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首页> 外文期刊>International breastfeeding journal >Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia: a cross sectional community based study
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Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia: a cross sectional community based study

机译：埃塞俄比亚中部德布雷伯罕区独家母乳喂养方式相关的因素：基于社区的横断面研究

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Background Globally, an estimated 6.3 million children under-five years of age died in the year 2013. To reduce the burden of morbidity and mortality of infants, Ethiopia adopted the World Health Organization (WHO) recommendation of exclusive breastfeeding (EBF) for the first six months of life. The objective of this study was to assess factors associated with EBF practices among mothers who have an infant aged below 12 months in Debre Berhan District, Ethiopia. Methods In this study we employed a cross sectional community based quantitative survey method, and data were collected from January through April 2014. Univariate statistical analysis was used to describe variables using frequencies and percentages. Multivariable logistic regression model was developed; the factors associated with EBF practice were identified. Result We enrolled 634 mothers with their index infant aged under 12 months. Four hundred thirty five (68.6 %; 95 % CI: 64.9 %, 72.2 %) mothers practiced EBF to six months. In this study 83.4 % of mothers were knowledgeable with the recommended duration of EBF. About 97.5 % of mothers had a positive attitude towards EBF practice. Mothers from rural places were 4.54 times likely to EBF than mothers residing in urban areas Adjusted Odds Ratio (AOR 4.54; 95 % CI: 2.64, 7.81, p?=?0.001). The odds of mothers aged 25 to 35 years to practice EBF was up to 8.9 times more than mothers aged less than 25 years (AOR 8.99; 95 % CI: 4.56, 17.73, p?=?0.001). The odds of mothers who didn’t receive infant feeding counselling was 0.42 times less likely to practice EBF than those who received Counselling services (AOR 0.42; 95 % CI: 0.24, 0.73, p?=?0.002). Employed mothers were found to be 0.36 times less likely to practice EBF than housewives (AOR 0.36; 95 % CI: 0.18, 0.73, p?=?0.005). Household income did not show a statistically significant association with EBF. Conclusions The knowledge and attitude of mothers towards EBF was found to be very high. In this study, two thirds of mothers practiced exclusive breastfeeding. Improving access to information on recommended infant feeding during routine maternal and child health services is recommended. It is important to encourage EBF among the young, employed and urban mothers through proper counselling and mother friendly work environment.
机译：背景技术在全球范围内，2013年估计有630万五岁以下儿童死亡。为减轻婴儿的发病率和死亡率，埃塞俄比亚首次采用了世界卫生组织（WHO）的纯母乳喂养（EBF）建议六个月的生命。这项研究的目的是评估埃塞俄比亚Debre Berhan区12个月以下婴儿的母亲与EBF行为相关的因素。方法在本研究中，我们采用基于社区的横断面定量调查方法，收集了2014年1月至2014年4月的数据。单变量统计分析用于描述使用频率和百分比的变量。建立了多变量逻辑回归模型;确定了与EBF实践相关的因素。结果我们招募了634名12个月以下的婴儿。 435名母亲（68.6％; 95％CI：64.9％，72.2％）的母亲练习了EBF至六个月。在这项研究中，有83.4％的母亲具备建议的EBF持续时间的知识。约有97.5％的母亲对EBF练习持积极态度。来自农村的母亲发生EBF的可能性是城市母亲的调整后的赔率（AOR 4.54; 95％CI：2.64、7.81，p = 0.001）。 25至35岁母亲进行EBF的几率是25岁以下母亲的8.9倍（AOR 8.99; 95％CI：4.56、17.73，p？=？0.001）。与接受咨询服务的母亲相比，未接受婴儿喂养咨询的母亲进行EBF的可能性要低0.42倍（AOR 0.42; 95％CI：0.24、0.73，p？=？0.002）。发现受雇的母亲进行家庭基本生活的可能性比家庭主妇低0.36倍（AOR 0.36; 95％CI：0.18，0.73，p = 0.005）。家庭收入与EBF没有统计学意义的关联。结论发现母亲对EBF的知识和态度很高。在这项研究中，三分之二的母亲实行纯母乳喂养。建议在常规的母婴保健服务期间增加对推荐婴儿喂养信息的获取。重要的是要通过适当的咨询和友好的母亲工作环境，鼓励年轻，就业和城市母亲中的EBF。

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