Factors Associated with the Early Initiation of Breastfeeding in Economic Community of West African States (ECOWAS)
Factors Associated with the Early Initiation of Breastfeeding in Economic Community of West African States (ECOWAS)
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DOI：
10.3390/nu11112765
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发表时间：
2019-11-01
期刊：
影响因子：
5.9
通讯作者：
Dhami, Mansi
中科院分区：
文献类型：
--
作者：
Ezeh, Osita Kingsley;Ogbo, Felix Akpojene;Dhami, Mansi
在出生后一小时内尽早开始母乳喂养（EIBF）可以增强母婴之间的联系，防止感染疾病。本文旨在研究与EIBF在13个西非国家经济共同体（ECOWAS）的相关因素。从西非经共体最近的人口与健康调查数据集中收集了2010年至2018年期间76，934名0-23个月儿童的加权样本。调查逻辑回归分析，调整国家特定的集群和人口水平的权重，用于确定与EIBF相关的因素。EIBF在ECOWAS的总体合并率为43%。调整潜在混杂因素后，布基纳法索、科特迪瓦、几内亚、尼日尔、尼日利亚和塞内加尔的EIBF显著较低。那些认为自己的婴儿在出生时平均和大的母亲比那些认为自己的婴儿出生时小的母亲更有可能在出生后一小时内开始母乳喂养。剖腹产的母亲（AOR = 0.28，95%CI = 0.22-0.36），在怀孕期间没有参加产前检查（ANC）的母亲，以及由非卫生专业人员接生的母亲更有可能在出生后1小时后延迟开始母乳喂养。来自贫困家庭的男孩和母亲更有可能推迟母乳喂养的引入。旨在改善西非经共体EIBF的婴幼儿喂养营养计划需要针对未充分利用医疗服务的母亲，特别是来自社会经济地位较低群体的母亲。
The early initiation of breastfeeding (EIBF) within one hour after birth enhanced mother-newborn bonding and protection against infectious diseases. This paper aimed to examine factors associated with EIBF in 13 Economic Community of West African States (ECOWAS). A weighted sample of 76,934 children aged 0-23 months from the recent Demographic and Health Survey dataset in the ECOWAS for the period 2010 to 2018 was pooled. Survey logistic regression analyses, adjusting for country-specific cluster and population-level weights, were used to determine the factors associated with EIBF. The overall combined rate of EIBF in ECOWAS was 43%. After adjusting for potential confounding factors, EIBF was significantly lower in Burkina Faso, Cote d'Ivoire, Guinea, Niger, Nigeria, and Senegal. Mothers who perceived their babies to be average and large at birth were significantly more likely to initiate breastfeeding within one hour of birth than those mothers who perceived their babies to be small at birth. Mothers who had a caesarean delivery (AOR = 0.28, 95%CI = 0.22-0.36), who did not attend antenatal visits (ANC) during pregnancy, and delivered by non-health professionals were more likely to delay initiation of breastfeeding beyond one hour after birth. Male children and mothers from poorer households were more likely to delay introduction of breastfeeding. Infant and young child feeding nutrition programs aimed at improving EIBF in ECOWAS need to target mothers who underutilize healthcare services, especially mothers from lower socioeconomic groups.