The effect of mother's educational status on early initiation of breastfeeding: further analysis of three consecutive Nepal Demographic and Health Surveys
The effect of mother's educational status on early initiation of breastfeeding: further analysis of three consecutive Nepal Demographic and Health Surveys
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DOI：
10.1186/s12889-015-2405-y
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发表时间：
2015-10-19
影响因子：
4.5
通讯作者：
Khanal, Vishnu
中科院分区：
文献类型：
--
作者：
Acharya, Pawan;Khanal, Vishnu
背景：世界卫生组织建议在出生后的第一个小时内开始母乳喂养。本研究的目的是评估母亲的教育对早期母乳喂养的影响。方法：使用2001年、2006年和2011年尼泊尔人口与健康调查(NDHS)的数据，包括调查前5年内出生的12845名最后出生的儿童。早期母乳喂养被定义为在出生后1小时内开始母乳喂养。在控制了多个Logistic回归中的其他协变量后，采用分层模型来确定母亲教育与早期开始母乳喂养的关系。结果：在每次调查中，母亲教育与早期开始母乳喂养的可能性都较高。合并资料分析显示，受过小学教育(调整后的优势比(OR)1.24，95%可信区间(CI)：1.09，1.42)和受过中学或以上教育(OR：1.63，95%CI：1.42，1.88)的母亲早期开始母乳喂养的几率较高。在NDHS 2011年的最新调查中，与没有受过教育的母亲相比，受过小学教育(OR：1.52；95%CI：1.21，1.91)和受过中学或以上教育(OR：2.20；95%CI：1.76，2.76)的母亲提前开始母乳喂养的几率更高。同样，在2006年(OR：1.66；95%CI：1.30，2.12)和2001年(OR=1.30；95%CI：1.00，1.67)的数据中，受过中学和高等教育的母亲早期开始母乳喂养的几率更高。结论：随着母亲的教育程度与其早期开始母乳喂养的可能性之间的相关性增加，应探索优先考虑妇女和女孩教育的长期方法。在短期内，应以未受过教育的母亲为目标，采取促进母乳喂养的战略，如咨询和同伴教育。
Background: The World Health Organization recommends initiating breastfeeding within the first hour of birth. This study is aimed at assessing the effect of the mother's education on early initiation of breastfeeding.Methods: Data from the Nepal Demographic and Health Surveys (NDHS) 2001, 2006 and 2011 were used which included 12,845 last born children born within 5 years before the surveys. Early initiation of breastfeeding was defined as the initiation of breastfeeding within the first hour after birth. Hierarchical modelling was used to ascertain the association of maternal education and early initiation of breastfeeding, after controlling for other covariates in a multiple logistic regression.Results: Maternal education was associated with a higher likelihood of early initiation of breastfeeding in each survey. Pooled data analysis revealed higher odds of early initiation of breastfeeding among the mothers with primary education (adjusted odds ratio (OR) 1.24, 95 % confidence interval (CI): 1.09, 1.42) and secondary or higher education (OR: 1.63 95 % CI: 1.42, 1.88). In the most recent NDHS 2011 survey, odds of early initiation of breastfeeding was higher among mothers with primary education (OR: 1.52; 95 % CI: 1.21, 1.91) and mothers with secondary or higher education (OR: 2.20; 95 % CI: 1.76, 2.76) compared to mothers with no education. Similarly, the odds of early initiation of breastfeeding was higher among mothers with secondary and higher education in the 2006 data (OR: 1.66; 95 % CI: 1.30, 2.12) and in 2001 (OR = 1.30; 95 % CI: 1.00, 1.67).Conclusions: As the association between a mother's educational status and her likelihood of early initiation of breastfeeding increases, long-term approaches to prioritising education for women and girls should be explored. In the short term, uneducated mothers should be targeted with breastfeeding promotion strategies such as counselling and peer education.