Rushender Rajan, Krishnamoorthy Yuvaraj, Hussain Siraja Ameenah Anwar
Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Srm Nagar, Kattankulathur, Kanchipuram, Chennai, Tn, India.
Assistant Professor, Department of Community Medicine, ESIC Medical College and PGIMSR, K.K. Nagar, Chennai, India.
J Educ Health Promot. 2022 Feb 26;11:72. doi: 10.4103/jehp.jehp_425_21. eCollection 2022.
Addressing good breastfeeding practices among antenatal and postnatal mothers is important as it helps in bringing about a positive change in the behavior, attitude, and practice with appropriate health education. Hence, this study was done to determine the awareness level of antenatal and postnatal mothers about the breastfeeding practices and benefits and identify the factors associated with it in rural Chengalpattu, Tamil Nadu, India.
We conducted this community-based cross-sectional study among 377 antenatal and postnatal mothers in the selected rural villages of Chengalpattu between October 2019 and September 2020. Details regarding the sociodemographic characteristics and awareness/knowledge about the breastfeeding were collected using pretested semistructured questionnaire. Knowledge adequacy was summarized as proportion with 95% confidence interval (CI), and factors associated with knowledge were interpreted as adjusted prevalence ratio (aPR) with 95% CI using log-binomial regression.
About 19.6% (95% CI: 15.7%-24.0%) mothers had inadequate knowledge about breastfeeding. Women who were unemployed (aPR = 1.60; 95% CI: 1.02-2.51), belonging to the lower socioeconomic status (aPR = 2.62; 95% CI: 1.80-3.82), belonging to Muslim religion (aPR = 1.63; 95% CI: 1.14-2.35), and living in joint family (aPR = 1.58; 95% CI: 1.12-2.21) had significant higher risk of inadequate knowledge about breastfeeding practices compared to those who were employed, belonging to puper socioeconomic status, Hindu religion, and living in nuclear family.
We found that almost one-fifth of the antenatal and/or postnatal mothers had inadequate knowledge about the breastfeeding benefits and practices. Health education sessions are required to promote the awareness about breastfeeding during antenatal and postnatal check-ups.
在产前和产后母亲中倡导良好的母乳喂养习惯非常重要,因为通过适当的健康教育,有助于在行为、态度和实践方面带来积极的改变。因此,本研究旨在确定印度泰米尔纳德邦坦贾武尔农村地区产前和产后母亲对母乳喂养习惯和益处的认知水平,并确定与之相关的因素。
2019年10月至2020年9月期间,我们在坦贾武尔选定的农村村庄对377名产前和产后母亲进行了这项基于社区的横断面研究。使用经过预测试的半结构化问卷收集了社会人口学特征以及母乳喂养的认知/知识的详细信息。知识充足率以95%置信区间(CI)的比例进行总结,与知识相关的因素使用对数二项回归以95%CI的调整患病率比(aPR)进行解释。
约19.6%(95%CI:15.7%-24.0%)的母亲对母乳喂养知识不足。与就业、属于较高社会经济地位、印度教、生活在核心家庭中的母亲相比,失业(aPR = 1.60;95%CI:1.02-2.51)母亲、属于较低社会经济地位(aPR = 2.62;95%CI:1.80-3.82)母亲、属于穆斯林宗教(aPR = 1.63;95%CI:1.14-2.35)母亲以及生活在大家庭(aPR = 1.58;95%CI:1.12-2.21)的母亲对母乳喂养习惯知识不足的风险显著更高。
我们发现,几乎五分之一的产前和/或产后母亲对母乳喂养的益处和习惯知识不足。需要在产前和产后检查期间开展健康教育课程,以提高对母乳喂养的认识。