Gessese Getachew Tilahun, Woldeamanuel Berhanu Teshome, Demie Takele Gezahegn, Diriba Biratu Tolesa, Handebo Simegnew
Department of Nutrition, School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Epidemiology and Biostatistics, School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Front Nutr. 2022 Oct 3;9:970737. doi: 10.3389/fnut.2022.970737. eCollection 2022.
Infants under the age of 6 months are commonly affected by malnutrition globally. The higher the breastfeeding performance index (BPI), the greater the advantage of breastfeeding will be. However, there is a lack of literature in the context of Ethiopia. Therefore, this study is aimed at investigating the magnitude and determinants of the breastfeeding performance index score among mothers of children under the age of 6 months in Ethiopia.
This study was conducted using the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS) dataset. A stratified, two-stage cluster sampling technique was used in the study. The survey data were weighted using the "svy" function in STATA version 16. Descriptive statistics, bivariable and multivariable logistic regression were employed in the analysis. An adjusted odds ratio () with a 95% confidence interval () was reported. The results were considered statistically significant if the -value was < 0.05. The goodness of fit of the model was checked using the Hosmer-Lemeshow test.
A total of 4,273 mothers with children under the age of 6 months were included in the analysis. Our analysis revealed that the prevalence of low breastfeeding performance index was 79.05% (95% : 78.01, 81.59). A unit increase in child age ( = 11.56; 95% : 6.97, 19.17), the richest wealth quintile ( = 2.76; 95% : 1.18, 6.5), a higher level of education ( = 5.41; 95% : 2.08, 14.05), being married or living with partner ( = 2.73; 95% : 1.18, 6.27), being women from Somali ( = 5.11; 95% : 2.08, 12.56), Afar ( = 3.03; 95% : 1.16, 7.91), Oromia ( = 1.88; 95% : 1.03, 3.41), Diredawa city administration ( = 2.89; 95% : 1.04, 8.07), and antenatal care (ANC) visit ( = 2.05; 95% : 1.31, 3.19) were positively associated with the low breastfeeding performance index.
The prevalence of the low breastfeeding performance index was found to be high. Hence, the findings of the study suggest the need to target interventions aimed at improving breastfeeding performance toward mothers with higher socioeconomic and demographic status and educational status. Antenatal care clients are among the targets of the intervention.
全球范围内，6个月以下婴儿普遍受到营养不良的影响。母乳喂养表现指数（BPI）越高，母乳喂养的优势就越大。然而，在埃塞俄比亚的背景下，相关文献匮乏。因此，本研究旨在调查埃塞俄比亚6个月以下儿童母亲的母乳喂养表现指数得分情况及其影响因素。
本研究使用2019年埃塞俄比亚微型人口与健康调查（EMDHS）数据集。研究采用分层两阶段整群抽样技术。调查数据使用STATA 16版本中的“svy”函数进行加权。分析采用描述性统计、双变量和多变量逻辑回归。报告调整后的比值比（）及95%置信区间（）。若P值<0.05，则结果被认为具有统计学意义。使用Hosmer-Lemeshow检验检查模型的拟合优度。
共有4273名6个月以下儿童的母亲纳入分析。我们的分析显示，低母乳喂养表现指数的患病率为79.05%（95%：78.01，81.59）。儿童年龄每增加1岁（=11.56；95%：6.97，19.17）、最富裕财富五分位数（=2.76；95%：1.18，6.5）、较高教育水平（=5.41；95%：2.08，14.05）、已婚或与伴侣同住（=2.73；95%：1.18，6.27）、索马里族女性（=5.11；95%：2.08，12.56）、阿法尔族女性（=3.03；95%：1.16，7.91）、奥罗米亚州女性（=1.88；95%：1.03，3.41）、迪雷达瓦市行政区女性（=2.89；95%：1.04，8.07）以及产前检查（ANC）就诊（=2.05；95%：1.31，3.19）与低母乳喂养表现指数呈正相关。
发现低母乳喂养表现指数的患病率较高。因此，研究结果表明需要针对社会经济和人口统计学地位较高以及教育水平较高的母亲开展旨在提高母乳喂养表现的干预措施。产前检查对象是干预目标之一。
