在埃塞俄比亚西北部，6 至 24 个月大儿童的母亲中适时开始补充喂养及其相关因素：一项比较性横断面研究。

Timely initiation of complementary feeding and associated factors among mothers having children aged 6 to 24 months in North-West Ethiopia: a comparative cross-sectional study.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

BMC Pediatr. 2024 Jul 3;24(1):428. doi: 10.1186/s12887-024-04906-9.

DOI:10.1186/s12887-024-04906-9

PMID:38961360

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11223442/

Abstract

BACKGROUND

The timely introduction of complementary foods during infancy is necessary for nutritional reasons, and to enable the transition from milk feeding to family foods. In the past years, despite efforts that have been put to increase the utilization of timely initiation of complementary feeding practice in Ethiopia, improvements are not satisfactory.

OBJECTIVE

To compare the prevalence of timely initiation of complementary feeding and its associated factors among mothers who have Children 6-24 months in Debre Tabor town and rural Farta district, North-west Ethiopia, 2021.

METHODS

A community-based comparative cross-sectional study was employed from December 1/2020 to 30/ 2020 among 1100 mothers. Data were collected using a structured questioner and analyzed using Statistical Product and Service Solutions. Logistic regression analysis with a 95% confidence interval carried out to determine the association between explanatory and the outcome variables. A P-value of < 0.05 was considered statistically significant.

RESULTS

The prevalence of timely initiation of complementary feeding among urban and rural mothers was 69.8% with (95% CI: 66%, 74%) and 51.9% with (95% CI: 48- 56%) respectively. Urban residence [AOR = 1.39, 95% CI: (1.02-1.94)], had antenatal care visits [AOR = 0.24 (95%CI: (0.13, 0.44)], had post natal care checkups [AOR = 0.44, 95%CI: (0. 27- 0.72)] and being a governmental employee [AOR = 2.82; 95% CI: (1.91-6.1)] were factors associated with timely initiation of complementary feeding among urban mothers. Whereas in rural settings: institutional delivery [(AOR = 2.21, CI: 1.35-3.65)], post natal care checkups [(AOR = 0.53, CI: (0.36-0.77)] being daily laborer [AOR = 3.47; 95% CI: (1.78-6.75)] were associated with timely initiation of complementary feeding.

CONCLUSION

The prevalence of timely introduction of complementary feeding in children aged 6-24 months is still low in the study areas. There was also disparity between urban and rural mothers in which urban mothers practiced better.

摘要

背景

婴儿时期适时引入补充食品对于营养方面和从奶类喂养过渡到家庭食物喂养都是必要的。尽管在过去几年中，埃塞俄比亚已经做出了很多努力来提高适时开始补充喂养实践的利用率，但进展并不令人满意。

目的

比较德布雷塔博尔镇和法尔塔区农村地区 6-24 个月儿童的母亲中适时开始补充喂养的流行率及其相关因素，这两个地区都位于埃塞俄比亚西北部。

方法

这是一项于 2020 年 12 月 1 日至 30 日进行的基于社区的比较性横断面研究，共有 1100 名母亲参与。使用结构化问卷收集数据，并使用统计产品和服务解决方案进行分析。采用具有 95%置信区间的逻辑回归分析来确定解释变量和结果变量之间的关联。P 值<0.05 被认为具有统计学意义。

结果

城市和农村地区母亲中适时开始补充喂养的流行率分别为 69.8%（95%CI：66%，74%）和 51.9%（95%CI：48-56%）。城市居住（AOR=1.39，95%CI：（1.02-1.94））、产前保健就诊（AOR=0.24，95%CI：（0.13，0.44））、产后检查（AOR=0.44，95%CI：（0.27-0.72））和政府雇员（AOR=2.82；95%CI：（1.91-6.1））是与城市母亲中适时开始补充喂养相关的因素。而在农村地区：机构分娩（AOR=2.21，CI：1.35-3.65））、产后检查（AOR=0.53，CI：（0.36-0.77））、体力劳动者（AOR=3.47；95%CI：（1.78-6.75））与儿童 6-24 个月时适时开始补充喂养相关。