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Child feeding practices and diarrheal disease among children less than two years of age of the nomadic people in Hadaleala District, Afar Region, Northeast Ethiopia

机译:埃塞俄比亚东北部阿法尔地区哈达拉拉区游牧民族不到两岁的儿童的喂养方式和腹泻病

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BackgroundDiarrhea is a serious public health problem in Ethiopia. It is responsible for 24–30% of all infant deaths and there is a lack of evidence on the health burdens among the nomadic people. This study was therefore designed to assess the prevalence of diarrhea among children less thanvtwo year’s of age and its association with feeding practices among the nomadic people in Hadaleala district, northeast Ethiopia. MethodsA cross-sectional study was conducted in Hadaleala district. A total of 367 children less than two years of age were included using the multistage cluster sampling technique. Data were collected by a structured questionnaire. Multivariable binary logistic regression analysis was used to identify variables associated with diarrheal disease. ResultsThe prevalence of diarrhea among children less than two year’s of age during the two week period was 31.3% (95% CI, 25.9, 36.1%). Diarrhea occurrence was associated with; children aged between 6–11?months (AOR 6.28, 95% CI, 3.00, 13.12), aged between 12–24?months (AOR 6.21, 95% CI, 3.13, 12.30), illiterate mothers (AOR 6.61, 95% CI, 2.27, 19.21), delay to initiate early breastfeeding for children aged less than six months (AOR 9.13, 95% CI, 1.78, 46.72), children less than six months of age not currently exclusively breastfed (AOR 13.33, 95% CI, 1.59, 112.12), delay to initiate early breastfeeding for children aged 6–24 months (AOR 2.87, 95% CI, 1.49, 5.51), no breastfeeding at the time of the survey (AOR 3.51, 95% CI, 1.57, 7.82), children aged 6–24?months who didn’t exclusively breastfeed in the first six months (AOR 19.24, 95% CI, 8.26, 44.82), consuming uncooked foods (AOR 6.99, 95% CI, 2.89, 16.92), not eating cooked foods immediately after cooking (AOR 3.74, 95% CI, 1.48, 9.45), hand washing with only water (AOR 24.94, 95% CI, 6.68, 93.12), and rotavirus vaccination (AOR 0.09, 95% CI, 0.03, 0.29). ConclusionsThe prevalence of diarrhea among children less than two year’s of age in Hadaleala district was high. To prevent diarrhea, the mothers should start breastfeeding early and practice exclusive breastfeeding. Moreover, mothers should improve the hygiene of supplementary foods.
机译:背景腹泻是埃塞俄比亚的一个严重的公共卫生问题。它造成了所有婴儿死亡中的24%至30%,并且缺乏关于游牧民族健康负担的证据。因此,本研究旨在评估埃塞俄比亚东北部哈达拉拉地区2岁以下儿童的腹泻患病率,及其与游牧民族的进食习惯之间的关系。方法在哈达拉拉地区进行横断面研究。使用多阶段整群抽样技术,共纳入了367个小于两岁的儿童。通过结构化问卷收集数据。多变量二元逻辑回归分析用于确定与腹泻病相关的变量。结果在两周内,两岁以下儿童的腹泻患病率为31.3%(95%CI,25.9、36.1%)。腹泻的发生与; 6-11个月之间的孩子(AOR 6.28,95%CI,3.00,13.12),12-12个月之间的孩子(AOR 6.21,95%CI,3.13,12.30),文盲母亲(AOR 6.61,95%CI ,2.27、19.21),六个月以下的孩子(AOR 9.13、95%CI,1.78、46.72),六个月以下的孩子目前尚未完全由母乳喂养(AOR 13.33、95%CI, 1.59、112.12),6-24个月的儿童延迟开始早期母乳喂养(AOR 2.87、95%CI,1.49、5.51),在调查时不进行母乳喂养(AOR 3.51、95%CI,1.57、7.82) ,年龄在6-24个月之间的儿童,在前六个月内没有完全母乳喂养(AOR 19.24,95%CI,8.26,44.82),食用未经烹煮的食物(AOR 6.99,95%CI,2.89,16.92),不进食烹调后立即煮熟的食物(AOR 3.74、95%CI,1.48、9.45),仅用水洗手(AOR 24.94、95%CI,6.68、93.12)和轮状病毒疫苗接种(AOR 0.09、95%CI,0.03、0.29) )。结论Hadaleala地区2岁以下儿童的腹泻患病率很高。为防止腹泻,母亲应及早开始母乳喂养并实行纯母乳喂养。此外,母亲应改善补充食品的卫生。

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