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首页> 外文期刊>International breastfeeding journal >Socio-medical determinants of timely breastfeeding initiation in Ethiopia: Evidence from the 2011 nation?wide Demographic and Health Survey
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Socio-medical determinants of timely breastfeeding initiation in Ethiopia: Evidence from the 2011 nation?wide Demographic and Health Survey

机译：埃塞俄比亚及时开始母乳喂养的社会医学决定因素：2011年全国人口与健康调查的证据

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Background Early initiation of breastfeeding is a simple and cost effective intervention to advance the health of mothers and newborns. The World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) recommend that breastfeeding should be initiated within one hour of birth. The aim of this study is to identify factors associated with timely initiation of breastfeeding among mothers in Ethiopia within one hour of birth. Methods This study used data from the 2011 Ethiopia Demographic and Health Survey. A total of 11,654 households were included in the analysis from 11 administrative states of Ethiopia. Bivariate and multivariable logistic regression models with adjusted odds ratio (AOR) and 95 % confidence intervals (CI) were used to quantify predictors of early breastfeeding initiation. Results The overall prevalence of timely breastfeeding initiation was 52 % (95 % CI: 51.09, 52.91). The prevalence was higher in urban settings (61.4 %; 95 % CI: 58.85, 63.85) than in rural areas (52.3 %; 95 % CI: 51.33, 53.28). The highest prevalence was found in Addis Ababa 71.5 % (95 % CI: 64.88, 77.12) while the lowest prevalence was 41.7 % (95 % CI: 36.62, 47.00) in Somali regional state. Multivariable logistic regression analysis showed that rural mothers had 39 % lower odds of timely breastfeeding initiation (AOR 0.61; 95 % CI: 0.50, 0.76) compared to urban mothers. Mothers who had secondary education or higher had 60 % higher odds of timely breastfeeding initiation (AOR 1.6; 95 % CI: 1.02, 2.44) than never educated mothers. Mothers who had caesarian deliveries had 61 % lower odds of timely breastfeeding initiation (AOR 0.39; 95 % CI: 0.22, 0.71) compared to vaginal deliveries. Working mothers were 23 % less likely to timely initiate breastfeeding (AOR 0.77; 95 % CI: 0.69, 0.85) compared to housewives. Female infants had a 20 % higher chance of timely breastfeeding initiation (AOR 1.2; 95 % CI: 1.05, 1.30) compared to male infants. Conclusion Early initiation of breastfeeding within the first hour after birth was not optimal in Ethiopia. Factors such as place of residence, educational level, occupation, gender of the newborn and type of delivery should be considered in any intervention program in order to enhance timely breastfeeding initiation.
机译：背景技术尽早开始母乳喂养是一种简单且具有成本效益的干预措施，可促进母亲和新生儿的健康。世界卫生组织（WHO）和联合国儿童基金会（UNICEF）建议应在出生后一小时内开始母乳喂养。这项研究的目的是确定与埃塞俄比亚母亲在分娩后一小时内及时开始母乳喂养有关的因素。方法：本研究使用了2011年埃塞俄比亚人口与健康调查的数据。埃塞俄比亚11个行政州共计11,654户家庭被纳入分析。具有校正比值比（AOR）和95％置信区间（CI）的双变量和多变量logistic回归模型用于量化早期母乳喂养开始的预测因素。结果适时开始母乳喂养的总体患病率为52％（95％CI：51.09、52.91）。城市地区的患病率较高（61.4％; 95％CI：58.85，63.85），高于农村地区（52.3％; 95％CI：51.33，53.28）。在索马里州，亚的斯亚贝巴患病率最高，为71.5％（95％CI：64.88，77.12），而患病率最低的为41.7％（95％CI：36.62，47.00）。多变量逻辑回归分析表明，与城市母亲相比，农村母亲及时开始母乳喂养的几率降低了39％（AOR 0.61; 95％CI：0.50，0.76）。受过中等教育或更高学历的母亲比没有受过教育的母亲及时开始母乳喂养的几率更高（AOR 1.6; 95％CI：1.02，2.44）。与阴道分娩相比，剖腹产的母亲及时开始母乳喂养的几率降低了61％（AOR 0.39; 95％CI：0.22，0.71）。与家庭主妇相比，有工作的母亲及时开始母乳喂养的可能性降低了23％（AOR 0.77; 95％CI：0.69，0.85）。与男婴相比，女婴及时开始母乳喂养的机率较高（AOR 1.2; 95％CI：1.05、1.30）。结论在埃塞俄比亚，婴儿出生后第一小时内尽早开始母乳喂养并不理想。在任何干预计划中均应考虑诸如居住地，受教育程度，职业，新生儿性别和分娩类型等因素，以促进及时开始母乳喂养。

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