埃塞俄比亚延迟开始母乳养的空间变化和决定因素:对2019年EDHS最新证据的空间和多层次分析
Ribka Nigatu Haile1, Biruk Beletew Abate2, Tegene Atamenta Kitaw2
1Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia. nigaturebecca@gmail.com.
International breastfeeding journal
|February 7, 2024
概括
延迟开始母乳养影响了超过四分之一的埃塞俄比亚母亲,特别是年轻母亲和剖腹产产妇. 热点地区的有针对性的干预措施对于改善早期母乳养实践至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 世界卫生组织建议在分娩后的第一小时内开始母乳养.
- 在全球范围内,在低收入和中等收入国家的近54%的儿童在这个关键的时间框架内没有开始母乳养.
- 了解影响母乳养开始的因素对于母亲和儿童的福祉至关重要.
研究的目的:
- 确定埃塞俄比亚延迟开始母乳养的流行率和空间分布.
- 确定与埃塞俄比亚母亲延迟开始母乳养相关的关键决定因素.
主要方法:
- 利用了1982名母亲的2019年埃塞俄比亚人口与健康调查 (EDHS) 数据.
- 使用空间分析 (Global Moran's I,Getis-Ord Gi*空间统计) 和多层混合效应物流回归.
- 延迟开始母乳养的定义是:未能在出生后一小时内开始母乳养.
主要成果:
- 在埃塞俄比亚,延迟开始母乳养的患病率为26.4%.
- 在索马里地区观察到延迟启动的显著空间集群,在北安哈拉,亚的斯亚贝巴和迪雷达瓦地区的集群较少.
- 与延迟开始相关的因素包括年轻的母亲年龄 (15-24岁),没有产前护理,剖腹产和家庭分娩.
结论:
- 埃塞俄比亚的延迟开始母乳养表现出非随机的空间分布,在东部地区确定了热点.
- 干预措施应优先考虑促进卫生机构分娩和增加产前护理访问.
- 对年轻母亲和接受剖腹产的母亲的支持对于改善及时开始母乳养至关重要.
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