在埃塞俄比亚南部哈迪亚地区的吉贝区，近三分之一的儿童存在喂养方式不佳的情况。

Nearly one in three children is suffering from sub-optimal feeding practice in Gibe District, Hadiya zone, South Ethiopia.

机构信息

Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Bahir dar University, Bahir Dar, Ethiopia.

出版信息

J Health Popul Nutr. 2020 Nov 9;39(1):9. doi: 10.1186/s41043-020-00216-9.

DOI:10.1186/s41043-020-00216-9

PMID:33168092

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7654588/

Abstract

BACKGROUND

Although infant and young child feeding practices play an important role, children in Ethiopia suffer from poor infant and young child feeding. To date, there is a limited study which addresses factors that influence infant and young child feeding practices. The aim of the study was to determine the predictors of infant and young child feeding practices in Gibe District, Hadiya Zone, Ethiopia.

METHODS

A community-based cross-sectional study was employed on 418 randomly selected mothers with children under the age of 24 months from March 13 to April 13, 2017. The pre-tested structured questionnaire was used to collect the data. Multiple logistic regressions were applied to determine the predictors of infant and young child feeding practices.

RESULTS

A total of 284 (67.9%) infant and young child suffered from the sub-optimal infant and young child feeding practices. The husband being a government employee [adjusted odds ratio (AOR) = 4.08 (1.65, 10.04)], lower household income [(AOR) = 3.11 (1.36, 7.07)], not attending antenatal care (AOR = 2.03 (1.22, 3.36)], child age 0-5 months [AOR = 2.42 (1.02, 5.72)], negative attitude towards infant and young child feeding practices [AOR = 2.35 (1.44, 3.84)], and the number of children 3-4 [AOR = 1.99 (1.08, 3.64)] were predictors of the sub-optimal infant and young child feeding practices.

CONCLUSION

Sub-optimal infant and young child feeding practices were very high as compared to the WHO infant and child feeding recommendation. The husband being a government employee, lower household income, not attending antenatal care, child age 0-5 months, negative attitude towards infant and young child feeding practices, and the number of children 3-4 were the predictors of the sub-optimal infant and young child feeding practices. Nutritional interventions should emphasize the predictors of sub-optimal infant and young child feeding practices to improve optimal infant and young child feeding practices in Ethiopia.

摘要

背景

尽管婴幼儿喂养实践起着重要作用，但埃塞俄比亚的儿童仍存在不良的婴幼儿喂养问题。迄今为止，关于影响婴幼儿喂养实践的因素的研究有限。本研究旨在确定吉贝区（埃塞俄比亚哈迪亚地区）婴幼儿喂养实践的预测因素。

方法

本研究采用了一项基于社区的横断面研究，于 2017 年 3 月 13 日至 4 月 13 日期间随机选择了 418 名年龄在 24 个月以下的儿童的母亲作为研究对象。使用经过预测试的结构化问卷收集数据。采用多因素逻辑回归分析确定婴幼儿喂养实践的预测因素。

结果

共有 284 名（67.9%）婴幼儿存在亚最佳的婴幼儿喂养实践。丈夫为政府雇员（调整后的优势比 [AOR] = 4.08 [1.65, 10.04]）、家庭收入较低（AOR = 3.11 [1.36, 7.07]）、未接受产前保健（AOR = 2.03 [1.22, 3.36]）、儿童年龄 0-5 个月（AOR = 2.42 [1.02, 5.72]）、对婴幼儿喂养实践的消极态度（AOR = 2.35 [1.44, 3.84]）以及 3-4 个孩子（AOR = 1.99 [1.08, 3.64]）是亚最佳婴幼儿喂养实践的预测因素。

结论

与世界卫生组织（WHO）婴幼儿喂养建议相比，亚最佳婴幼儿喂养实践的比例非常高。丈夫为政府雇员、家庭收入较低、未接受产前保健、儿童年龄 0-5 个月、对婴幼儿喂养实践的消极态度以及 3-4 个孩子是亚最佳婴幼儿喂养实践的预测因素。营养干预应针对亚最佳婴幼儿喂养实践的预测因素，以改善埃塞俄比亚的婴幼儿喂养实践。