加纳母乳喂养早期启动的决定因素：基于人群的横断面研究，使用 2014 年人口与健康调查数据。
Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data.
机构信息
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
出版信息
BMC Pregnancy Childbirth. 2020 Oct 19;20(1):632. doi: 10.1186/s12884-020-03308-w.
BACKGROUND
The World Health Organisation (WHO) recommends that breastfeeding should be initiated within the first hour of delivery followed by exclusive breastfeeding up to 6 months. This study examined the determinants of early initiation of breastfeeding in Ghana using data from the 2014 Ghana Demographic and Health Survey.
METHODS
A sample size of 4219 was used for the study. Descriptive statistics was conducted to ascertain the proportion of children who had early initiation of breastfeeding after which binary logistic regression analysis was carried out. Results were presented using frequencies, percentages, unadjusted and adjusted odds ratios. Statistical significance was pegged at p<0.05.
RESULTS
Children of first birth order [AOR = 0.71, CI = 0.61-0.84], those who were delivered by non-professionals [AOR = 0.51, CI = 0.30-0.88] and those whose mothers were Traditionalists [AOR = 0.65, CI = 0.46-0.92] and Mole-Dagbanis [AOR = 0.69, CI = 0.54-0.89] were less likely to go through early initiation of breastfeeding compared to those of 2-4 birth order, those who were delivered by health professionals, those whose mothers were Christians and Akan, respectively. Conversely, children born to mothers who read newspaper/magazine at least once a week were more likely to go through early initiation of breastfeeding, compared to those who never read newspaper/magazine [AOR = 1.40, CI = 1.01-1.95]. Children born to mothers who watched television less than once a week were more likely to go through early initiation of breastfeeding compared to those who watched television at least once a week [AOR = 1.40, CI = 1.01-1.95]. Finally, women from the Northern [AOR = 2.40, CI = [1.77-3.26] and Upper East regions [AOR = 2.57, CI = [1.86-3.56] practiced early initiation of breastfeeding compared to those from the Ashanti region.
CONCLUSIONS
Empowering healthcare providers to be consistent in early breastfeeding initiation advocacy and effective community engagement on the need to embrace and practice early initiation of breastfeeding can improve the situation.
背景
世界卫生组织（WHO）建议，分娩后应在 1 小时内开始母乳喂养，并持续至 6 个月。本研究使用 2014 年加纳人口与健康调查的数据，考察了加纳早期母乳喂养开始的决定因素。
方法
研究使用了 4219 名样本。进行了描述性统计，以确定早期开始母乳喂养的儿童比例，然后进行二元逻辑回归分析。结果以频率、百分比、未调整和调整后的优势比呈现。以 p<0.05 为统计学显著性标准。
结果
第一胎的孩子[优势比（AOR）=0.71，置信区间（CI）=0.61-0.84]、由非专业人员接生的孩子[AOR=0.51，CI=0.30-0.88]和母亲是传统主义者[AOR=0.65，CI=0.46-0.92]和 Mole-Dagbanis[AOR=0.69，CI=0.54-0.89]的孩子，与第二胎至第四胎、由卫生专业人员接生的孩子、母亲是基督徒和阿坎的孩子相比，不太可能进行早期母乳喂养。相反，母亲每周至少看一次报纸/杂志的孩子，与从不看报纸/杂志的孩子相比，更有可能进行早期母乳喂养[AOR=1.40，CI=1.01-1.95]。母亲每周看电视少于一次的孩子，与每周至少看一次电视的孩子相比，更有可能进行早期母乳喂养[AOR=1.40，CI=1.01-1.95]。最后，与来自阿散蒂地区的女性相比，来自北部[AOR=2.40，CI=[1.77-3.26]和上东部[AOR=2.57，CI=[1.86-3.56]的女性更倾向于进行早期母乳喂养。
结论
赋予医疗保健提供者在早期母乳喂养开始方面的一致性倡导权，并有效地进行社区宣传，让人们认识到并实践早期母乳喂养，可以改善这种情况。
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