印度婴儿的纯母乳喂养做法及其决定因素:第四次和第五次全国家庭健康调查的结果

IF 2.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Samarasimha Reddy N, Aravind Dharmaraj, Jovis Jacob, Kulandaipalayam Natarajan Sindhu
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引用次数: 0

摘要

世界卫生组织(WHO)建议在婴儿出生后的前 6 个月进行纯母乳喂养(EBF)。本分析旨在通过全国家庭健康调查(NFHS)-4 和 5,估算印度婴儿在出生后头 6 个月纯母乳喂养的比例,并进一步确定与纯母乳喂养做法相关的因素。在本次分析中,婴儿纯母乳喂养的定义是:在调查前的最后 24 小时内,婴儿只接受母乳喂养,没有接受任何辅食(固体食物、水、动物奶、婴儿配方奶、果汁和强化食品)。根据调查时的儿童年龄,绘制了从出生到 6 个月纯母乳喂养婴儿的比例图,并计算了印度各邦、中央直辖区和总体的纯母乳喂养婴儿比例。对影响印度婴儿纯母乳喂养的因素进行了单变量和多变量逻辑回归分析。根据 NFHS-4 和 NFHS-5 调查,印度婴儿 6 个月纯母乳喂养的比例分别为 31.3% (1280/4095; 95% CI 29.9, 32.7) 和 43% (1657/3853; 95% CI 41.4, 44.6)。在第五次全国家庭健康状况调查中,在册部落的婴儿(aOR 1.5;95% CI 1.2,1.9)和在公共卫生机构分娩的母亲(aOR 1.3;95% CI 1.1,1.5)与同龄人相比,6 个月大时纯母乳喂养的几率更高。此外,50%年龄段母亲的婴儿在出生后 6 个月内仍未按照世界卫生组织的建议进行纯母乳喂养。行为研究剖析了影响印度异质人口纯母乳喂养的各种因素之间复杂的相互作用,有助于规划干预措施,促进和扩大印度婴儿的纯母乳喂养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exclusive breastfeeding practices and its determinants in Indian infants: findings from the National Family Health Surveys-4 and 5
The World Health Organization (WHO) recommends exclusive breastfeeding (EBF) in infants for the first 6 months of life. This analysis aims to estimate the proportion of Indian infants exclusively breastfed for the first 6 months using the National Family Health Surveys (NFHS)-4 and 5, and further, determine factors associated with EBF practices. EBF for this analysis was defined as when infants received only breast milk and no complementary feeds (solid food, water, animal milk, baby formula, juice, and fortified food) in the last 24 h prior to the survey. The proportion of infants exclusively breastfed was plotted from birth to 6 months as per the age of children at the time of the survey, and this was computed for individual states, union territories, and overall, for India. Univariate and multivariable logistic regression analyses were performed to examine factors influencing EBF in Indian infants. The proportion of Indian infants exclusively breastfed for 6 months was 31.3% (1280/4095; 95% CI 29.9, 32.7) and 43% (1657/3853; 95% CI 41.4, 44.6) as per the NFHS-4 and 5 surveys, respectively. In NFHS-5, infants of scheduled tribes (aOR 1.5; 95% CI 1.2, 1.9) and mothers who delivered at public health facilities (aOR 1.3; 95% CI 1.1, 1.5) showed an increased odds of being exclusively breastfed at 6 months of life compared to their counterparts. Further, infants of mothers aged < 20 years (aOR 0.5; 95% CI 0.4, 0.7), low birth weight infants (aOR 0.6; 95% CI 0.4, 0.8), and infants in whom breastfeeding was initiated one hour after birth (aOR 0.8; 95% CI 0.7, 0.9) showed a reduced odds of being exclusively breastfed at 6 months compared to their counterparts. The overall EBF practice showed an increasing trend in the NFHS-5 compared to the NFHS-4 survey. However, a vast gap remains unaddressed in the Indian setting with > 50% of the population still not exclusively breastfeeding their infants for the WHO recommended duration of first 6 months. Behavioral studies dissecting the complex interplay of factors influencing EBF within the heterogenous Indian population can help plan interventions to promote and scale-up EBF in Indian infants.
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来源期刊
International Breastfeeding Journal
International Breastfeeding Journal Medicine-Obstetrics and Gynecology
CiteScore
6.30
自引率
11.40%
发文量
76
审稿时长
32 weeks
期刊介绍: Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks. Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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