Effect of community-based promotion of exclusive breastfeeding on diarrhoeal illness and growth: a cluster randomised controlled trial
Effect of community-based promotion of exclusive breastfeeding on diarrhoeal illness and growth: a cluster randomised controlled trial
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DOI：
10.1016/s0140-6736(03)13134-0
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发表时间：
2003-04-26
期刊：
影响因子：
168.9
通讯作者：
Bhan, MK
中科院分区：
文献类型：
--
作者：
Bhandari, N;Bahl, R;Bhan, MK
背景 建议纯母乳喂养至 6 个月大。我们评估了在印度这段时间内促进纯母乳喂养的教育干预措施的可行性、有效性和安全性。方法我们通过形成性研究制定了干预措施，根据基线特征对八个社区进行配对，并随机将每对中的一个接受干预，另一个不接受特定干预。我们对干预社区的卫生和营养工作者进行了培训，以多次机会为母亲提供纯母乳喂养的建议。我们招募了 1115 名在培训后 9 个月内出生的婴儿，其中 552 名在干预社区，473 名在对照社区。对 3 个月大时的喂养情况、3 个月大和 6 个月大时的人体测量和腹泻患病率进行了评估。所有分析均按意向治疗进行。结果 我们在 3 个月时分别评估了干预组和对照组的 483 名和 412 名个体，以及 6 个月时的 468 名和 412 名个体。 3 个月时，干预组纯母乳喂养率为 79% (381)，对照组为 48% (197)（比值比 4.02，95% Cl 3.01-5.38，p
Background Exclusive breastfeeding is recommended until age 6 months. We assessed the feasibility, effectiveness, and safety of an educational intervention to promote exclusive breastfeeding for this length of time in India.Methods We developed the intervention through formative research, pair-matched eight communities on their baseline characteristics, and randomised one of each pair to receive the intervention and the other to no specific intervention. We trained health and nutrition workers in the intervention communities to counsel mothers for exclusive breastfeeding at multiple opportunities. We enrolled 1115 infants born in the 9 months after training-552 in the intervention and 473 in the control communities. Feeding at age 3 months, and anthropometry and of diarrhoea prevalence at age 3 months and 6 months were assessed. All analyses were by intention to treat.Findings We assessed 483 and 412 individuals at 3 months in the intervention and control groups, respectively, and 468 and 412 at 6 months. At 3 months, exclusive breastfeeding rates were 79% (381) in the intervention and 48% (197) in the control communities (odds ratio 4.02, 95% Cl 3.01-5.38, p