背景:据报道,埃塞俄比亚是非洲哺乳期母亲体重不足患病率最高的国家之一。在我们的学习环境中,地区卫生局的营养报告显示,大量的哺乳期母亲体重不足和反复出现的营养不良问题。然而,在我们的研究环境中,对哺乳期母亲体重过轻的决定因素没有很好的了解.该研究旨在评估Siraro区公共卫生设施中哺乳期母亲体重不足的决定因素,埃塞俄比亚南部。
方法:于2022年4月30日至5月30日,对Siraro区公共卫生机构的390名(130例和260例对照)哺乳期母亲进行了无匹配病例对照研究。病例为BMI<18.5kg/m2的哺乳期母亲,对照组为BMI≥18.5kg/m2的母亲。为了确定体重不足的决定因素,进行双变量和多变量二元logistic回归分析。最终模型使用调整后的优势比(AOR)进行解释,以及95%置信区间(CI)。在p值<0.05时宣布显著性。
结果:多变量逻辑回归分析显示,产前护理就诊[AOR=0.43,95%CI(0.26,0.72)],厕所可用性[AOR=0.50,95%CI(0.27,0.93)],食物消费得分差[AOR=5.40,95%CI(3.15,9.27)],膳食多样性评分不足[AOR=1.66,95%CI(1.20,2.78)],中等[AOR=3.34,95%CI(1.52,7.33)]和贫富指数[AOR=6.32,95CI(3.12,12.81)]与哺乳期母亲体重过轻显著相关.
结论:产前护理访视,厕所的可用性,食物消费得分差,膳食多样性评分不足,中等和贫困的财富指数是体重不足的决定因素。以厕所建设为重点的多部门方法,经济赋权和粮食多样化,以及持续的意识创造,对于提高哺乳期母亲的营养状况和打破营养不良的恶性循环至关重要。
BACKGROUND: Ethiopia is reported to have one of the highest prevalence of
underweight among lactating mothers in Africa. In our study setting, the nutritional report from the district health office showed a high number of
underweight lactating mothers and recurrent malnutrition problems. However, the determinants of
underweight among lactating mothers were not well understood in our study setting. The study aimed to assess the determinants of
underweight among lactating mothers in public health facilities of Siraro District, Southern Ethiopia.
METHODS: Unmatched
case control study was conducted among 390 (130 cases and 260 controls) lactating mothers in public health facilities of Siraro District from April 30 to May 30/2022. Cases were lactating mothers with BMI < 18.5 kg/m2 and controls were mothers whose BMI was ≥ 18.5 kg/m2. To identify the determinants of underweight, bivariate and multivariable binary logistic regression analysis were carried out. The final model was interpreted using adjusted odds ratio (AOR), along with a 95% confidence interval (CI). Significance was declared at p-value < 0.05.
RESULTS: Multivariable logistic regression analysis revealed that having; antenatal care visits [AOR = 0.43, 95% CI (0.26,0.72)], latrine availability [AOR = 0.50,95% CI (0.27,0.93)], poor food consumption score [AOR = 5.40, 95% CI (3.15,9.27)], inadequate dietary diversity score [AOR = 1.66, 95% CI (1.20,2.78)], medium [AOR = 3.34, 95% CI (1.52,7.33)] and poor wealth index [AOR = 6.32, 95%CI(3.12,12.81)] were significantly associated with being underweight among lactating mothers.
CONCLUSIONS: Antenatal care visits, latrine availability, poor food consumption scores, inadequate dietary diversity score, medium and poor wealth index were the determinants of underweight. A multi-sectoral approach focusing on latrine construction, economic empowerment and food diversification, as well as ongoing awareness creation, is essential to increase the nutritional status of lactating mothers and break the vicious cycle of malnutrition.