Time to complementary feeding initiation and its predictors among children aged 9-23 months in Meket District, Northeast Ethiopia: a Cox Weibull regression.

IF 2.4 Q3 NUTRITION & DIETETICS Journal of Nutritional Science Pub Date : 2023-09-12 eCollection Date: 2023-01-01 DOI:10.1017/jns.2023.71
Sileshi Fekadu Alemu, Aregash Abebayehu Zerga, Reta Dewau Yimer, Sisay Eshete Tadesse
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Abstract

.Globally and nationally, only 64⋅5 and 49⋅2 % of infants received solid or semi-solid foods, respectively. The available evidence indicates that the time to initiate complementary feeding practices is still poor and varies by region. The aim of the present study was to assess the time to initiation of complementary feeding and its predictors among children aged 9-23 months in Meket District, Amhara Region, Ethiopia. A community-based retrospective cohort study was conducted from June to July 2022 among 459 systematically selected mothers/caregivers with their children from 9 to 23 months of age. The result of descriptive statistics was reported by table, frequency, Kaplan-Meier curve and percent. The proportional hazard model assumption was checked, and a Weibull regression model was used to see the predictors of timely initiation of complementary feeding. An adjusted hazard ratio with a 95 % confidence interval and a P-value of 0⋅05 were used to declare the significant predictors. The median time of complementary feeding initiation was 6 months. Attending primary education (adjusted hazard ration (AHR) 1⋅8; 95 % CI 1⋅16, 2⋅78), occupation of the mother (AHR 1⋅43; 95 % CI 1⋅04, 1⋅95), home delivery (AHR 1⋅61; 95 % CI 1⋅09, 2⋅37) and birth preparedness (AHR 1⋅37; 95 % CI 1⋅03, 1⋅81) were the predictors of time to complementary feeding initiation. The median time to complementary feeding initiation was consistent with the WHO recommendation. Maternal education, maternal employment, place of delivery and birth preparedness were the predictors of time to initiation of complementary feeding. Therefore, working with the education sector, increasing the delivery rate in health facilities, strengthening counselling on birth preparation, increasing maternity leave until 6 months of age and initiating corner feeding should be part of the complementary feeding practices promotion agenda.

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埃塞俄比亚东北部Meket区9-23个月儿童开始补充喂养的时间及其预测因素:Cox-Weibull回归。
在全球和全国范围内,分别只有64%和49%的婴儿接受固体或半固体食物。现有证据表明,开始补充喂养做法的时间仍然很短,而且因地区而异。本研究的目的是评估埃塞俄比亚阿姆哈拉地区Meket区9-23个月儿童开始补充喂养的时间及其预测因素。2022年6月至7月,在459名系统选择的母亲/照顾者及其9至23个月大的孩子中进行了一项基于社区的回顾性队列研究。描述性统计的结果按表格、频率、Kaplan-Meier曲线和百分比报告。检查了比例风险模型的假设,并使用威布尔回归模型来查看及时开始补充喂养的预测因素。采用95%置信区间和P值为0·05的调整后的风险比来宣布显著的预测因素。补充喂养开始的中位时间为6个月。参加初等教育(调整后的危险比(AHR)1∙8;95%可信区间1∙16,2∙78)、母亲的职业(AHR 1∙43;95%可信区间2∙04,1∙95)、在家分娩(AHR 2∙61;95%可信范围1∙09,2・37)和生育准备(AHR 3∙37;95%可信赖度1∙03,1・81)是补充喂养开始时间的预测因素。补充喂养开始的中位时间符合世界卫生组织的建议。母亲教育、母亲就业、分娩地点和生育准备是开始补充喂养时间的预测因素。因此,与教育部门合作,提高卫生设施的分娩率,加强生育准备咨询,增加产假至6个月大,并开始角落喂养,应该成为补充喂养做法促进议程的一部分。
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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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