Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Po. Box: 196, Gondar, Ethiopia.
Department of Health Education and Behavioral Science, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pregnancy Childbirth. 2023 Apr 1;23(1):220. doi: 10.1186/s12884-023-05544-2.
For infants, no one is as nutritious as breastmilk for the rest of their lives. It is a great guarantee for their future health, especially if they can exclusively breastfeed for the next few months, from the moment they are born until the end of the fifth month. Although breastfeeding rates are very low, there is no data record about it in the Gambia.
This study aimed to assess the status of exclusive breastfeeding and its determinants among infants under six months of age in the Gambia.
It is a secondary data analysis using the 2019-20 Gambia demographic and health survey data. A total of 897 weighted mother-infant paired samples were included in the study. A logistic regression analysis method was employed to declare factors significantly associated with exclusive breastfeeding among infants under six months of age in Gambia. Variables with a p-value of 0.2 were entered into multiple logistic regression analysis, and after controlling other confounding factors, an adjusted odds ratio of 95% CI was applied to identify associated variables.
Exclusive breastfeeding was found in 53.63% only among infants under six months of age. Being a rural resident (AOR = 2.14, 95% CI: 1.33, 3.41), reading a newspaper (AOR = 5.62, 95% CI: 1.32, 24.09), and being counseled on breastfeeding by a health professional (AOR = 1.36, 95% CI: 1.01, 1.82) are times more likely to practice exclusive breastfeeding, respectively. On the other hand, a child with a fever (AOR = 0.56, 95% CI: 0.37, 0.84), a child whose age is 2-3 months (AOR = 0.41, 95 CI: 0.28, 0.59), and a child whose age is 4-5 months (AOR = 0.11, 95% CI: 0.07, 0.16) is less likely to be fed exclusively than a 0-1-month-old child.
Exclusive breastfeeding remains among the public health challenges in the Gambia. Strengthening health professionals' counseling techniques on breastfeeding and infant illnesses, promoting the pros of breastfeeding, and designing timely policies and interventions are urgently needed in the country.
对于婴儿来说，在他们的余生中，没有什么比母乳更有营养了。这是他们未来健康的巨大保障，尤其是如果他们能够在接下来的几个月内进行纯母乳喂养，从出生到第五个月结束。尽管母乳喂养率非常低，但冈比亚没有这方面的数据记录。
本研究旨在评估冈比亚 6 个月以下婴儿的纯母乳喂养状况及其决定因素。
这是一项利用 2019-20 年冈比亚人口与健康调查数据进行的二次数据分析。共纳入 897 对加权母婴样本进行研究。采用逻辑回归分析方法，宣布冈比亚 6 个月以下婴儿纯母乳喂养的相关因素。具有 0.2p 值的变量被纳入多变量逻辑回归分析，在控制其他混杂因素后，应用调整后的优势比 95%置信区间来确定相关变量。
仅 53.63%的 6 个月以下婴儿进行纯母乳喂养。与农村居民（AOR=2.14，95%CI：1.33，3.41）、阅读报纸（AOR=5.62，95%CI：1.32，24.09）和接受专业医疗保健人员的母乳喂养咨询（AOR=1.36，95%CI：1.01，1.82）相比，纯母乳喂养的可能性分别增加了 2.14 倍、5.62 倍和 1.36 倍。另一方面，发烧的儿童（AOR=0.56，95%CI：0.37，0.84）、2-3 月龄儿童（AOR=0.41，95%CI：0.28，0.59）和 4-5 月龄儿童（AOR=0.11，95%CI：0.07，0.16）比 0-1 月龄儿童更不可能进行纯母乳喂养。
纯母乳喂养仍然是冈比亚公共卫生面临的挑战之一。加强卫生专业人员对母乳喂养和婴儿疾病的咨询技巧，促进母乳喂养的好处，并及时制定政策和干预措施，是该国急需解决的问题。
