根据母亲的艾滋病毒状况,与纯母乳养相关的因素:肯尼亚的一项基于人口的调查
Mame M Diakhate1, Jennifer A Unger2, Agnes Langat3
1Department of Global Health, University of Washington, 3980 15th Ave NE, Box 351620, Seattle, WA, 98195, USA. mdiakh@uw.edu.
International breastfeeding journal
|June 26, 2024
概括
纯母乳养 (EBF) 率在前六个月感染艾滋病毒 (WLWH) 的妇女中较高. 然而,WLWH显示9个月后继续母乳养的比例较低,这表明需要有针对性的支持策略.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 营养流行病学 营养流行病学
背景情况:
- 前六个月的纯母乳养 (EBF) 对婴儿健康至关重要,但在全球范围内仍然很低.
- 了解影响母乳养的因素至关重要,尤其是在艾滋病毒流行率高的环境中.
- 这项研究考察了肯尼亚的母乳养实践和相关因素.
研究的目的:
- 评估产后6周和6个月的纯母乳养 (EBF) 患病率.
- 确定EBF的相关性,包括母亲的艾滋病毒状况,心理健康和亲密伴侣暴力.
- 评估9个月后继续母乳养与补充养的持续母乳养情况.
主要方法:
- 在肯尼亚对母婴对进行的人口调查数据的分析.
- 在6周和9个月免疫接种访问时,母乳养实践的母亲报告是主要结果.
- 综合波桑回归模型被用于评估相关性,并考虑设施级集群.
主要成果:
- 在6周,93%的母亲练习EBF. 在9个月后,73%的人报告了6个月的EBF.
- 较年轻的母亲年龄,较低的教育程度和婴儿疾病与较低的EBF有关.
- 艾滋病毒感染者 (WLWH) 的女性在6个月后表现出更高的EBF,但在9个月后继续母乳养的比例较低.
- 抑郁症状和亲密伴侣暴力史与较低的EBF有关.
结论:
- 在最初的六个月内,WLWH显示出更高的EBF,但在9个月后继续母乳养的比例较低.
- 有针对性的干预措施是必要的,以支持EBF和持续哺乳超过六个月,特别是WLWH.
- 解决心理健康和亲密伴侣暴力问题也可能改善母乳养的结果.
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