Factors Associated with Time to Cease Exclusive Breastfeeding Among Infants Aged 6–9 Months, Kirkos Sub-City, Addis Ababa, Ethiopia: Survival Analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-01 DOI:10.2147/nds.s444939

G. Mezgebu, Luladey Getachew, F. Feleke, Rediet Kidane

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引用次数: 0

Abstract

Introduction: Notwithstanding the World Health Organization’s (WHO) guideline for exclusive breastfeeding (EBF) for the first six months of an infant’s life, its prevalence remains low in both developed and developing countries. Although breastfeeding is widely practiced in Ethiopia, only 59% of the children under the age of six months were exclusively breastfed. Objective: This study aimed to assess the time to cessation of EBF and associated factors among infants aged 6–9 months in health facilities under Kirkos sub-city, Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study was conducted among 287 mothers attending Kirkos sub-city health facilities from September 1 to 30, 2020. Bivariable and multivariable Cox regression models were fitted to identify factors associated with the time to cessation of EBF. Results: According to this finding, the median period for EBF discontinuation was 6 months. Early cessation of EBF was 130 (45.8%) days. Mothers with average household monthly income <15 USD [AHR, 5.31 (95% CI: 2.82, 9.99)] and 15–30 USD [AHR, 2.59 (95% CI: 1.41, 4.77)], EBF counseling at post-natal care [AHR, 0.18 (95% CI: 0.10, 0.31)], media access [AHR, 1.67 (95% CI: 1.06, 2.63)], child comorbidity [AHR, 0.51 (95% CI: 0.29, 0.88)], bottle feeding [AHR, 3.28 (95% CI: 2.14 5.01)], unfavorable attitude towards EBF [AHR, 3.59 (95% CI: 2.02, 6.40)] were significant factors associated with the hazard of cessation of EBF. Conclusion: In this investigation, the cumulative survival probability of EBF to 6 months was 45.8%, with a median duration of 6 months (95% CI 5.83–6.18) months. Unfavorable attitudes, child comorbidity, and bottle feeding were factors associated with earlier cessation of EBF. Media access, household monthly higher income, and EBF counseling at postnatal care were factors associated with prolonged EBF. As a result, supporting behavioral change and media access for effective communication on EBF duration practice following the established standard should be targeted during both ante-natal and post-natal care visits.

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埃塞俄比亚亚的斯亚贝巴 Kirkos 次城市 6-9 个月婴儿停止纯母乳喂养时间的相关因素：生存分析

导言：尽管世界卫生组织（WHO）制定了婴儿出生后头六个月纯母乳喂养（EBF）的指导方针，但在发达国家和发展中国家，纯母乳喂养的普及率仍然很低。虽然母乳喂养在埃塞俄比亚得到广泛开展，但只有 59% 的 6 个月以下婴儿是纯母乳喂养。研究目的本研究旨在评估埃塞俄比亚亚的斯亚贝巴市 Kirkos 县医疗机构中 6-9 个月大婴儿停止纯母乳喂养的时间及相关因素。研究方法在 2020 年 9 月 1 日至 30 日期间，对在 Kirkos 子城医疗机构就诊的 287 名母亲进行了一项基于机构的横断面研究。采用双变量和多变量考克斯回归模型来确定与停止婴儿早期喂养时间相关的因素。结果显示根据这一结果，停止使用婴儿配方奶粉的中位时间为 6 个月。早期停止婴儿喂养的时间为 130 天（45.8%）。平均家庭月收入低于 15 美元[AHR, 5.31 (95% CI: 2.82, 9.99)]和 15-30 美元[AHR, 2.59 (95% CI: 1.41, 4.77)]的母亲、产后护理中的 EBF 咨询[AHR, 0.18 (95% CI: 0.10, 0.31)]、媒体接触[AHR, 1.67 (95% CI: 1.06, 2.63）]、儿童合并症[AHR, 0.51 (95% CI: 0.29, 0.88)]、奶瓶喂养[AHR, 3.28 (95% CI: 2.14 5.01)]、对婴儿早期喂养的不利态度[AHR, 3.59 (95% CI: 2.02, 6.40)]是与停止婴儿早期喂养的危险相关的重要因素。结论在这项调查中，婴儿喂养到 6 个月的累积存活率为 45.8%，中位持续时间为 6 个月（95% CI 5.83-6.18）个月。不利的态度、儿童合并症和奶瓶喂养是较早停止婴儿早期喂养的相关因素。媒体接触、家庭月收入较高以及产后护理中的婴儿喂养咨询是延长婴儿喂养时间的相关因素。因此，在产前和产后检查中，应针对支持行为改变和媒体获取，以按照既定标准就婴儿出生后喂养的持续时间进行有效沟通。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.