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感染艾滋病毒的母乳喂养母亲的婴儿喂养知识、态度和做法。

Infant feeding knowledge, attitudes and practices of HIV-positive breastfeeding mothers.

作者信息

Mabotja Kgabo M, van Onselen Annette, Gordon Reno E

机构信息

Department of Human Nutrition & Dietetics, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Department of Life and Consumer Sciences, College of Agriculture and Environmental Sciences, University of South Africa, Johannesburg, South Africa.

出版信息

Health SA. 2024 Jul 31;29:2617. doi: 10.4102/hsag.v29i0.2617. eCollection 2024.

Abstract

BACKGROUND

Assessment of infant feeding knowledge, attitudes and practices of human immunodeficiency virus (HIV)-positive breastfeeding mothers may determine compliance with the chosen feeding method.

AIM

The study assessed knowledge, attitudes and practices on infant feeding among HIV-positive breastfeeding mothers.

SETTING

The study was conducted at five clinics in the Chief Albert Luthuli sub-district of Mpumalanga, South Africa.

METHODS

A descriptive cross-sectional study with a convenient sample of 155 HIV-positive breastfeeding mothers.

RESULTS

More than half of the participants (54.8%) were knowledgeable of exclusive breastfeeding in general. However, less than half were knowledgeable of exclusive breastfeeding in the context of HIV (46.5%), mixed feeding (28.4%) and replacement feeding (49.0%). Most participants (85.8%) reported that they were advised to exclusively breastfeed for 6 months, 61.3% intended to exclusively breastfeed for 6 months, and 29% intended to stop breastfeeding at 6 months. Most participants (64.5%) intended to introduce solids at 6 months, and for participants who intended to introduce solids before 6 months, 37.7% did not believe that exclusive breastfeeding was sufficient for the baby.

CONCLUSION

Although most participants were knowledgeable about exclusive breastfeeding, there were misconceptions that required attention such as the lack of knowledge on exclusive breastfeeding in the context of HIV, mixed feeding and replacement feeding. Exclusive breastfeeding for 6 months was the most emphasised infant feeding practice.

CONTRIBUTION

This study builds on existing literature on infant feeding knowledge, attitudes and practices and provides a basis for interventions for improved exclusive breastfeeding rates.

摘要

背景

评估感染人类免疫缺陷病毒(HIV)的母乳喂养母亲的婴儿喂养知识、态度和做法,可能有助于确定她们对所选喂养方式的依从性。

目的

本研究评估了感染HIV的母乳喂养母亲在婴儿喂养方面的知识、态度和做法。

地点

该研究在南非姆普马兰加省阿尔伯特·卢图利酋长分区的五家诊所进行。

方法

一项描述性横断面研究,方便抽取了155名感染HIV的母乳喂养母亲作为样本。

结果

超过一半的参与者(54.8%)总体上了解纯母乳喂养。然而,不到一半的人了解在HIV背景下的纯母乳喂养(46.5%)、混合喂养(28.4%)和替代喂养(49.0%)。大多数参与者(85.8%)报告称,她们被建议纯母乳喂养6个月,61.3%的人打算纯母乳喂养6个月,29%的人打算在6个月时停止母乳喂养。大多数参与者(64.5%)打算在6个月时开始添加固体食物,对于那些打算在6个月前添加固体食物的参与者,37.7%的人认为纯母乳喂养对婴儿来说是不够的。

结论

尽管大多数参与者了解纯母乳喂养,但仍存在一些需要关注的误解,例如在HIV背景下、混合喂养和替代喂养方面对纯母乳喂养缺乏了解。强调最多的婴儿喂养做法是纯母乳喂养6个月。

贡献

本研究以关于婴儿喂养知识、态度和做法的现有文献为基础,为提高纯母乳喂养率的干预措施提供了依据。

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