■在全球范围内,母乳喂养是降低婴幼儿发病率和死亡率的高效策略.同时,产后抑郁症(PPD)成为一个值得注意的公共卫生问题,对婴儿的纯母乳喂养(EBF)实践和育儿角色的履行都产生不利影响。尽管埃塞俄比亚和具体研究领域缺乏大量证据,表明PPD和EBF实践之间的关联,这项研究努力填补这一空白。主要目标是检查PPD和EBF实践之间的相关性,在探索其他相关因素的同时,在Assosa镇,西埃塞俄比亚。
■一项基于社区的横断面研究于2019年3月7日至4月5日进行。该研究通过系统随机抽样方法招募了462名参与者。通过进行结构化和预先测试的调查表,促进了数据收集。要筛选PPD,我们使用爱丁堡产后抑郁量表(EPDS)工具。这个工具,EPDS,仅用作筛查工具,而不是用于诊断目的。将收集的数据输入Epi-Data版本3.1,随后导出到SPSS版本24进行综合统计分析。进行双变量和多变量逻辑回归分析以评估自变量和因变量之间的关联。赔率比,以及他们的95%置信区间(CI),进行计算以确定任何关联的存在和强度。在<0.05的p-值处确认统计学显著性。
■发现EBF实践的总体患病率为58.2%(95%CI:51.4-65.7),PPD的患病率为18.7%(95%CI:15.94-26.7)。在没有PPD的母亲中,与经历PPD的母亲相比,EBF实践的患病率明显更高,为62.4%(95%CI:55.9-65.2%),其中患病率为31.3%(95%CI:24.7-32.5%)。经历过PPD的母亲与他们的母亲相比,练习EBF的几率降低了51%(AOR=0.49。95%CI:0.25-0.8)。此外,家庭月收入较高(AOR=8.7,95%CI:4.2-17.2)等因素,多胎(AOR=5.8,95%CI4.9-10.8),参加产前保健(ANC)就诊(AOR=4.9,95%CI:3.4-14.1),选择阴道分娩(AOR=9.8,95%CI:5.6-17.4),和接受丈夫的支持(AOR=5.3,95%CI:4.6-12.7)显示与EBF实践有统计学意义的正相关。
■在这项研究中,大量母亲在婴儿出生后的前6个月表现出不理想的EBF做法。因此,研究结果强调了PPD和EBF之间的明显关联.因此,必须加强PPD的早期发现和治疗,提高家庭收入,非国大的倡导者,并鼓励丈夫积极参与以加强EBF实践。
UNASSIGNED: Across the globe, breastfeeding stands out as a highly effective strategy for reducing infant and child morbidity and mortality. Concurrently, postpartum depression (PPD) emerges as a notable public health issue, adversely affecting both exclusive breastfeeding (EBF) practices for infants and the fulfillment of parenting roles. Despite the lack of substantial evidence in Ethiopia and the specific study areas, indicating the association between PPD and EBF practices, this study endeavors to fill this gap. The primary objective is to examine the correlation between PPD and EBF practices, along with exploring other pertinent factors, in Assosa Town, West Ethiopia.
UNASSIGNED: A community-based cross-sectional study was carried out from 7 March to 5 April 2019. The study involved the recruitment of 462 participants through a systematic random sampling method. Data collection was facilitated by conducting a structured and pre-tested questionnaire. To screen for PPD, we used the Edinburgh Postnatal Depression Scale (EPDS) tool. This tool, EPDS, was used solely as a screening tool and not for diagnostic purposes. The collected data were entered into Epi-Data version 3.1 and subsequently exported to SPSS version 24 for comprehensive statistical analysis. Bivariate and multivariate logistic regression analyses were performed to assess the association between independent variables and dependent variables. Odds ratios, along with their 95% confidence intervals (CIs), were calculated to ascertain the presence and strength of any associations. Statistical significance was acknowledged at a p-value of <0.05.
UNASSIGNED: The overall prevalence of EBF practices was found to be 58.2% (95% CI: 51.4-65.7), while the prevalence of PPD was 18.7% (95% CI: 15.94-26.7). Among mothers without PPD, the prevalence of EBF practices was notably higher at 62.4% (95% CI: 55.9-65.2%) compared to mothers experiencing PPD, where the prevalence was 31.3% (95% CI: 24.7-32.5%). Mothers who experienced PPD exhibited 51% reduced odds of practicing EBF compared to their counterparts (AOR = 0.49. 95% CI: 0.25-0.8). Furthermore, factors such as having a higher family monthly income (AOR = 8.7, 95% CI: 4.2-17.2), being multiparous (AOR = 5.8, 95% CI 4.9-10.8), attending antenatal care (ANC) visits (AOR = 4.9, 95% CI: 3.4-14.1), opting for vaginal delivery (AOR = 9.8, 95% CI: 5.6-17.4), and receiving husband\'s support (AOR = 5.3, 95% CI: 4.6-12.7) demonstrated a statistically significant positive association with EBF practices.
UNASSIGNED: In this study, a substantial number of mothers demonstrated suboptimal EBF practices during the first 6 months of their infants\' lives. Consequently, the findings underscore a clear association between PPD and EBF. Thus, it is imperative to intensify efforts in the early detection and treatment of PPD, enhance household income, advocate for ANC, and encourage active husband involvement to bolster EBF practices.