Addis Alemayehu Tesfaye, Dawed Yeshimebet Ali, Yimer Geleta Mussa, Adem Yonas Fissha
Department of Public Health, Zemen Postgraduate College, Dessie, Ethiopia.
Department of Public Health Nutrition, Wollo University, Dessie, Ethiopia.
Front Nutr. 2024 Nov 1;11:1465008. doi: 10.3389/fnut.2024.1465008. eCollection 2024.
Implementing appropriate complementary food hygiene practices is essential to lower the incidence of food-borne disease and malnutrition in children. However, this aspect is often overlooked in resource-limited settings, and information regarding these practices is not fully available and is not assessed enough. Therefore, this study aimed to assess complementary food hygiene practices and their associated factors in Dessie Zuria, South Wollo Zone, Amhara, Ethiopia, in 2023.
An institutional-based cross-sectional study design was conducted from 17 April to 18 May 2023, among 366 mothers with children aged 6-23 months. Dessie Zuria was purposively selected, and a systematic random sampling technique was used to recruit study participants. Data were collected using pretested and structured questionnaires. Finally, the data were entered using EPI-info and then exported to SPSS version 26. Bivariable and multivariable logistic regression analyses were used to identify factors associated with complementary feeding hygiene practices. Both crude odds ratios (COR) and adjusted odds ratios (AOR) with a 95% confidence level (CI) were computed, and a -value of <0.05, in the final model, was considered statistically significant.
The proportion of households practicing complementary food hygiene was 22.22%. Factors associated with these practices included access to media such as television or radio (AOR = 10.51, 95% CI: 2.8, 39.28), starting complementary feeding before 6 months (AOR = 2.01, 95% CI: 1.05, 3.84), and the child's age being 6 to 11 months (AOR = 0.25, 95% CI: 0.08, 0.7).
The prevalence of complementary food hygiene practices was poor. Healthcare professionals should promote starting breastfeeding at the age of 6 months. In addition, media companies ought to make an effort to create a positive social and cultural environment that encourages complementary feeding practices for young children.
实施适当的辅食卫生习惯对于降低儿童食源性疾病和营养不良的发生率至关重要。然而，在资源有限的环境中，这一方面往往被忽视，关于这些习惯的信息并不完全可得，且评估不足。因此，本研究旨在评估2023年埃塞俄比亚阿姆哈拉州南沃洛地区德西祖里亚的辅食卫生习惯及其相关因素。
2023年4月17日至5月18日，在366名有6至23个月大孩子的母亲中开展了一项基于机构的横断面研究设计。德西祖里亚是经过 purposively 选择的，采用系统随机抽样技术招募研究参与者。使用经过预测试的结构化问卷收集数据。最后，使用EPI-info输入数据，然后导出到SPSS 26版。采用双变量和多变量逻辑回归分析来确定与辅食喂养卫生习惯相关的因素。计算了95%置信区间（CI）的粗比值比（COR）和调整比值比（AOR），最终模型中p值<0.05被认为具有统计学意义。
实行辅食卫生的家庭比例为22.22%。与这些习惯相关的因素包括能够接触电视或广播等媒体（AOR = 10.51，95% CI：2.8，39.28）、在6个月前开始辅食喂养（AOR = 2.01，95% CI：1.05，3.84）以及孩子年龄在6至11个月（AOR = 0.25，95% CI：0.08，0.7）。
辅食卫生习惯的普及率较低。医疗保健专业人员应提倡在6个月时开始母乳喂养。此外，媒体公司应努力营造一个积极的社会和文化环境，鼓励对幼儿进行辅食喂养。
