Yigezu Muluken, Kebede Natnael
Department of Public Health, College of Medicine & Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
J Health Popul Nutr. 2025 Jan 22;44(1):17. doi: 10.1186/s41043-024-00708-y.
For mothers identified as HIV-infected, recommended infant feeding practices must prioritize the highest likelihood of ensuring HIV-free survival for their children while preserving maternal health. Consequently, understanding the feeding status during critical infancy stages, especially under the risk of HIV, plays a crucial role in enhancing the quality of life within this specific population segment. Hence, this study was conducted to assess the magnitude and associated factors of recommended infant feeding practices and its associated factors among HIV-positive mothers in Eastern Ethiopian Hospitals.
A cross-sectional study conducted in Eastern Ethiopian Hospitals from June to July 2022 included 371 mothers of infants. Participants were selected using systematic random sampling techniques. Data was collected through pre-tested structured face-to-face interviews administered by trained interviewers. Following data collection, information was cleaned and entered using Kobo tool collection software, then exported to Statistical Package for Social Sciences (SPSS) version 25 for analysis. Binary logistic regression analysis was employed to assess the strength of association between explanatory and outcome variables. Variables with a p-value < 0.25 in univariable logistic regression analysis were considered for multivariable logistic regression analysis, and statistical significance was determined at a P-value < 0.05 with a 95% confidence interval.
The magnitude of recommended feeding practice was found to be 86% (95% CI: 81.9, 89.1). HIV-positive mothers who had a child age of 0-6 months [AOR = 5.21 (95% CI: 2.54, 10.70], spontaneous vaginal delivery [AOR = 2.11 (95% CI: 1.05, 4.24], and ever provided expressed breast milk [AOR = 2.82 (95% CI: 1.33, 5.95] were significantly associated with recommended Infant feeding practice.
the study identified a moderate level of adherence to recommended infant feeding practices among HIV-positive mothers in Eastern Ethiopian hospitals. Key factors influencing adherence included the child's age, mode of delivery, and the provision of expressed breast milk. Target interventions to improve infant feeding practices among HIV-positive mothers, focusing on younger infants, cesarean-delivered mothers, and those not providing expressed breast milk. Strengthen counseling and education in healthcare facilities to address these significant factors and enhance adherence to recommended feeding practices.
对于确诊感染艾滋病毒的母亲，推荐的婴儿喂养方式必须在保障母亲健康的同时，最大程度地确保其子女无艾滋病毒存活。因此，了解关键婴儿期阶段的喂养状况，尤其是在艾滋病毒风险下的喂养状况，对于提高这一特定人群的生活质量至关重要。因此，本研究旨在评估埃塞俄比亚东部医院艾滋病毒阳性母亲中推荐的婴儿喂养方式的比例及其相关因素。
2022年6月至7月在埃塞俄比亚东部医院进行的一项横断面研究纳入了371名婴儿的母亲。采用系统随机抽样技术选取参与者。数据通过经过预测试的结构化面对面访谈收集，由训练有素的访谈员进行。数据收集后，使用Kobo工具收集软件进行清理和录入，然后导出到社会科学统计软件包（SPSS）25版进行分析。采用二元逻辑回归分析来评估解释变量和结果变量之间的关联强度。单变量逻辑回归分析中p值<0.25的变量被纳入多变量逻辑回归分析，统计显著性以P值<0.05和95%置信区间确定。
推荐喂养方式的比例为86%（95%CI：81.9，89.1）。子女年龄为0 - 6个月的艾滋病毒阳性母亲[AOR = 5.21（95%CI：2.54，10.70）]、自然阴道分娩的母亲[AOR = 2.11（95%CI：1.05，4.24）]以及曾提供过挤出母乳的母亲[AOR = 2.82（95%CI：1.33，5.95）]与推荐的婴儿喂养方式显著相关。
该研究发现埃塞俄比亚东部医院的艾滋病毒阳性母亲对推荐的婴儿喂养方式的依从程度中等。影响依从性的关键因素包括孩子的年龄、分娩方式以及挤出母乳的提供情况。针对艾滋病毒阳性母亲改善婴儿喂养方式的目标干预措施，应侧重于年龄较小的婴儿、剖宫产的母亲以及未提供挤出母乳的母亲。加强医疗机构的咨询和教育，以解决这些重要因素并提高对推荐喂养方式的依从性。
