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埃塞俄比亚西北部韦斯特贝莱萨区母乳喂养早期开始的决定因素

Determinants of Early Initiation of Breastfeeding in West Belessa District, Northwest Ethiopia.

作者信息

Ayalew Desalew Degu, Kassie Belayneh Ayanaw, Hunegnaw Melkamu Tamir, Gelaye Kassahun Alemu, Belew Aysheshim Kassahun

机构信息

Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Nutr Metab Insights. 2022 Jan 8;15:11786388211065221. doi: 10.1177/11786388211065221. eCollection 2022.

Abstract

BACKGROUND

The world is now suffering from malnutrition and remains one of the leading causes of death for under 5 children. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Therefore, the aim of this study was to assess the EIBF practices and determinants among children aged less than 24 months in West Belessa district, Northwest Ethiopia, 2019.

METHODS

A community-based cross-sectional study was conducted from January 2 to February 28, 2019 in the West Belessa district. A total of 569 mother-children pairs were participated in the study. Study particnapants were selected by using simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable and Multivariable logistic regression analysis were done. Odds ratio with 95% confidence was done to determine the level of significance value less than .05 considered as significant with the outcome variable.

RESULT

The prevalence of early initiation of breastfeeding (EIBF) was found to be 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR = 2.76, 95%CI [1.21, 6.27]), antenatal care (ANC) (AOR = 3.79, 95%CI [2.58, 9.94]), and number of antenatal care visit (AOR = 1.85, 95%CI [1.03, 3.85]) were significantly associated with early initiation of breastfeeding.

CONCLUSION AND RECOMMENDATION

In this study, more than three fourth of children were received early initiation of breastfeeding within 1 hour after delivery. Age of the mother, antenatal, and number of antenatal care were associated with EIBF. Therefore, during this contact period, improve antenatal services by increasing accessibility and providing counseling is important to improve EIBF utilization.

摘要

背景

营养不良目前仍在影响着全世界,并且仍然是5岁以下儿童死亡的主要原因之一。包括埃塞俄比亚在内的发展中国家的儿童,由于母乳喂养方式欠佳,也饱受营养不良之苦。因此,本研究旨在评估2019年埃塞俄比亚西北部西贝莱萨地区24个月以下儿童的早期纯母乳喂养情况及其影响因素。

方法

2019年1月2日至2月28日在西贝莱萨地区开展了一项基于社区的横断面研究。共有569对母婴参与了本研究。研究参与者采用简单随机抽样技术选取。数据通过访谈员实施的结构化问卷收集。数据分别使用Epi-Info 7版和SPSS 20版录入和分析。进行了双变量和多变量逻辑回归分析。计算比值比及95%置信区间,以确定显著性水平,显著性值小于0.05被视为与结果变量有显著关联。

结果

发现早期纯母乳喂养的患病率为77.7%(95%置信区间,74.3 - 81.0)。母亲年龄(调整后比值比 = 2.76,95%置信区间[1.21, 6.27])、产前保健(调整后比值比 = 3.79,95%置信区间[2.58, 9.94])以及产前保健就诊次数(调整后比值比 = 1.85,95%置信区间[1.03, 3.85])与早期纯母乳喂养显著相关。

结论与建议

在本研究中,超过四分之三的儿童在分娩后1小时内开始了早期纯母乳喂养。母亲年龄、产前保健情况以及产前保健就诊次数与早期纯母乳喂养有关。因此,在这一接触期间,通过增加可及性和提供咨询来改善产前服务对于提高早期纯母乳喂养的利用率很重要。

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