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Food insecurity is associated with attitudes towards exclusive breastfeeding among women in urban Kenya

机译:粮食不安全与肯尼亚城市妇女对纯母乳喂养的态度有关

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This study aimed to document whether food insecurity was associated with beliefs and attitudes towards exclusive breastfeeding (EBF) among urban Kenyan women. We conducted structured interviews with 75 human immunodeficiency virus (HIV)-affected and 75 HIV-status unknown, low-income women who were either pregnant or with a child ≤24months and residing in Nakuru, Kenya to generate categorical and open-ended responses on knowledge, attitudes and beliefs towards EBF and food insecurity. We facilitated six focus group discussions (FGD) with HIV-affected and HIV-status unknown mothers (n=50 women) to assess barriers and facilitators to EBF. Of 148 women with complete interview data, 77% were moderately or severely food insecure (FIS). Women in FIS households had significantly greater odds of believing that breast milk would be insufficient for 6months [odds ratio (OR), 2.6; 95% confidence interval (95% CI), 1.0, 6.8], that women who EBF for 6months would experience health or social problems (OR, 2.7; 95% CI, 1.0, 7.3), that women need adequate food to support EBF for 6months (OR, 2.6; 95% CI, 1.0, 6.7) and that they themselves would be unable to follow a counsellor's advice to EBF for 6months (OR, 3.2; 95% CI, 1.3, 8.3). Qualitative analysis of interview and FGD transcripts indicated that the maternal experience of hunger contributes to perceived milk insufficiency, anxiety about infant hunger and a perception that access to adequate food is necessary for successful breastfeeding. The lived experience of food insecurity among a sample of low-income, commonly FIS, urban Kenyan women reduces their capacity to implement at least one key recommended infant feeding practices, that of EBF for 6months.
机译:这项研究旨在记录粮食不安全是否与肯尼亚城市女性对纯母乳喂养的信念和态度有关。我们对75例受人体免疫缺陷病毒(HIV)感染和75例艾滋病毒状态不明,低收入妇女(怀孕或生下≤24个月并居住在肯尼亚的纳库鲁)进行了结构化访谈,以针对这些问题产生分类和开放式的回应。对EBF和粮食不安全的知识,态度和信念。我们与受艾滋病毒影响和艾滋病毒状况不明的母亲(n = 50名妇女)进行了六次焦点小组讨论(FGD),以评估EBF的障碍和促进因素。在具有完整访谈数据的148名妇女中,有77%为中度或严重食物不安全(FIS)。 FIS家庭中的妇女更有可能相信母乳不足6个月[赔率(OR)为2.6; 95%的置信区间(95%CI),1.0、6.8]表明,EBF持续6个月的女性会遇到健康或社会问题(OR,2.7; 95%CI,1.0、7.3),即女性需要足够的食物来支持EBF 6个月(OR,2.6; 95%CI,1.0,6.7),并且他们自己将在6个月内无法遵循咨询师对EBF的建议(OR,3.2; 95%CI,1.3,8.3)。对访谈和FGD成绩单的定性分析表明,母体饥饿感会导致人们感觉到牛奶不足,对婴儿饥饿感的焦虑以及对获得充足母乳喂养必须获得足够食物的看法。在低收入的,通常是FIS的肯尼亚城市女性样本中,粮食不安全的现实经验降低了他们至少实施一种推荐的关键婴儿喂养方法(EBF为六个月)的能力。

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