Bottle feeding practices and associated factors among mothers of 6–23 months old children attending public health centers in Addis Ababa, Ethiopia. A cross-sectional study

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100886

Simenesh Mekonnen , Melsew Getnet , Zerihun Adraro , Adugna Cherkos

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引用次数: 0

Abstract

Background

Approximately 40% of deaths in children under two years of age worldwide are related to improper feeding practices for infants and young children. Appropriate complementary feeding and optimal breastfeeding could prevent 6% and 13% of deaths under five years of age, respectively. This study investigated bottle feeding practices and associated factors among mothers of 6–23 −month-old children.

Methods and findings

A facility-based cross-sectional study was conducted among mothers of 6–23 months old children attending public health centers in Addis Ababa, Ethiopia, 2023. A total of 826 mothers of children under 2 years old were selected using a systematic random sampling.

Among the mothers sampled, 66 % (95 % CI: 62, 69) bottle-fed their children. Mothers who were daily laborers were 3 times more likely, government employees were 3 times more likely, and private employees were 3 times more likely to bottle feed than housewives; [AOR = 2.651; 95 % CI: (1.174, 5.985)], [AOR = 2.71; 95 % CI: (1.554, 4.726)] and [AOR = 2.534; 95 % CI: (1.366, 4.703) respectively. Mothers who had seen infant formula advertisements were 2 times more likely to bottle feed than those who did not see [AOR = 1.813; 95 %CI: (1.263, 2.601)], mothers who used social media were more likely to practice bottle feeding [AOR = 1.426; 95 % CI: (1.001, 2.030)]. Children in the 12–23 months age group were more likely to be bottle feed compared to younger infants (6–11 months) [AOR = 1.409; 95 % CI: (1.022, 1.944)]. In contrast, mothers whose husbands lacked formal education were significantly less likely to practice bottle feeding [AOR = 0.210; 95 % CI: (0.058, 0.753)].

Conclusion

The high prevalence of bottle feeding and its association with maternal employment, media exposure, and sociodemographic factors highlight the need for comprehensive intervention. Policy efforts should prioritize breast feeding-friendly workplace initiatives, regulate formula marketing, and enhance counseling on infant feeding during antenatal and post-natal care visits. Tailored educational interventions that consider socioeconomic and cultural factors are essential to promote safer and more optimal feeding practices.

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埃塞俄比亚亚的斯亚贝巴公共卫生中心6-23个月大儿童的母亲的奶瓶喂养做法及其相关因素横断面研究

全世界两岁以下儿童死亡中约有40%与婴幼儿喂养方法不当有关。适当的补充喂养和最佳母乳喂养可分别预防6%和13%的五岁以下儿童死亡。本研究调查了6-23个月婴儿母亲的奶瓶喂养方式及其相关因素。方法和发现：对2023年在埃塞俄比亚亚的斯亚贝巴公共卫生中心就诊的6-23个月大儿童的母亲进行了一项基于设施的横断面研究。采用系统随机抽样的方法，选取了826名2岁以下儿童的母亲。在接受抽样调查的母亲中，66%（95%置信区间：62,69）用奶瓶喂养孩子。做日工的母亲比家庭主妇的可能性高3倍，政府雇员比家庭主妇的可能性高3倍，私人雇员比家庭主妇高3倍；[aor = 2.651；95% ci: (1.174, 5.985)], [aor = 2.71；95% CI: (1.554, 4.726), AOR = 2.534；95% CI分别为（1.366,4.703）。看过婴儿配方奶粉广告的母亲使用奶瓶喂养的可能性是没有看过广告的母亲的2倍[AOR = 1.813；95% CI:(1.263, 2.601)]，使用社交媒体的母亲更有可能采用奶瓶喂养[AOR = 1.426；95% ci:(1.001, 2.030)]。与年龄较小的婴儿（6-11个月）相比，12-23个月年龄组的儿童更有可能使用奶瓶喂养[AOR = 1.409；95% ci:(1.022, 1.944)]。相比之下，丈夫缺乏正规教育的母亲实施奶瓶喂养的可能性明显较低[AOR = 0.210；95% ci:(0.058, 0.753)]。结论奶瓶喂养的高流行率及其与产妇就业、媒体接触和社会人口因素的关系，突出了综合干预的必要性。政策努力应优先考虑有利于母乳喂养的工作场所倡议，规范配方奶粉营销，并在产前和产后护理期间加强对婴儿喂养的咨询。考虑到社会经济和文化因素的量身定制的教育干预措施对于促进更安全和更优化的喂养方法至关重要。

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

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.