in Tahtay Maichew district, northern Ethiopia. A retrospective follow up study was conducted among 639 mothers who had children aged 6-24 months. Bi-variable and multi-variable Cox regressions were conducted and statistical significance was declared at P-value < 0.05 and 95% confidence level.
The median age for the initiation into complementary feeding was 6.00 months. Being government employee [AHR = 1.67, 95% CI 1.10-2.53], having educated husband [AHR = 2.08, 95% CI 1.22-3.86], birth preparedness [AHR = 3.74, 95% CI 1.49-9.94], growth monitoring [AHR = 5.79, 95% CI 2.60-12.88], ability to know exact time to introduce complementary feeding [AHR = 4.93, 95% CI 1.94-12.50], and paternal support [AHR = 4.99, 95% CI 2.02-12.34] were significantly associated with the time to initiate into complementary feeding. Therefore, establishing breast feeding centres at work place and extending maternity leave for reasonable months are important to improve timely initiation into complementary feeding.
在埃塞俄比亚,只有51%的婴儿按时开始添加辅食。因此,本研究旨在确定埃塞俄比亚北部塔塔伊迈丘地区6至24个月儿童的母亲开始添加辅食的时间及相关因素。对639名有6至24个月儿童的母亲进行了回顾性随访研究。进行了双变量和多变量Cox回归分析,在P值<0.05和95%置信水平下宣布具有统计学意义。
开始添加辅食的中位年龄为6.00个月。母亲为政府雇员[AHR = 1.67,95%CI 1.10 - 2.53]、丈夫受过教育[AHR = 2.08,95%CI 1.22 - 3.86]、分娩准备情况[AHR = 3.74,95%CI 1.49 - 9.94]、生长监测[AHR = 5.79,95%CI 2.60 - 12.88]、知道准确添加辅食时间的能力[AHR = 4.93,95%CI 1.94 - 12.50]以及父亲的支持[AHR = 4.99,95%CI 2.02 - 12.34]与开始添加辅食的时间显著相关。因此,在工作场所设立母乳喂养中心并延长合理时长的产假对于改善及时开始添加辅食很重要。