尼日利亚半城市社区母亲中纯母乳喂养的患病率及预测因素：一项横断面研究

PREVALENCE AND PREDICTORS OF EXCLUSIVE BREASTFEEDING AMONG MOTHERS IN A SEMI-URBAN NIGERIAN COMMUNITY: A CROSS-SECTIONAL STUDY.

作者信息

Adebayo A M, Ilesanmi O S, Falana D T, Olaniyan S O, Kareem A O, Amenkhienan I F, Alele F O, Afolabi A A, Omotoso B A, Ayodeji O O

机构信息

Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.

Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.

出版信息

Ann Ib Postgrad Med. 2021 Jun;19(1):31-39.

PMID:35330896

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8935673/

Abstract

BACKGROUND

The uptake of exclusive breastfeeding (EBF) is low globally including Nigeria despite its benefits and interventions. This study aimed to assess the prevalence and predictors of EBF among mothers in a semiurban Nigerian community.

METHODS

We conducted a cross-sectional study among nursing mothers attending the immunization clinic at the Federal Medical Centre, Owo, Ondo State. A semi-structured questionnaire containing the World Health Organization's indicators for assessing breastfeeding practices was used for data collection.

RESULTS

A total of 386 mothers were recruited with a mean age of 30.8 ± 5.0 years. Among them, 149 (36.8%) were below 30 years, 345 (89.4%) have had ANC visit at least four times, and 259 (67.1%) had initiated breastfeeding immediately after delivery. The prevalence of EBF was 52.6%. Natural feeds were the common feeds introduced after 6 months among 159 (78.3%) mothers. One hundred and forty-four (62.1%) nursing mothers aged 30 years or older practiced EBF compared to 72 (48.3%) persons below 30 years (X = 6.290, p = 0.012). Also, 38 (70.3%) mothers who have delivered four or more children practiced EBF compared to 180 (54.2%) with fewer children (X = 5.437, p = 0.020). Nursing mothers aged 30 years or older had 36% higher odds of practicing EBF compared to younger persons (Adjusted Odds Ratio = 1.358, 95%CI = 0.886 - 2.081, p = 0.160).

CONCLUSION

To achieve the WHO recommended target of ensuring that 90% of nursing mothers practice EBF, advocacy and health education must be intensified.

摘要

背景

尽管纯母乳喂养有诸多益处且有相关干预措施，但在全球范围内，包括尼日利亚，纯母乳喂养的普及率较低。本研究旨在评估尼日利亚一个半城市社区中母亲纯母乳喂养的患病率及预测因素。

方法

我们对在翁多州奥沃联邦医疗中心免疫诊所就诊的哺乳期母亲进行了一项横断面研究。使用一份包含世界卫生组织评估母乳喂养行为指标的半结构化问卷进行数据收集。

结果

共招募了386名母亲，平均年龄为30.8±5.0岁。其中，149名（36.8%）年龄在30岁以下，345名（89.4%）至少进行了四次产前检查，259名（67.1%）在分娩后立即开始母乳喂养。纯母乳喂养的患病率为52.6%。159名（78.3%）母亲在6个月后引入的常见喂养方式是自然喂养。144名（62.1%）30岁及以上的哺乳期母亲进行纯母乳喂养，而30岁以下的为72名（48.3%）（X = 6.290，p = 0.012）。此外，生育四个或更多孩子的38名（70.3%）母亲进行纯母乳喂养，而孩子较少的为180名（54.2%）（X = 5.437，p = 0.020）。30岁及以上的哺乳期母亲进行纯母乳喂养的几率比年轻母亲高36%（调整后的优势比 = 1.358，95%置信区间 = 0.886 - 2.081，p = 0.160）。