Tadegew Getachew, Chane Tefera, Bogale Eyob Ketema
Department of Public Health Nutrition, Mekoy Health Center, Debre Berehan, Ethiopia.
Department of Public Health Nutrition, Wollo University, Dessie, Ethiopia.
BMJ Public Health. 2024 Mar 26;2(1):e000307. doi: 10.1136/bmjph-2023-000307. eCollection 2024 Jun.
To assess the magnitude of parental hygienic complementary feeding practices (PHCFPs) and their associated factors among mothers with children aged 6-23 months in Antsokia Gemza district, Ethiopia, in 2022.
A community-based cross-sectional study was conducted in Antsokia Gemza district, North Shoa, Ethiopia, from 25 June to 22 July 2022. A systematic random sampling technique was applied to select study participants. A total of 391 respondents participated in the study. All mothers (biological mothers, grandmothers, sisters and others) taking responsibility for caring for a child of age 6-23 months were included in the study. Data were collected by using interviewer-administrated questionnaires. Data were entered into Epi-Data V.3.1 and exported to SPSS V.25 for data cleaning and further analysis. Bivariable and multivariable binary logistic regression were employed to identify predictor variables of hygienic practice in complementary feeding with a p value <0.25 entered into the multivariable logistic regression model. Independent variables with a 95% CI and p values <0.05 in multivariable logistic regression were considered statistically significant.
The magnitude of good parental hygienic practice during complementary feeding of their children aged 6-23 months was 45.3%, with a 95% CI (40.2%-50%). Maternal age of 34-41 years (adjusted odd ratio (AOR): 2.75, 95% CI (1.16-6.53)), secondary school educated mothers (AOR: 8.2, 95% CI (3.26-20.97)), daily laborer mothers (AOR: 0.22, 95% CI (0.06-0.83)), access to pipe water (AOR: 7.1, 95% CI (3.98-12.66)), access to media (AOR: 2.8, 95% CI (1.4-5.7)), and having a positive attitude (AOR: 8.6, 95% CI (2.43-31.0)) were significant predictors of maternal hygienic complementary feeding practice .
The magnitude of good maternal hygienic complementary feeding practice was low. Hence, the district health office, education office, communication office and water and energy office should work hard jointly on maternal education, pipe water supply, awareness creation and information dissemination.
评估2022年埃塞俄比亚安托索基亚·根扎区6至23个月儿童母亲的父母卫生辅食喂养做法（PHCFPs）的程度及其相关因素。
2022年6月25日至7月22日在埃塞俄比亚北绍阿的安托索基亚·根扎区进行了一项基于社区的横断面研究。采用系统随机抽样技术选择研究参与者。共有391名受访者参与了该研究。所有负责照顾6至23个月儿童的母亲（亲生母亲、祖母、姐妹及其他）均纳入研究。通过访谈员管理的问卷收集数据。数据录入Epi-Data V.3.1并导出到SPSS V.25进行数据清理和进一步分析。采用双变量和多变量二元逻辑回归来确定辅食喂养卫生做法的预测变量，p值<0.25的变量纳入多变量逻辑回归模型。多变量逻辑回归中95%置信区间和p值<0.05的自变量被认为具有统计学意义。
6至23个月儿童母亲在辅食喂养期间良好的父母卫生做法程度为45.3%，95%置信区间为（40.2%-50%）。34至41岁的母亲（调整后比值比（AOR）：2.75，95%置信区间（1.16-6.53））、受过中学教育的母亲（AOR：8.2，95%置信区间（3.26-20.97））、日工母亲（AOR：0.22，95%置信区间（0.06-0.83））、能获得管道水（AOR：7.1，95%置信区间（3.98-12.66））、能接触媒体（AOR：2.8，95%置信区间（1.4-5.7））以及态度积极（AOR：8.6，95%置信区间（2.43-31.0））是母亲卫生辅食喂养做法的显著预测因素。
母亲良好的卫生辅食喂养做法程度较低。因此，区卫生办公室、教育办公室、通信办公室以及水和能源办公室应共同努力，开展母亲教育、管道水供应、提高认识和信息传播工作。
