College of Public Health Sciences, Chulalongkorn University, Bangkok 10330, Thailand.
International Centre for Diarrheal Disease Research (ICDDR,B), Dhaka 1212, Bangladesh.
Int J Environ Res Public Health. 2020 Dec 12;17(24):9315. doi: 10.3390/ijerph17249315.
Exclusive breastfeeding (EBF) has proven benefits for both mothers and infants; however, adolescent mothers have poor EBF practices globally. In Bangladesh, the practice of EBF among adolescent mothers remains unexplored. The aim of our study was to understand the EBF practices among adolescent mothers and their determinants in both the Health and Demographic Surveillance (HDSS) system areas of the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) service area (ISA) and government service area (GSA) in rural Matlab, Bangladesh. For the purpose of our study, we collected relevant information from the database of the Health and Demographic Surveillance System (HDSS) of icddr,b and performed analysis to understand the trends and identify the determinants of EBF and identify the determinants of EBF among adolescent mothers living in two areas between 2007 and 2015. In total, 2947 children born to adolescent mothers were included in our final analysis. We used the Kaplan-Meier and the Cox-proportional hazards models to determine the differences in EBF practices in the two areas. We noted a lower trends of EBF in the ISA compared to the GSA in bivariate analysis. However, after adjusting for confounding variables, EBF status was 15% lower in the GSA than the ISA (HR: 0.85, 95% CI: 0.72-0.99). The father's education was significantly different among the two populations. In both study areas, the coverage of EBF among adolescent mothers was lower than the national average (42% vs. 65%). Ensuring that adolescent mothers receive optimal care may improve EBF behavior.
纯母乳喂养（EBF）已被证明对母亲和婴儿都有好处；然而，全球青少年母亲的 EBF 实践情况不佳。在孟加拉国，青少年母亲的 EBF 实践仍未得到探索。我们的研究旨在了解孟加拉国国际腹泻病研究中心（icddr,b）服务区域（ISA）和政府服务区域（GSA）农村 Matlab 的青少年母亲的 EBF 实践及其决定因素。为了进行我们的研究，我们从 icddr,b 的健康和人口监测系统（HDSS）数据库中收集了相关信息，并进行了分析，以了解趋势并确定 EBF 的决定因素，并确定居住在这两个地区的青少年母亲的 EBF 决定因素2007 年至 2015 年间。共有 2947 名青少年母亲所生的儿童纳入我们的最终分析。我们使用 Kaplan-Meier 和 Cox 比例风险模型来确定两个地区 EBF 实践的差异。我们注意到在单变量分析中，ISA 中的 EBF 趋势低于 GSA。然而，在调整混杂变量后，GSA 中 EBF 状态比 ISA 低 15%（HR：0.85，95%CI：0.72-0.99）。父亲的教育在这两个群体之间有显著差异。在两个研究区域中，青少年母亲的 EBF 覆盖率均低于全国平均水平（42%比 65%）。确保青少年母亲获得最佳护理可能会改善 EBF 行为。
