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首页> 外文期刊>AIDS care. >A feeding education program to prevent mother-to-child transmission of HIV in Haiti.
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A feeding education program to prevent mother-to-child transmission of HIV in Haiti.

机译：一项预防海地艾滋病毒母婴传播的喂养教育计划。

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摘要

In Haiti, as in most of the developing world, vertical transmission of HIV from infected mother to infant through postpartum breastfeeding remains a significant mode of transmission. As part of their prevention of mother-to-child transmission program, the Groupe Haitien d'Etude du Sarcome de Kaposi et des Infections Opportunistes (GHESKIO) Centers developed a feeding education program in which over 83% of the HIV-positive pregnant women who were eligible to participate, enrolled. Bivariate and adjusted multivariate logistic regression analyses were used to compare feeding choices of the 290 women who participated in the feeding education program to 58 who did not. Of those who participated, 91.7% chose to use replacement formulas for their newborns, while 75.9% of those who did not participate chose replacement feeding. After adjustment for socio-demographic variables, analyses revealed that the no education group was less likely to adopt replacement feeding and more likely to use mixed feeding (OR=0.31, p=0.004; and OR=2.74, p=0.05, respectively). This suggests that a targeted and culturally appropriate education program can be effective in encouraging replacement feeding, even in those countries where breastfeeding is the norm.
机译：与大多数发展中国家一样，在海地，艾滋病毒通过产后母乳喂养从感染母亲向婴儿的垂直传播仍然是一种重要的传播方式。作为预防母婴传播计划的一部分，海地爱德华·萨科姆·卡波西等机会感染小组（GHESKIO）中心制定了一项喂养教育计划，其中83％以上的HIV阳性孕妇有资格参加，报名。使用双变量和调整后的多元逻辑回归分析来比较参加喂养教育计划的290名妇女与未参加喂养教育计划的58名妇女的喂养选择。在参与试验的人中，有91.7％选择为新生儿使用替代配方，而在没有参与试验的人中，有75.9％选择了替代喂养。在对社会人口统计学变量进行调整之后，分析显示，没有教育的人群不太可能采用替代喂养，而更可能采用混合喂养（OR = 0.31，p = 0.004; OR = 2.74，p = 0.05）。这表明，即使在那些以母乳喂养为标准的国家中，有针对性的，符合文化习惯的教育计划也可以有效地鼓励替代喂养。

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