Human immunodeficiency virus exposed child feeding and maternal enriching factors.

IF 2.4 Q3 NUTRITION & DIETETICS
Journal of Nutritional Science Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI:10.1017/S204867902400051X
Birhan Desalegn, Misgan Legesse, Fassikaw Kebede Bizuneh
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引用次数: 0

Abstract

Globally, each year 1.3 million neonates acquire human immunodeficiency virus during pregnancy, labour, and breastfeeding time. Replacing breastfeeding with recommended safe infant feeding practices significantly reduces the risk of transmission, nearly eliminating it. This study aimed to assess Human immunodeficiency virus exposed child feeding among 314 mothers with infants under 24 months old. Participants were selected using a systematic random sampling technique, and data were collected through a semi-structured questionnaire. Bivariable and multivariable logistic regression analyses employed to identify determinants for safe infant feeding. During interviews, the mean age of women was 32.35 years (standard deviation±4.5), and infants were 10.8(±3.951) months. The overall safe infant feeding was 67.2% (95% CI: 61.7, 72.9), with a mean knowledge score. By the study's end, 9 infants (2.89%) were confirmed to be infected with virus based on dried blood sample test. Maternal promoting factors for safe infant practice included infant age 25-35 years (adjusted odd ratio (aOR) =2.9) completing high school education (adjusted odd ratio = 9.2), having a good knowledge score for infant feeding (adjusted odd ratio = 8.2), and urban residency (adjusted odd ratio = 2.2). On the other hand, being married made it 83% less likely for safe infant feeding practices (adjusted odd ratio = 0.17) compared to those never in a union. Two in three mothers practiced safe infant feeding for their HIV-exposed infants, with a mean knowledge score of 70.3%. Therefore, healthcare providers give accurate information and counselling services to make informed decisions about infant safe feeding.

暴露于人体免疫缺陷病毒的儿童喂养和母体富集因素。
全球每年有 130 万新生儿在怀孕、分娩和母乳喂养期间感染人体免疫缺陷病毒。用推荐的安全婴儿喂养方法取代母乳喂养可大大降低传播风险,几乎可以杜绝传播。这项研究旨在评估 314 名有 24 个月以下婴儿的母亲的人类免疫缺陷病毒暴露儿童喂养情况。研究采用系统随机抽样技术,通过半结构化问卷收集数据。采用双变量和多变量逻辑回归分析来确定婴儿安全喂养的决定因素。在访谈中,妇女的平均年龄为 32.35 岁(标准差±4.5),婴儿的平均年龄为 10.8(±3.951)个月。总体婴儿安全喂养率为 67.2%(95% CI:61.7, 72.9),平均知识得分。研究结束时,9 名婴儿(2.89%)经干血样检测证实感染了病毒。促进婴儿安全喂养的母亲因素包括:婴儿年龄在 25-35 岁之间(调整后的奇数比 (aOR) =2.9),完成高中教育(调整后的奇数比 =9.2),婴儿喂养知识得分较高(调整后的奇数比 =8.2),以及居住在城市(调整后的奇数比 =2.2)。另一方面,与从未同居的母亲相比,已婚母亲采取安全婴儿喂养做法的可能性要低 83%(调整后奇数比 = 0.17)。每三位母亲中就有两位对其感染艾滋病毒的婴儿采取了安全婴儿喂养措施,平均知识知晓率为 70.3%。因此,医疗保健提供者应提供准确的信息和咨询服务,以便婴儿在知情的情况下做出安全喂养的决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Nutritional Science
Journal of Nutritional Science NUTRITION & DIETETICS-
CiteScore
3.00
自引率
0.00%
发文量
91
审稿时长
7 weeks
期刊介绍: Journal of Nutritional Science is an international, peer-reviewed, online only, open access journal that welcomes high-quality research articles in all aspects of nutrition. The underlying aim of all work should be, as far as possible, to develop nutritional concepts. JNS encompasses the full spectrum of nutritional science including public health nutrition, epidemiology, dietary surveys, nutritional requirements, metabolic studies, body composition, energetics, appetite, obesity, ageing, endocrinology, immunology, neuroscience, microbiology, genetics, molecular and cellular biology and nutrigenomics. JNS welcomes Primary Research Papers, Brief Reports, Review Articles, Systematic Reviews, Workshop Reports, Letters to the Editor and Obituaries.
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