背景:在HIV感染时代,纯母乳喂养强烈建议小于6个月的婴儿。在可以接受替代喂养的情况下,建议避免感染艾滋病毒的母亲进行独家母乳喂养,可行,负担得起的,可持续和安全。在世界范围内,纯母乳喂养的患病率仍然很低。尽管如此,在目前的研究领域中,关于HIV阳性母亲的婴儿喂养方法以及影响该方法的因素的信息有限.
目的:这项研究评估了在亚的斯亚贝巴的公共卫生设施中0-6个月婴儿的HIV阳性母亲的婴儿喂养行为的程度和相关因素,埃塞俄比亚。
方法:在总共397名研究参与者中采用了基于多中心设施的横断面研究设计。使用简单随机抽样技术选择研究参与者。检查了数据的完整性,编码,清理并输入Epi-data版本4.6软件,并导出到SPSS版本24进行分析。采用描述性统计和二元逻辑回归模型进行分析,调整比值比(AOR)具有95%CI和P值≤0.05,以确定婴儿喂养实践与其独立因素之间的关联强度。
结果:HIV阳性母亲中适当婴儿喂养的总体程度为82.6%(95%CI80.9-88.2)。良好的母亲对婴儿喂养的了解(AOR:1.26,95%,CI1.11-3.34),更好的家庭月收入,≥6001埃塞俄比亚比尔(AOR:1.62,95%CI1.33-5.14)和母亲对婴儿喂养的有利态度(AOR:1.71,95%CI1.01-2.92)是与推荐的婴儿喂养方式有统计学意义的相关因素。
结论:因此,目前的研究区域是埃塞俄比亚的首都,相对受过教育的人口居住的地方,有机会获得更好的收入,在艾滋病毒呈阳性的母亲中,适当的婴儿喂养做法被发现略高于2020年计划的总体国家目标(70%)。因此,不同的利益攸关方应制定战略计划,以超越女性的教育覆盖面,从而提高她们对婴儿喂养的知识和态度,以彻底根除母婴传播疾病。
BACKGROUND: In the era of HIV infection, exclusive breast-feeding highly recommended for infants aged less than 6 months. Avoidance of exclusive breast-feeding by HIV-infected mothers recommended when replacement feeding is acceptable, feasible, affordable, sustainable and safe. The prevalence of exclusive breast-feeding has remained very low worldwide. Despite this fact, there is limited information on infant feeding practices of HIV-positive mothers and factors that affect the practice in the current study area.
OBJECTIVE: This study assessed the magnitude of infant feeding practice and associated factors among HIV-positive mothers of infants aged 0-6 months at public health facilities in Addis Ababa, Ethiopia.
METHODS: A multicenter facility-based cross-sectional study design was employed among a total of 397 study participants. The study participants were selected using a simple random sampling technique. The completeness of the data was checked, coded, cleaned and entered into Epi-data version 4.6 software, and exported to SPSS version 24 for analysis. Descriptive statistics and Binary logistic regression model were employed for the analysis with adjusted odds ratio (AOR) with a 95% CI and a P value ≤ 0.05 to determine the strength of association between infant feeding practice and its independent factors.
RESULTS: The overall magnitude of appropriate infant feeding practice among HIV-positive mothers was 82.6% (95% CI 80.9-88.2). Good knowledge of mother\'s toward infant feeding (AOR: 1.26, 95%, CI 1.11-3.34), better household monthly income, ≥ 6001 Ethiopian birr (AOR: 1.62, 95% CI 1.33-5.14) and favorable attitude of mother\'s toward infant feeding (AOR: 1.71, 95% CI 1.01-2.92) were statistically significant associated factors with the recommended way of infant feeding practice.
CONCLUSIONS: Hence, the current study area is the capital city of the Ethiopia, where a relatively educated population lived in, there was an opportunity for better income, and appropriate infant feeding practice among HIV-positive mothers was found slightly higher than even the overall national target (70%) that was planned by 2020. Therefore, different stakeholders should develop strategic plan to excel females\' education coverage and thereby their knowledge and attitude toward infant feeding to fully eradicate mother-to-child transmission of diseases.