Department of Social Pediatrics, Institute of Child Health, Hacettepe University, Ankara, Turkey.
Department of Pediatrics Yenimahalle Research Hospital, Yildirim Beyazit University, Ankara, Turkey.
Int J Environ Health Res. 2024 Mar;34(3):1299-1313. doi: 10.1080/09603123.2023.2183941. Epub 2023 Feb 26.
The study aimed to examine the trends and associated factors of bottle-feeding among children aged 0-35 months. Data covering 11,205 mother-child pairs, from six recent Turkey Demographic and Health Surveys (TDHSs) were analyzed by using complex sample crosstabs and logistic regression. Bottle-feeding was on an upward trend from 33.0% to 51.5% from 1993 to 2013 and fell slightly 47.9% in 2018. Increasing trends of bottle-feeding were found in children aged 6-35 months, the East region, lower wealth index, maternal education under 5 years, Kurdish mothers, and the low antenatal care attendance. Multivariate analysis using data from TDHS-2018 showed that young maternal age, low birth weight and being 6-23 months of age were associated with higher rates of bottle-feeding. The prolonged bottle-feeding became widespread, and the bottle-feeding was common even in 35-month-old children. Interventions by the Government and stakeholders to minimize low rates of bottle-feeding should focus on high-risk groups.
本研究旨在探讨 0-35 月龄儿童奶瓶喂养的趋势及相关因素。利用复合样本交叉表和逻辑回归分析了来自最近的 6 次土耳其人口与健康调查（TDHS）的 11205 对母婴数据。1993 年至 2013 年，奶瓶喂养呈上升趋势，从 33.0%上升至 51.5%，2018 年略有下降，为 47.9%。6-35 月龄儿童、东部地区、较低的财富指数、母亲受教育程度低于 5 年、库尔德母亲以及低产前保健参与率的儿童，奶瓶喂养的上升趋势更为明显。使用 2018 年 TDHS 数据进行的多变量分析表明，母亲年龄较小、出生体重低以及 6-23 月龄是奶瓶喂养率较高的相关因素。长时间的奶瓶喂养变得普遍，即使是 35 月龄的儿童也常见奶瓶喂养。政府和利益攸关方应通过干预措施，将重点放在高风险群体，以尽量降低奶瓶喂养率。
