Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia
Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia
复制标题
DOI：
10.1186/s13006-016-0096-3
复制
发表时间：
2017-01-06
影响因子：
3.5
通讯作者：
Assen, Zuriash Mengistu
中科院分区：
文献类型：
--
作者：
Beyene, Misrak Getnet;Geda, Nigatu Regassa;Assen, Zuriash Mengistu
背景：早期开始母乳喂养(EIBF)，或及时开始母乳喂养，是指儿童在出生后一小时内开始母乳喂养的比例。这是降低围产期和婴儿发病率和死亡率的一项重要战略，但在埃塞俄比亚仍在实施。该研究的目的是评估EIBF的患病率和预测因素。方法：对埃塞俄比亚南部Dale Woreda的634名母亲进行了一项基于社区的横断面研究。采用多阶段整群抽样的方法选择参与调查的母亲。EIBF是结果变量，而社会人口学特征和孕产妇保健服务的知识和行为是解释变量。自2012年9月至2013年3月，采用预测半结构问卷进行了面对面访谈。结果：共访问了634名24个月以下儿童的母亲。在数据收集期间，94.3%的母亲进行过母乳喂养。EIBF患病率为83.7%。房屋所有权是EIBF的一个重要预测因素。与拥有自己房子的母亲相比，住在租来的房子里的母亲在出生后一小时内开始母乳喂养的可能性显著降低(60%)：调整后的优势比为0。40(95%可信区间0.16，0.97)。结论：超过四分之三的母亲在1小时内开始母乳喂养。我们的研究结果表明，改善母亲的社会经济地位，作为EIBF的一个重要预测因素，将在改善EIBF方面发挥核心作用。
Background: The early initiation of breastfeeding (EIBF), or timely initiation of breastfeeding, is the proportion of children put to the breast within one hour of birth. It is an important strategy for reducing perinatal and infant morbidity and mortality, but it remains under practiced in Ethiopia. The aim of the study was to assess the prevalence and the predicting factors associated with EIBF.Methods: A community based cross-sectional study was conducted in 634 mothers in Dale Woreda, South Ethiopia. Multistage cluster sampling was used to select participating mothers. EIBF was outcome variable whereas sociodemographic characteristics and knowledge and practice of maternal health service were explanatory variables. A face-to-face interview using a pretested semi-structured questionnaire was done from September 2012 to March 2013. To investigate predicting factors, bivariate and multivariate logistic regression analysis was done.Results: A total of 634 mothers of children under 24 months were interviewed. During the time of data collection, 94.3% of the mothers had breastfed. The prevalence of EIBF was 83.7%. Ownership of the house was a significant predicting factor for EIBF. Mothers who lived in rented houses were significantly less likely (60%) to initiate breastfeeding within one hour of birth compared to mothers who owned their own house: Adjusted odds ratio 0. 40 (95% Confidence Interval 0.16, 0.97).Conclusion: More than three-fourths of mothers initiated breastfeeding within an hour. Findings from our study suggest that improving the mother's socioeconomic status as reflected by house ownership, being a significant predictor of EIBF, would have a central role in improving EIBF.