Endawkie Abel, Tsega Yawkal, Asmamaw Desale Bihonegn
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
BMJ Open. 2024 Dec 20;14(12):e083005. doi: 10.1136/bmjopen-2023-083005.
This study aimed to determine the prevalence, spatial variation and associated factors of mixed milk feeding practice among mothers with infants aged 0-6 months in Ethiopia.
A cross-sectional study design was used.
The study was conducted in Ethiopia.
The study populations were mothers with infants aged 0-6 months and 550 weighted sampled mothers with infants aged 0-6 months were included in the analysis.
The primary outcome was mixed milk feeding practice measured by 24-hour recall assessment and the secondary outcome was factors of mixed milk feeding practice.
The prevalence of mixed milk feeding practice among mothers with infants 0-6 months in Ethiopia was 55.5% with a 95% CI (51, 59). Spatial analysis revealed that mixed milk feeding practice was concentrated in Addis Ababa, Amhara, Oromia and the Southern regions of Ethiopia. Mothers with education had 1.2 times higher odds of engaging in mixed milk feeding compared with those who had no education (AOR=1.2, 95% CI 1.01, 2.3). Mothers from higher wealth index categories exhibited 1.7 times greater odds of mixed milk feeding than those from lower wealth index categories (AOR=1.69, 95% CI 1.3, 1.8). Mothers who delivered in health facilities had a 50% reduced risk of mixed milk feeding compared with those who delivered at home (AOR=0.5, 95% CI 0.3, 0.92). Lastly, the likelihood of mixed milk feeding was 2.6 times higher among mothers in urban administrative regions, while there was a 63% lower risk in less-developed regions compared with developed regions in Ethiopia.
The study highlights the significant prevalence of mixed milk feeding practice among mothers with infants aged 0-6 months in Ethiopia. Spatial analysis revealed distinct geographical clusters of these practices, particularly in urban areas such as Addis Ababa, Amhara and Oromia. Maternal education, wealth status, place of delivery and regional differences were associated factors of mixed milk feeding. Specifically, mothers who have education and those from wealthier backgrounds were more likely to engage in mixed milk feeding, while those delivering in health facilities had a lower risk.
本研究旨在确定埃塞俄比亚0至6个月婴儿母亲混合喂养做法的患病率、空间差异及相关因素。
采用横断面研究设计。
研究在埃塞俄比亚进行。
研究人群为0至6个月婴儿的母亲，550名经加权抽样的0至6个月婴儿母亲纳入分析。
主要结果是通过24小时回顾性评估衡量的混合喂养做法，次要结果是混合喂养做法的相关因素。
埃塞俄比亚0至6个月婴儿母亲中混合喂养做法的患病率为55.5%，95%置信区间为(51, 59)。空间分析显示，混合喂养做法集中在亚的斯亚贝巴、阿姆哈拉、奥罗米亚以及埃塞俄比亚南部地区。受过教育的母亲进行混合喂养的几率比未受过教育的母亲高1.2倍（调整后比值比=1.2，95%置信区间1.01, 2.3）。来自较高财富指数类别的母亲进行混合喂养的几率比来自较低财富指数类别的母亲高1.7倍（调整后比值比=1.69，95%置信区间1.3, 1.8）。在医疗机构分娩的母亲进行混合喂养的风险比在家分娩的母亲降低了50%（调整后比值比=0.5，95%置信区间0.3, 0.92）。最后，城市行政区母亲进行混合喂养的可能性比埃塞俄比亚欠发达地区母亲高2.6倍，而欠发达地区母亲进行混合喂养的风险比发达地区母亲低63%。
该研究突出了埃塞俄比亚0至6个月婴儿母亲中混合喂养做法的显著患病率。空间分析揭示了这些做法在不同地理区域的聚集情况，特别是在亚的斯亚贝巴、阿姆哈拉和奥罗米亚等城市地区。母亲的教育程度、财富状况、分娩地点和地区差异是混合喂养的相关因素。具体而言，受过教育的母亲和来自较富裕背景的母亲更有可能进行混合喂养，而在医疗机构分娩的母亲风险较低。
