Etowa Egbe Bassey, Anyiam Felix Emeka, Osandatuwa Glory, James Batholomew Chibuike, Etowa Josephine
Ontario HIV Treatment Network, Toronto, Ontario, Canada.
Daphne Cockwell School of Nursing, Faculty of Community Services, Toronto Metropolitan University, Toronto, Ontario, Canada.
Pan Afr Med J. 2025 Apr 1;50:90. doi: 10.11604/pamj.2025.50.90.38845. eCollection 2025.
in low- and middle-income nations like Nigeria, vertical transmission of HIV is still common. Although there are recommended guidelines for infant feeding for women living with HIV, the level of adherence has significantly varied across African women. This study assessed the adherence to exclusive breastfeeding (EBF) guidelines and its associated factors among nursing mothers living with HIV/AIDS in Port Harcourt, Nigeria.
a descriptive cross-sectional study was carried out between March and August 2022 among nursing mothers living with HIV/AIDS. Structured and validated questionnaires were used to collect data from 400 participants and were analyzed for this purpose. Chi-square statistics; bivariate and multivariate logistic regression analyses were carried out at alpha 0.05 to determine the correlates of adherence to the national guideline of exclusive breastfeeding while on anti-retroviral therapy.
the majority of the respondents were within the age range 30-39 years, 66.0% with a mean age of 34.6±5.6. Most respondents know (90.7%) of the mothers knew about the EBF policy and 65% adhered to the policy guidelines. Being employed/self-employed (OR=2.22, p=0.001); knowledge of the guidelines (OR=6.3, p=0.001); and support from household (OR=2.39, p=0.003), father/spouse (OR=65.6, p=0.001), close relatives (OR=3.5, p=0.001), healthcare (OR=38.2, p=0.01) were all associated with adherence to EBF. After adjusting for confounders, using the multivariate logistic regression, only support from father/spouse (OR=23.24, p=0.001) and healthcare (OR=47.6, p=0.01) were strong predictors of adherence to EBF guidelines.
inclusive education involving mothers, social support networks, and healthcare providers will increase adherence to national guidelines EBF among mothers living with HIV.
在尼日利亚等低收入和中等收入国家，艾滋病毒的垂直传播仍然很常见。尽管有针对感染艾滋病毒妇女的婴儿喂养推荐指南，但非洲妇女的遵守程度差异很大。本研究评估了尼日利亚哈科特港感染艾滋病毒/艾滋病的哺乳期母亲对纯母乳喂养（EBF）指南的遵守情况及其相关因素。
2022年3月至8月期间，对感染艾滋病毒/艾滋病的哺乳期母亲进行了一项描述性横断面研究。使用结构化和经过验证的问卷从400名参与者那里收集数据，并为此进行分析。采用卡方统计；进行双变量和多变量逻辑回归分析，显著性水平为0.05，以确定在接受抗逆转录病毒治疗时遵守纯母乳喂养国家指南的相关因素。
大多数受访者年龄在30 - 39岁之间，66.0%，平均年龄为34.6±5.6岁。大多数受访者（90.7%）的母亲了解纯母乳喂养政策，65%的人遵守政策指南。就业/自营职业（比值比=2.22，p = 0.001）；对指南的了解（比值比=6.3，p = 0.001）；以及来自家庭（比值比=2.39，p = 0.003）、父亲/配偶（比值比=65.6，p = 0.001）、近亲（比值比=3.5，p = 0.001）、医疗保健（比值比=38.2，p = 0.01）的支持都与遵守纯母乳喂养有关。在调整混杂因素后，使用多变量逻辑回归分析，只有来自父亲/配偶的支持（比值比=23.24，p = 0.001）和医疗保健（比值比=47.6, p = 0.01）是遵守纯母乳喂养指南的有力预测因素。
涉及母亲、社会支持网络和医疗保健提供者的包容性教育将提高感染艾滋病毒母亲对国家纯母乳喂养指南的遵守程度。
