孟加拉国母乳喂养早期开始的流行情况及相关因素：多水平建模。

Prevalence of and factors associated with early initiation of breastfeeding in Bangladesh: a multilevel modelling.

机构信息

Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, Patuakhali 8602, Bangladesh.

School of Public Health, Southeast University, Nanjing 210009, China.

出版信息

Int Health. 2023 Jul 4;15(4):403-413. doi: 10.1093/inthealth/ihac058.

DOI:10.1093/inthealth/ihac058

PMID:36049132

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10318965/

Abstract

BACKGROUND

Early initiation breastfeeding (EIBF) is a sign of good health for both the mother and the newborn baby. The objective of this study was to estimate the prevalence of EIBF among mothers in Bangladesh and to identify its associated factors.

METHODS

The study used the most recent Bangladesh Demographic and Health Survey 2017-2018 data. A total of 4776 (weighted) respondents were included in the final analysis. The association between the outcome and the independent variables was determined using multilevel (mixed effects) logistic regression analysis.

RESULTS

The overall weighted prevalence of EIBF among Bangladeshi mothers was 61.19% (confidence interval [CI] 59.80 to 62.56). The study shows that non-poor wealth status (adjusted odds ratio [AOR] 0.81 [95% CI 0.68 to 0.95]), institutional delivery (AOR 0.77 [95% CI 0.61 to 0.96]) and caesarean delivery (AOR 0.31 [95% CI 0.26 to 0.38]) were associated with the lower odds of EIBF. Mother's secondary education (AOR 1.34 [95% CI 1.01 to 1.83]), at least four antenatal care visits (AOR 1.36 [95% CI 1.04 to 1.53]), normal birthweight (AOR 1.42 [95% CI 1.09 to 1.85]) and placed on mother's chest and bare skin after birth (AOR 1.33 [95% CI 1.11 to 1.60]) were associated with higher odds of EIBF.

CONCLUSION

In order to enhance EIBF in Bangladesh, health professionals should emphasise skin-to-skin contact after delivery.

摘要

背景

早期启动母乳喂养（EIBF）是母亲和新生儿健康的标志。本研究旨在估计孟加拉国母亲中 EIBF 的流行率，并确定其相关因素。

方法

本研究使用了最近的 2017-2018 年孟加拉国人口与健康调查数据。共有 4776 名（加权）受访者纳入最终分析。使用多水平（混合效应）逻辑回归分析确定结局与自变量之间的关联。

结果

孟加拉国母亲中 EIBF 的总体加权流行率为 61.19%（置信区间 [CI] 59.80 至 62.56）。研究表明，非贫困财富状况（调整后的优势比 [AOR] 0.81 [95% CI 0.68 至 0.95]）、机构分娩（AOR 0.77 [95% CI 0.61 至 0.96]）和剖腹产（AOR 0.31 [95% CI 0.26 至 0.38]）与 EIBF 的可能性较低有关。母亲接受过中等教育（AOR 1.34 [95% CI 1.01 至 1.83]）、至少接受过 4 次产前护理（AOR 1.36 [95% CI 1.04 至 1.53]）、正常出生体重（AOR 1.42 [95% CI 1.09 至 1.85]）和出生后放在母亲胸前和裸露的皮肤上（AOR 1.33 [95% CI 1.11 至 1.60]）与 EIBF 的可能性较高有关。