泰国开始母乳养的决定因素:多指标集群调查分析
Salila Cetthakrikul1, Chompoonut Topothai2,3, Nisachol Cetthakrikul4
1Department of Physical Therapy, School of Allied Health Science, Movement Science and Exercise Research Center, Walailak University, Nakhon Si Thammarat, Thailand.
泰国早期母乳养率大幅下降,低于全球目标. 促进阴道分娩和皮肤接触对于改善婴儿养习惯和母亲健康结果至关重要.
科学领域:
- 公共卫生
- 母婴健康
- 流行病学
背景情况:
- 早期开始母乳养 (出生后一小时内) 对于母亲和婴儿的健康至关重要.
- 泰国在过去十年的早期母乳养率有所下降.
- 了解这种下降的决定因素对于有效的公共卫生干预至关重要.
研究的目的:
- 分析泰国2012年至2022年早期母乳养的流行趋势.
- 确定与早期母乳养相关的地理,社会和经济因素.
主要方法:
- 泰国多指标集群调查 (MICS4-7) 的四轮数据 (2012-2022年) 的二次分析.
- 包括13063名有6个月以下孩子的母亲.
- 逻辑回归分析以确定关联,显著性设置为p < 0.05.
主要成果:
- 早期开始母乳养的患病率从54.9% (2012) 降至43.1% (2022).
- 阴道分娩 (AOR 2. 1) 和直接皮肤接触 (AOR 0. 43) 与早期发育有显著的关联.
- 与曼谷相比,北部,东北部和南部地区的比例更高;社会经济和居住因素显示出不一致的关联.
结论:
- 泰国早期开始母乳养的比例很低,
- 干预措施应侧重于促进阴道分娩并确保皮肤与皮肤的直接接触.
- 需要文化敏感的策略来解决区域差异,改善母乳养实践,以改善母亲和儿童的健康结果.
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