Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda
Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda
复制标题
DOI：
10.1186/1471-2458-9-124
复制
发表时间：
2009-05-07
影响因子：
4.5
通讯作者：
Tumwine, James K.
中科院分区：
文献类型：
--
作者：
Fadnes, Lars T.;Engebretsen, Ingunn M. S.;Tumwine, James K.
背景：对HIV阳性母亲的婴儿喂养建议与对未知HIV状态母亲的建议不同。这项研究的目的是比较乌干达总人口中HIV阳性母亲的婴幼儿和母亲的婴儿的喂养行为。方法：本研究使用类似的问卷对2003年底和2005年初在乌干达东部进行的两次横断面调查进行了比较。第一项调查由随机选择的727对艾滋病毒状况未知的普通人群母婴组成。第二项研究包括隶属于艾滋病支持组织Taso的235名艾滋病毒阳性母亲。本文对两组母亲的早期喂养行为、母乳喂养持续时间、喂养方式与饮食信息的关系以及社会经济差异进行了比较。结果：HIV阳性母亲的150名婴儿(%)和普通人群母亲的414名婴儿(57%)接受了乳前喂养。6个月以下婴儿的纯母乳喂养在普通人群中比艾滋病毒阳性母亲中更常见(根据24小时回顾，分别为186[45%]比9[24%])。混合喂养在两组母亲中都是最常见的做法。在艾滋病毒阳性母亲中，有一半以上的6个月以下婴儿和一般人口中四分之一的婴儿接受了固体食物。在婴儿12个月以下的艾滋病毒阳性母亲中，90人中有24人(27%)停止母乳喂养，而在一般人群中，727人中有9人(1%)停止母乳喂养。结论：在许多方面，HIV阳性母亲喂养婴儿的质量不如一般人群母亲，这对孩子的营养和HIV传播的风险都有潜在的不利影响。混合喂养和哺乳前喂养普遍存在。艾滋病毒阳性母亲的母乳喂养持续时间较短。较高的教育水平和较好的社会经济状况与更有益的婴儿喂养做法相关。
Background: Infant feeding recommendations for HIV-positive mothers differ from recommendations to mothers of unknown HIV-status. The aim of this study was to compare feeding practices, including breastfeeding, between infants and young children of HIV-positive mothers and infants of mothers in the general population of Uganda.Methods: This study compares two cross-sectional surveys conducted in the end of 2003 and the beginning of 2005 in Eastern Uganda using analogous questionnaires. The first survey consisted of 727 randomly selected general-population mother-infant pairs with unknown HIV status. The second included 235 HIV-positive mothers affiliated to The Aids Support Organisation, TASO. In this article we compare early feeding practices, breastfeeding duration, feeding patterns with dietary information and socio-economic differences in the two groups of mothers.Results: Pre-lacteal feeding was given to 150 (64%) infants of the HIV-positive mothers and 414 (57%) infants of general-population mothers. Exclusive breastfeeding of infants under the age of 6 months was more common in the general population than among the HIV-positive mothers (186 [45%] vs. 9 [24%] respectively according to 24-hour recall). Mixed feeding was the most common practice in both groups of mothers. Solid foods were introduced to more than half of the infants under 6 months old among the HIV-positive mothers and a quarter of the infants in the general population. Among the HIV-positive mothers with infants below 12 months of age, 24 of 90 (27%) had stopped breastfeeding, in contrast to 9 of 727 (1%) in the general population. The HIV-positive mothers were poorer and had less education than the general-population mothers.Conclusion: In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre-lacteal feeding were widespread. Breastfeeding duration was shorter among HIV-positive mothers. Higher educational level and being socioeconomically better off were associated with more beneficial infant feeding practices.