Amaje Elias, Gebremeskel Feleke, Tufa Girma, Gelchu Miesa, Wayessa Zelalem Jabessa
School of Public Health, Institute of Health, Bule Hora University, Bule Hora, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Health Serv Res Manag Epidemiol. 2022 Jun 7;9:23333928221106056. doi: 10.1177/23333928221106056. eCollection 2022 Jan-Dec.
Even though colostrum discarding hurts child health, little is known about the extent of the problem and its contributing factors in Southern Ethiopia. This study aimed to determine the prevalence of colostrum avoidance practices and associated factors among mothers of children aged less than 12 months in Jinka town, South Ethiopia.
A community-based cross-sectional study was conducted at Jinka Town from March 1 to 30, 2020. A total of 420 mothers having children less than 12 months of age were selected by systematic sampling technique. The data were collected by using pretested interviewer-administered and semi-structured questionnaires. The data was entered using EPI DATA 3.1 and exported to SPSS version 23 for analysis. Descriptive statistics, binary and multivariable logistic regression analysis were done. Adjusted odds ratio with 95% CI at a p-value < 0.05 was estimated to identify statistically significant variables with colostrum avoidance practices.
The prevalence of colostrum avoidance practice was 9.8% [95% CI: (6.9-12.5)]. Delayed initiation of breastfeeding [AOR = 9.08(95% CI 4.16-19.83)], lack of breastfeeding counseling [AOR = 2.33(95% CI 1.11-4.87)], home delivery of index child [AOR = 2.48 (95% CI 1.16-5.27)] and poor knowledge on breastfeeding [AOR = 4.55(95% CI 1.95-10.63)] were factors associated with colostrum avoidance practices.
Colostrum avoidance practice among mothers of children aged less than 12 months in Jinka town was high. Delayed initiation of breastfeeding, lack of breastfeeding counseling, home delivery, and knowledge of breastfeeding practice were factors associated with colostrum avoidance practice.
尽管初乳丢弃有害儿童健康，但在埃塞俄比亚南部，对该问题的严重程度及其影响因素知之甚少。本研究旨在确定埃塞俄比亚南部金卡镇12个月以下儿童母亲中避免初乳喂养的流行情况及相关因素。
2020年3月1日至30日在金卡镇开展了一项基于社区的横断面研究。采用系统抽样技术共选取了420名有12个月以下儿童的母亲。通过使用预先测试的访谈员管理的半结构化问卷收集数据。数据使用EPI DATA 3.1录入，并导出到SPSS 23版进行分析。进行了描述性统计、二元和多变量逻辑回归分析。估计调整后的比值比及95%置信区间，p值<0.05，以确定与避免初乳喂养行为有统计学显著关联的变量。
避免初乳喂养行为的流行率为9.8%[95%置信区间：(6.9 - 12.5)]。母乳喂养开始延迟[AOR = 9.08(95% CI 4.16 - 19.83)]、缺乏母乳喂养咨询[AOR = 2.33(95% CI 1.11 - 4.87)]、指标儿童在家分娩[AOR = 2.48 (95% CI 1.16 - 5.27)]以及母乳喂养知识不足[AOR = 4.55(95% CI 1.95 - 10.63)]是与避免初乳喂养行为相关的因素。
金卡镇12个月以下儿童母亲中避免初乳喂养的行为比例较高。母乳喂养开始延迟、缺乏母乳喂养咨询、在家分娩以及母乳喂养知识是与避免初乳喂养行为相关的因素。
