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孟加拉国纯母乳喂养实践的趋势及其与产妇就业的关系:一项多层次分析。

The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis.

机构信息

Department of Statistics, Comilla University, Cumilla, Bangladesh.

Department of Pharmacy, State University of Bangladesh, Dhaka, Bangladesh.

出版信息

Front Public Health. 2022 Nov 25;10:988016. doi: 10.3389/fpubh.2022.988016. eCollection 2022.

Abstract

Exclusive breastfeeding (EBF) is essential for infant and child health. This study aimed to explore the trend in the EBF over the last decade in Bangladesh and investigated if there was a significant association with maternal employment by analyzing the data extracted from three consecutive nationally representative surveys: Bangladesh Demographic and Health Surveys (BDHS) of 2011, 2014, and 2017-2018. Prevalence of EBF (95% confidence interval) with the Cochran-Armitage test was reported to see the trend in EBF. A chi-square (χ) test was applied to find the potential factors associated with EBF. Finally, a three-level logistic regression was utilized to find the significant association between maternal employment and EBF while adjusting other covariates. We observed no increase in the practice of EBF over the last decade ( = 0.632). The prevalence of EBF was 64.9% (95% CI: 61.41, 68.18) in 2011, followed by 60.1% (95% CI: 56.25, 64) in 2014, and 64.9% (95% CI: 61.82, 67.91) in 2017. Regression results showed that employed mothers had 24% ( < 0.05) lower odds of EBF than unemployed mothers. Early initiation of breastfeeding was also found to be significantly associated [Adjusted odds ratio (AOR): 1.22, < 0.05] with EBF. Government and policymakers must come forward with new interventions to increase the practice of EBF, providing basic education and campaigns on the topic of EBF. Maternity leave should be extended up to 6 months of the child's age to achieve an optimal level of EBF.

摘要

纯母乳喂养(EBF)对婴儿和儿童的健康至关重要。本研究旨在探讨过去十年孟加拉国 EBF 的趋势,并通过分析来自三次连续全国代表性调查的数据,即 2011 年、2014 年和 2017-2018 年孟加拉国人口与健康调查(BDHS),调查 EBF 是否与母亲就业有显著关联。使用 Cochran-Armitage 检验报告 EBF 的流行率(95%置信区间),以了解 EBF 的趋势。应用卡方(χ)检验发现与 EBF 相关的潜在因素。最后,利用三级逻辑回归在调整其他协变量的情况下,寻找母亲就业与 EBF 之间的显著关联。我们观察到,在过去十年中,EBF 的实践并没有增加( = 0.632)。2011 年 EBF 的流行率为 64.9%(95%CI:61.41,68.18),2014 年为 60.1%(95%CI:56.25,64),2017 年为 64.9%(95%CI:61.82,67.91)。回归结果表明,就业母亲 EBF 的几率比失业母亲低 24%(<0.05)。早期开始母乳喂养也与 EBF 显著相关(调整后的比值比(AOR):1.22,<0.05)。政府和政策制定者必须提出新的干预措施,以增加 EBF 的实践,提供关于 EBF 主题的基本教育和宣传。产假应延长至孩子 6 个月大,以达到最佳的 EBF 水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad3/9732371/f4312fbb5247/fpubh-10-988016-g0001.jpg

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