Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling.
Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling.
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DOI：
10.1017/s1368980010001539
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发表时间：
2010-12
影响因子：
3.2
通讯作者：
Chantry CJ
中科院分区：
文献类型：
--
作者：
Young SL;Israel-Ballard KA;Dantzer EA;Ngonyani MM;Nyambo MT;Ash DM;Chantry CJ
评估坦桑尼亚达累斯萨拉姆艾滋病毒阳性妇女所生婴儿的喂养方法。然后，这些数据作为评估当前婴儿喂养咨询是否充足的代理。婴儿喂养行为的横断面调查。2008年初在达累斯萨拉姆大区的四家诊所。从艾滋病毒诊所招募了196名6-10个月儿童的艾滋病毒阳性母亲。95.4%的调查参与者报告开始母乳喂养。在整个样本中，分别有83.1%、34.2%和13.3%的女性报告了长达2个月、4个月和6个月的纯母乳喂养（EBF）。曾经母乳喂养的妇女EBF的中位持续时间为3个月（四分位间距（IQR）： 2·1,4·0）。大多数喂给婴儿的非母乳食品营养密度都很低。在187名曾经接受过母乳喂养的儿童中，有138名（73.8%）在引入非母乳食物后14天内完全停止母乳喂养。在187名曾经接受母乳喂养的婴儿中，19.4%的婴儿在一周或更长时间内既没有母乳也没有任何替代母乳（无母乳持续时间中位数为14天（IQR: 7,152） d）。这些艾滋病毒阳性母亲的婴儿喂养做法导致婴儿获得的母乳远远少于建议的母乳，而混合补充饲料则更多，从而使他们面临更大的营养不良和艾滋病毒感染风险。迫切需要一种环境，使母亲能够更好地遵循国家指导方针。更密集的婴儿喂养咨询方案很可能提高最佳婴儿喂养率。
To assess feeding practices of infants born to HIV-positive women in Dar es Salaam, Tanzania. These data then served as a proxy to evaluate the adequacy of current infant feeding counselling. A cross-sectional survey of infant feeding behaviours. Four clinics in greater Dar es Salaam in early 2008. A total of 196 HIV-positive mothers of children aged 6–10 months recruited from HIV clinics. Initiation of breastfeeding was reported by 95·4% of survey participants. In the entire sample, 80·1%, 34·2% and 13·3% of women reported exclusive breast-feeding (EBF) up to 2, 4 and 6 months, respectively. Median duration of EBF among women who ever breast-fed was 3 (interquartile range (IQR): 2·1, 4·0) months. Most non-breast-milk foods fed to infants were low in nutrient density. Complete cessation of breast-feeding occurred within 14 d of the introduction of non-breast-milk foods among 138 of the 187 children (73·8%) who had ever received any breast milk. Of the 187 infants in the study who ever received breast milk, 19·4% received neither human milk nor any replacement milks for 1 week or more (median duration of no milk was 14 (IQR: 7, 152) d). Infant feeding practices among these HIV-positive mothers resulted in infants receiving far less breast milk and more mixed complementary feeds than recommended, thus placing them at greater risk of both malnutrition and HIV infection. An environment that better enables mothers to follow national guidelines is urgently needed. More intensive infant feeding counselling programmes would very likely increase rates of optimal infant feeding.