Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania
Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania
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坦桑尼亚乞力马扎罗地区纯母乳喂养的决定因素
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
S. Msuya
中科院分区：
文献类型：
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作者：
M. Mgongo;T. Hashim;J. Uriyo;Damian J. Damian;B. Stray;S. Msuya
背景：纯母乳喂养（EBF）实践是改善儿童健康和生长的安全和简单的干预措施。然而，EBF的实践仍然很低，特别是在发展中国家。目的：探讨基利曼哈罗地区0-5个月婴儿母亲EBF的相关因素。研究方法：这是一项基于人群的横断面研究，于2010年6月至2011年3月在基利曼哈罗地区进行，旨在调查儿童发育不良的当地因素。采用结构式问卷收集母亲的社会人口学资料、母乳喂养史和生殖信息。出生后回忆被用来估计EBF患病率。采用多因素Logistic回归分析方法，对基利曼哈罗地区0-5个月婴儿母亲的EBF进行相关因素分析。结果：在462名妇女中，95%（n=437）在研究期间仍在母乳喂养婴儿。大约29%的0-5个月婴儿的母亲报告在研究期间使用EBF。在多变量logistic回归分析中，产后母乳喂养建议（调整后的比值比，AOR（2.1; 95%CI：1.2，3.6），婴儿年龄为2-3个月的母亲[AOR=0.5; 95%CI：0.3，0.8]和婴儿年龄为4-5个月的母亲[AOR=0.1; 95%CI：0.1，0.2]仍然与0-5个月的EBF相关。结论：利用成功实行纯母乳喂养的妇女进行干预，教育其他哺乳期妇女，可能是有助于增加基利曼哈罗地区EBF做法的战略之一。
Background: Exclusive breastfeeding (EBF) practice is safe and simple intervention in improving child health and growth. However the practice of EBF is still low especially in developing countries. Objective: The objective of this paper is to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Methods: This was a population based cross sectional study conducted between June 2010 and March 2011 in Kilimanjaro region to investigate local factors for adverse child development. A structured questionnaire was used to collect socio demographic data, breastfeeding history and reproductive information from mothers. Recall since birth was used to estimate EBF prevalence. Multivariable logistic regression was used to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Results: Out of 462 women, 95% (n=437) were still breastfeeding their infants during the study period. About 29% of mothers with infants aged 0-5 months reported to practice EBF during the study period. In multivariable logistic regression, advise on breastfeeding after delivery (adjusted odds ratio, AOR (2.1; 95% CI: 1.2, 3.6), mothers with infants aged 2-3 months [AOR=0.5; 95%CI: 0.3, 0.8] and mothers with infants aged 4-5 months [AOR=0.1; 95%CI: 0.1, 0.2] remained associated with EBF of 0-5 months. Conclusion: Intervention using women who have succeeded to practice exclusive breastfeeding to educate other women who are lactating may be one of the strategies that may help to increase the practice of EBF in Kilimanjaro region.
DOI：
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发表时间：
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期刊：
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影响因子：
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作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group
通讯作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group