埃塞俄比亚牛粪和油应用于脐带残端的个体及社区层面相关因素的多层次分析。
Multilevel analysis of individual and community level factors associated with the application of cow dung and oil on the umbilical cord stump in Ethiopia.
作者信息
Dessie Anteneh Mengist, Geremew Habtamu, Feleke Sefineh Fenta, Anley Denekew Tenaw, Mruts Kalayu Brhane, Yenew Chalachew, Bantie Berihun, Misganaw Natnael Moges, Kerebeh Gashaw, Gebeyehu Asaye Alamneh, Asnakew Desalegn Tesfa, Anteneh Rahel Mulatie
机构信息
Department of Public Health, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
College of Health Science, Oda Bultum University, Chiro, Ethiopia.
出版信息
Front Pediatr. 2022 Nov 7;10:1044056. doi: 10.3389/fped.2022.1044056. eCollection 2022.
BACKGROUND
Hygienic umbilical cord care is one of the essential interventions advocated to reduce neonatal mortality. However, traditional cord care measures-applying cow dung and oil-that have harmful health consequences are commonly practiced in Ethiopia. Hence, in this study, it was planned to analyze individual and community-level factors associated with the application of cow dung and oil on the umbilical cord stump in Ethiopia.
METHODS
Data from the 2016 Ethiopian demographic and health survey were used to identify individual and community level factors associated with women's practice of applying cow dung and oil on the umbilical cord stump of their neonate. Taking into account for the hierarchical structure of the data; multilevel binary logistic regression analysis has been employed to a nationally representative weighted sample of 7,168 women.
RESULTS
In Ethiopia, 780 (10.88%) with 95% CI (10.18-11.62) women apply oil and/or cow dung on the neonate's umbilical cord stump. Age increase by one year [AOR = 0.97; 95% CI (0.94-0.99)] and giving birth in a health facility [AOR = 0.61; 95% CI (0.42-0.89)] were individual-level factors that reduced women's practice of applying cow dung and oil on the umbilical cord stump of their neonate. Whereas, rural residence [AOR = 2.54; 95% CI (1.28-5.06)] was the predictor at the community level that raised the practice of applying cow dung and oil on the neonate's umbilical cord stump.
CONCLUSION
This nationwide study revealed that a significant number of mothers in Ethiopia still apply cow dung and/or oil on the umbilical cord stump of their neonates. Both the individual and community level characteristics: maternal age, place of delivery, and residence were found to have significant influence on the practice of applying cow dung and/or oil on the umbilical cord stump in Ethiopia. Thus, to reduce neonatal mortality due to avoidable umbilical cord infections, clean cord care practice strategies should be designed by considering these factors.
背景
卫生的脐带护理是倡导的降低新生儿死亡率的重要干预措施之一。然而，在埃塞俄比亚，人们普遍采用传统的脐带护理措施，即涂抹牛粪和油，这对健康有有害影响。因此，在本研究中，计划分析与埃塞俄比亚新生儿脐带残端涂抹牛粪和油相关的个人和社区层面因素。
方法
利用2016年埃塞俄比亚人口与健康调查的数据，确定与女性在新生儿脐带残端涂抹牛粪和油的行为相关的个人和社区层面因素。考虑到数据的层次结构，对7168名具有全国代表性的加权女性样本进行了多水平二元逻辑回归分析。
结果
在埃塞俄比亚，780名（10.88%）95%置信区间为（10.18 - 11.62）的女性在新生儿脐带残端涂抹油和/或牛粪。年龄每增加一岁[AOR = 0.97；95%置信区间为（0.94 - 0.99）]以及在医疗机构分娩[AOR = 0.61；95%置信区间为（0.42 - 0.89）]是降低女性在新生儿脐带残端涂抹牛粪和油行为的个人层面因素。而农村居住[AOR = 2.54；95%置信区间为（1.28 - 5.06）]是社区层面增加在新生儿脐带残端涂抹牛粪和油行为的预测因素。
结论
这项全国性研究表明，埃塞俄比亚有相当数量的母亲仍在新生儿脐带残端涂抹牛粪和/或油。个人和社区层面的特征，即母亲年龄、分娩地点和居住地，都被发现对埃塞俄比亚在新生儿脐带残端涂抹牛粪和/或油的行为有显著影响。因此，为降低因可避免的脐带感染导致的新生儿死亡率，应考虑这些因素设计清洁脐带护理实践策略。
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