Andualem Atsedemariam, Edmealem Afework, Tegegne Belachew, Tilahun Lehulu, Damtie Yitayish
Department of Nursing, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia.
Department of Emergency and Ophthalmic Health, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia.
J Nutr Metab. 2020 Oct 29;2020:6756202. doi: 10.1155/2020/6756202. eCollection 2020.
Timely, appropriate, safe, adequate, and frequent feeding is essential during the transition period for optimal growth and development as well as vulnerability of the child. The age of initiation of complementary feeding needs to be strongly addressed. Thus, the aim of this study was to determine timely initiation of complementary feeding and associated factors among mothers of children aged 6-24 months in Dessie Referral Hospital.
Institutional-based cross-sectional study was conducted among 280 mothers of children aged 6-24 months. A systematic random sampling technique was employed for selection of study participants by considering the 1st comer as a starting point and then at every 5th interval till the sample size was saturated at exit time. Data were collected using pretested and validated structured interviewer-administered questionnaire. Data were entered to Epi data version 3.1 and exported to SPSS version 20.0 software for analysis. Descriptive statistics and binary logistic regression model were used.
Overall response rate was 98.2%. Among 275 mothers with children aged 6-24 months, 36 (13.1%), 179 (65.1%), and 60 (21.8%) mothers started giving complementary feeding for their children early (before six months), timely (at six months), and late (after six months), respectively. Mothers' educational status of grade 9-12 and college and above [AOR = 3.03; 95% CI (1.13-8.14), and AOR = 3.74; 95% CI (1.19-11.70), respectively], getting counsel [AOR = 2.83; 95% CI (1.54-5.21)], and poor knowledge [AOR = 0.37; 95% CI (0.19-0.72)] were found to be independent predictors.
Prevalence of timely initiation of complementary feeding was high as compared to the national prevalence. Mothers' educational status, getting counsel about complementary feeding, and knowledge were factors associated with timely initiation of complementary feeding. Therefore, awareness creation, counseling, and health education should be done on society by concerned bodies to improve timely introduction of complementary feeding level more than this result.
在过渡期内，及时、适当、安全、充足且频繁的喂养对于儿童的最佳生长发育以及其脆弱性而言至关重要。辅食添加的起始年龄问题亟待解决。因此，本研究旨在确定德西转诊医院6至24个月儿童的母亲中辅食添加的及时性及其相关因素。
对280名6至24个月儿童的母亲开展了基于机构的横断面研究。采用系统随机抽样技术选取研究对象，以第一个到访者为起点，之后每隔5个抽取一个，直至样本量在结束时达到饱和。通过预先测试并验证过的结构化访谈问卷收集数据。数据录入Epi数据3.1版本，并导出至SPSS 20.0软件进行分析。使用描述性统计和二元逻辑回归模型。
总体应答率为98.2%。在275名有6至24个月儿童的母亲中，分别有36名（13.1%）、179名（65.1%）和60名（21.8%）母亲过早（6个月之前）、适时（6个月时）和过晚（6个月之后）开始为其孩子添加辅食。母亲受教育程度为九年级至十二年级以及大专及以上学历[调整后比值比分别为3.03；95%置信区间（1.13 - 8.14），以及调整后比值比为3.74；95%置信区间（1.19 - 11.70）]、接受咨询[调整后比值比为2.83；95%置信区间（1.54 - 5.21）]以及知识水平较差[调整后比值比为0.37；95%置信区间（0.19 - 0.72）]被发现是独立预测因素。
与全国患病率相比，适时开始添加辅食的患病率较高。母亲的受教育程度、接受辅食添加咨询以及知识水平是与适时开始添加辅食相关的因素。因此，相关机构应在社会上开展宣传、咨询和健康教育，以进一步提高适时添加辅食的水平。
