绘制坦桑尼亚不同婴儿年龄的纯母乳养及其决定因素的区域差异
Ola Farid Jahanpour1, Elphas Luchemo Okango2, Jim Todd3,4
1Department of Epidemiology and Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania. ola.jahanpour@gmail.com.
BMC pregnancy and childbirth
|November 4, 2023
概括
坦桑尼亚的不同地区,独家母乳养 (EBF) 差异很大,随着婴儿年龄的增长,这种情况正在下降. 针对性干预对于EBF率较低的地区至关重要,以改善婴儿营养和健康结果.
科学领域:
- 公共卫生 公共卫生
- 母婴营养 母婴营养
- 人口统计学 人口统计学
背景情况:
- 纯母乳养 (EBF) 对婴儿健康有显著的益处,但在全球范围内仍未得到充分利用.
- 低于最佳的EBF采用需要在特定地区制定有针对性的战略.
- 了解区域差异和决定因素是提高EBF实践的关键.
研究的目的:
- 调查坦桑尼亚专用母乳养 (EBF) 实践的区域差异.
- 在0-5个月的婴儿中确定影响EBF的因素.
- 为改善EBF利率提供有针对性的干预信息.
主要方法:
- 使用2015/16坦桑尼亚人口与健康调查数据进行的横截面研究.
- 包括1,015名婴儿 (0-5个月) 通过EBF的24小时回忆进行评估.
- 一般化的线性混合模型用于分析区域和计数区 (EA) 级别的因素.
主要成果:
- 在EBF中观察到显著的区域差异,随着婴儿年龄的增加,比例下降.
- 区域和EA因素解释了EBF在0-1个月和2-3个月的显著变化.
- 母亲的识字能力是2-3个月后EBF的重要预测因素 (AOR=3.2).
结论:
- 坦桑尼亚在EBF中表现出区域差异,需要进一步调查潜在原因.
- 干预措施应优先考虑EBF比率较低的地区.
- EBF的实践集中在区域和EA层面,这表明本地化方法是有效的.
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