巴布亚新几内亚母乳喂养早期开始的决定因素：一项基于2016 - 2018年人口与健康调查数据的人群研究。
Determinants of early initiation of breastfeeding in Papua New Guinea: a population-based study using the 2016-2018 demographic and health survey data.
作者信息
Seidu Abdul-Aziz, Ahinkorah Bright Opoku, Agbaglo Ebenezer, Dadzie Louis Kobina, Tetteh Justice Kanor, Ameyaw Edward Kwabena, Salihu Tarif, Yaya Sanni
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
Arch Public Health. 2020 Nov 23;78(1):124. doi: 10.1186/s13690-020-00506-y.
BACKGROUND
Initiation of breastfeeding after birth comes with a wide range of benefits to the child. For example, it provides the child with all essential nutrients needed for survival within the first six months of birth. This study sought to determine the prevalence and factors associated with early initiation of breastfeeding (EIB) in Papua New Guinea.
METHODS
We utilized the Demographic and Health Survey data of 3198 childbearing women in Papua New Guinea. We employed descriptive and binary logistic regression analyses. We presented the results as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR), with 95% confidence intervals (CI) signifying level of precision. Level of statistical significance was set at p < 0.05.
RESULTS
Women aged 20-29 [AOR = 1.583, CI = 1.147-2.185] and those aged 30+ [AOR = 1.631, CI = 1.140-2.335] had higher odds of EIB, compared to those aged 15-19. Women from the Islands region had lower odds [AOR = 0.690, CI = 0.565-0.842] of EIB, compared to those in Southern region. Women who delivered through caesarean section had lower odds of EIB, compared to those who delivered via vaginal delivery [AOR = 0.286, CI = 0.182-0.451]. Relatedly, women who delivered in hospitals had lower odds of EIB [AOR = 0.752, CI = 0.624-0.905], compared to those who delivered at home. Women who practiced skin-to-skin contact with the baby [AOR = 1.640, CI = 1.385-1.942] had higher odds of EIB, compared to those who did not. Women who read newspaper or magazine at least once a week had lower odds of EIB [AOR = 0.781, CI = 0.619-0.986], compared to those who did not read newspaper at all.
CONCLUSION
The prevalence of EIB in Papua New Guinea was relatively high (60%). The factors associated with EIB are age of the women, region of residence, mode of delivery, place of delivery, practice of skin-to-skin contact with the baby, and exposure to mass media (newspaper). To increase EIB in Papua New Guinea, these factors ought to be considered in the implementation of policies and measures to strengthen existing policies. Health providers should educate mothers on the importance of EIB.
背景
产后开始母乳喂养对孩子有诸多益处。例如，它能为孩子提供出生后头六个月生存所需的所有必需营养。本研究旨在确定巴布亚新几内亚早期开始母乳喂养（EIB）的患病率及相关因素。
方法
我们利用了巴布亚新几内亚3198名育龄妇女的人口与健康调查数据。我们采用了描述性和二元逻辑回归分析。结果以粗比值比（COR）和调整后比值比（AOR）呈现，并带有95%置信区间（CI）以表明精确程度。统计学显著性水平设定为p < 0.05。
结果
与15 - 19岁的女性相比，20 - 29岁的女性[调整后比值比（AOR）= 1.583，置信区间（CI）= 1.147 - 2.185]以及30岁及以上的女性[AOR = 1.631，CI = 1.140 - 2.335]早期开始母乳喂养的几率更高。与南部地区的女性相比，来自岛屿地区的女性早期开始母乳喂养的几率较低[AOR = 0.690，CI = 0.565 - 0.842]。与经阴道分娩的女性相比，剖宫产的女性早期开始母乳喂养的几率较低[AOR = 0.286，CI = 0.182 - 0.451]。相关地，与在家分娩的女性相比，在医院分娩的女性早期开始母乳喂养的几率较低[AOR = 0.752，CI = 0.624 - 0.905]。与未与婴儿进行皮肤接触的女性相比，与婴儿进行皮肤接触的女性早期开始母乳喂养的几率更高[AOR = 1.640，CI = 1.385 - 1.942]。与从不看报纸的女性相比，每周至少看一次报纸或杂志的女性早期开始母乳喂养的几率较低[AOR = 0.781，CI = 0.619 - 0.986]。
结论
巴布亚新几内亚早期开始母乳喂养的患病率相对较高（60%）。与早期开始母乳喂养相关的因素包括女性年龄、居住地区、分娩方式、分娩地点、与婴儿进行皮肤接触的做法以及接触大众媒体（报纸）的情况。为提高巴布亚新几内亚的早期开始母乳喂养率，在实施政策和加强现有政策的措施时应考虑这些因素。卫生保健人员应向母亲们宣传早期开始母乳喂养的重要性。
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