Yeşiloğlu Gözde Zeynep, Yalçin Suzan, Yalçin Sıddika Songül
Unit of Social Pediatrics, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey.
BMC Public Health. 2025 Jan 30;25(1):380. doi: 10.1186/s12889-025-21541-w.
Age-appropriate breastfeeding and adequate complementary feeding play a crucial role in reducing under-5 mortality rates, malnutrition, and mortality worldwide. Given the high prevalence of adolescent pregnancy in Uganda, we aimed to assess the competence of adolescent mothers in infant and young child feeding (IYCF) using data from the 2016 Uganda Demographic Health Survey.
Our sample comprised the last children aged 6-23 months of mothers aged 15-29 years, totaling 2594 mother-infant pairs; 402 were aged 15-19 years, 1,388 were aged 20-29 years with their first delivery before the age of 20, and 804 were aged 20-29 years with their first delivery at 20 years or older. We utilized complex sample logistic regression analysis to examine the interactions between adolescent motherhood and IYCF indicators during the previous day of the survey.
The rates of ongoing breastfeeding, bottle feeding, minimum meal frequency, minimum dietary diversity, minimum acceptable diet, egg and/or flesh food consumption, zero vegetable or fruit consumption, and unhealthy food consumption were found to be 77.7%, 16.3%, 37.5%, 28.7%, 14.2%, 41.7%, 31.6%, and 14.7%, respectively. Multivariate complex sample logistic regression revealed that women with a history of adolescent pregnancy had lower odds of achieving minimum meal frequency, and higher odds of zero vegetable or fruit consumption.
Adolescent mothers and women who give birth during their teenage years are particularly vulnerable to inadequate infant and young child nutrition practices. Targeted interventions and education programs should be implemented to promote optimal complementary feeding practices among mothers in Uganda.
适龄母乳喂养和充足的辅食喂养在降低全球五岁以下儿童死亡率、营养不良及死亡率方面发挥着关键作用。鉴于乌干达青少年怀孕率较高，我们旨在利用2016年乌干达人口与健康调查的数据，评估青少年母亲在婴幼儿喂养（IYCF）方面的能力。
我们的样本包括年龄在15 - 29岁母亲的最后一个6 - 23个月大的孩子，共有2594对母婴；其中402名母亲年龄在15 - 19岁，1388名母亲年龄在20 - 29岁且首次分娩在20岁之前，804名母亲年龄在20 - 29岁且首次分娩在20岁或之后。我们采用复杂样本逻辑回归分析来研究调查前一天青少年母亲身份与婴幼儿喂养指标之间的相互作用。
持续母乳喂养、奶瓶喂养、最低进餐频率、最低饮食多样性、最低可接受饮食、蛋类和/或肉类食物消费、零蔬菜或水果消费以及不健康食品消费的比例分别为77.7%、16.3%、37.5%、28.7%、14.2%、41.7%、31.6%和14.7%。多变量复杂样本逻辑回归显示，有青少年怀孕史的女性达到最低进餐频率的几率较低，而零蔬菜或水果消费的几率较高。
青少年母亲以及十几岁就分娩的女性尤其容易出现婴幼儿营养做法不当的情况。应实施有针对性的干预措施和教育项目，以促进乌干达母亲采用最佳的辅食喂养做法。
