School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Pediatr. 2022 Apr 18;22(1):213. doi: 10.1186/s12887-022-03281-7.
Early morning sunlight exposure for infants is a good practice to prevent rickets and alleviate the problem of vitamin D deficiency. Rickets is a major public health problem in many countries especially in developing country including Ethiopia. As mothers are frontline person for their children who should know and practice about sunlight exposure, this systematic review and meta-analysis aimed to assess the pooled level of knowledge and practice towards sunlight exposure of their children among mothers in Ethiopia.
PubMed, Google Scholar, Excerpta Medica database (EMBASE), Cochrane Library, Web of Science, and African Journal of Online (AJOL) were searched. The data were extracted using Microsoft Excel and analyzed using STATA version 14. Publication bias was checked by funnel plot and more objectively through Egger's regression test, with P < 0.05 considered to indicate potential publication bias. The heterogeneity of studies was checked using I statistics. Pooled analysis was conducted using a weighted inverse variance random-effects model. Subgroup analysis was done related to geographic region and time. A leave-one-out sensitivity analysis was also employed.
A total of 8 studies with 2974 study participants for knowledge, nine studies with 3475 study participants for practice were used to estimate the pooled level of good knowledge and good practice of sunshine exposure among Ethiopian mothers. The overall estimated good level of knowledge and good practice towards sunshine exposure of their children among mothers was found to be 56.08% ((95% CI: 46.26 - 65.89%; I2 = 96.8%) and 55.632% (95%CI: 44.091 - 67.174%; I2 = 98.2%). Regional subgroup analysis showed that the pooled level of good practice in Amhara and Sidama regions found to be 54.41 and 58.32% respectively.
Study findings showed mothers knowledge and practice towards sunshine exposure of children was quite low in Ethiopia. This study therefore recommends that interventions are needed to increase knowledge and practice of sunlight exposure. This study provides much needed significant evidence for making health-policy recommendations for this vulnerable population group.
让婴儿在清晨暴露于阳光下是预防佝偻病和缓解维生素 D 缺乏症的好方法。佝偻病是许多国家，特别是包括埃塞俄比亚在内的发展中国家的一个主要公共卫生问题。由于母亲是孩子的第一线人员，她们应该了解并实践阳光暴露，因此，本系统评价和荟萃分析旨在评估埃塞俄比亚母亲对其子女阳光暴露的知识和实践水平。
我们检索了 PubMed、Google Scholar、Excerpta Medica 数据库（EMBASE）、Cochrane 图书馆、Web of Science 和非洲在线期刊（AJOL）。使用 Microsoft Excel 提取数据，并使用 STATA 版本 14 进行分析。通过漏斗图和更客观的 Egger 回归检验检查发表偏倚，P<0.05 表示存在潜在的发表偏倚。使用 I 统计量检查研究的异质性。使用加权倒数方差随机效应模型进行汇总分析。进行了与地理位置和时间相关的亚组分析。还进行了一项剔除一个研究的敏感性分析。
共有 8 项研究（2974 名研究参与者）用于评估知识，9 项研究（3475 名研究参与者）用于评估实践，以评估埃塞俄比亚母亲对阳光暴露的良好知识和良好实践水平。总体估计埃塞俄比亚母亲对子女阳光暴露的良好知识和良好实践水平为 56.08%（95%CI：46.26-65.89%；I2=96.8%）和 55.632%（95%CI：44.091-67.174%；I2=98.2%）。区域亚组分析显示，阿姆哈拉和锡达马地区的良好实践水平分别为 54.41%和 58.32%。
研究结果表明，埃塞俄比亚母亲对儿童阳光暴露的知识和实践水平相当低。因此，本研究建议需要采取干预措施来提高阳光暴露的知识和实践。本研究为制定针对这一弱势群体的卫生政策建议提供了急需的重要证据。
Zotero 插件
