Hunde Belachew M, Sitotaw Ismael K, Elema Teshome B
Department of Statistics, Arsi University, Asella, Ethiopia.
College of Medical and Health Sciences, Department of Public health, Arsi University, Asella, Ethiopia.
BMC Nutr. 2023 Jun 29;9(1):79. doi: 10.1186/s40795-023-00733-w.
Since bottle feeding has an impact on the effectiveness of breastfeeding and appropriate supplemental feeding, the World health organization recommends being avoided for infant and early child feeding. Thus, this study aimed to assess the level of the bottle-feeding practice and its associated factors among mothers of 0-24 month's children in Asella town, Oromia region, Ethiopia.
Community-based cross-sectional study design was conducted from March 8-April 8, 2022, among a sample of 692 mothers of children aged 0-24 months. A multi-stage sampling technique was used to select the study subjects. Data were collected using a pretested and structured questionnaire by face-to-face interview technique questionnaire. The outcome variable bottle-feeding practice (BFP) was assessed using WHO and UNICEF UK healthy baby initiative BF assessment tools. Binary logistic regression analysis was used to identify the association between explanatory and outcome variables. Adjusted Odds ratio (AOR) with a 95% confidence interval was used to measure the strength of the association and a p-value < 0.05 was used to declare statistical significance.
A total of 692 mothers with mean age and standard deviation (SD) of 31.86 (± 4.87) participated in the study. The prevalence of bottle-feeding practice was 246(35.5% with 95% CI: (31.8, 39.5). Mothers who were government-employed (AOR: 1.64, 95% CI: 1.02, 2.64), mothers who delivered at home (AOR: 3.74, 95% CI: 2.58-5.42), mothers who did not attend postnatal care (AOR: 3.76, 95% CI: 2.60,5.44) and mother who had negative attitude (AOR: 1.94, 95%CI: 1.34,2.8) were significantly associated with bottle feeding practices.
The BFP were higher in the study area when compared with national reports of practices. The occupational status of the mothers, place of delivery, attending postnatal care, and attitude of the mothers were factors that increased bottle-feeding practice in the study area. Strengthening dietary behavioral modification for mothers who have children 0-24 months of the child to practice appropriate feeding is recommended.
由于奶瓶喂养会影响母乳喂养和适当补充喂养的效果，世界卫生组织建议避免用于婴儿和幼儿喂养。因此，本研究旨在评估埃塞俄比亚奥罗米亚州阿塞拉镇0至24个月儿童母亲的奶瓶喂养实践水平及其相关因素。
2022年3月8日至4月8日，对692名0至24个月儿童的母亲进行了基于社区的横断面研究设计。采用多阶段抽样技术选择研究对象。通过面对面访谈技术使用预先测试和结构化的问卷收集数据。使用世界卫生组织和联合国儿童基金会英国健康婴儿倡议母乳喂养评估工具评估结果变量奶瓶喂养实践（BFP）。采用二元逻辑回归分析确定解释变量和结果变量之间的关联。使用95%置信区间的调整优势比（AOR）来衡量关联强度，p值<0.05表示具有统计学意义。
共有692名平均年龄为31.86（±4.87）的母亲参与了研究。奶瓶喂养实践的患病率为246（35.5%，95%CI：（31.8，39.5））。受雇于政府的母亲（AOR：1.64，95%CI：1.02，2.64）、在家分娩的母亲（AOR：3.74，95%CI：2.58 - 5.42）、未接受产后护理的母亲（AOR：3.76，95%CI：2.60，5.44）以及态度消极的母亲（AOR：1.94，95%CI：1.34，2.8）与奶瓶喂养实践显著相关。
与全国实践报告相比，研究地区的奶瓶喂养实践率更高。母亲的职业状况、分娩地点、接受产后护理情况以及母亲的态度是研究地区增加奶瓶喂养实践的因素。建议加强对0至24个月儿童母亲的饮食行为改变，以实施适当的喂养方式。
