在埃塞俄比亚参加预防母婴传播的艾滋病毒阳性母亲中，不安全的婴儿喂养做法及其相关因素:一项横断面研究。

IF 1.5 Q4 INFECTIOUS DISEASES HIV AIDS-Research and Palliative Care Pub Date : 2023-01-01 DOI:10.2147/HIV.S414636

Demlie Zewdu, Daniel Mengistu Bekele, Kerebih Abere Bantigen, Addisu Dabi Wake

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引用次数: 0

摘要

导言:婴儿喂养方式可能对艾滋病毒阳性母亲所生婴儿的健康产生影响。母乳喂养对新生儿的健康有显著的好处，尽管它增加了艾滋病毒阳性母亲将艾滋病毒传染给孩子的风险。在非洲环境中，三分之一至一半的儿童艾滋病毒感染可能与母乳喂养有关。本研究旨在调查2022年在埃塞俄比亚阿法尔地区州选定的政府医院接受预防母婴传播的艾滋病毒阳性母亲中不安全婴儿喂养做法的水平及其相关因素。方法:从2022年2月15日至3月15日，在阿法尔州选定的提供预防母婴传播的政府医院对423名艾滋病毒阳性母亲进行了横断面研究。按比例分配从Asayta、Dupti和Mohammed Akle医院采集的样本。采用系统抽样技术选择研究参与者。数据录入采用Epidata 3.1版本，统计分析采用SPSS软件23版本。结果:296例(70.0%)hiv阳性母亲年龄在25 ~ 34岁之间。艾滋病毒阳性母亲中不安全婴儿喂养做法的水平为153(36.2%)。约270名(63.8%)母亲对婴儿进行纯母乳喂养。在多变量logistic回归分析中，PNC随访(AOR=1.814, 95% CI:(1.127, 2.919))、ART随访(AOR=1.987, 95% CI:(1.128, 3.501))和HIV信息披露状况(AOR=2.324, 95% CI:(1.470, 3.673))与HIV阳性母亲不安全的婴儿喂养行为显著相关。结论:hiv阳性母亲不安全喂养水平较高。PNC随访、抗逆转录病毒治疗随访和艾滋病毒披露状况与艾滋病毒阳性母亲的不安全婴儿喂养行为显著相关。需要向艾滋病毒阳性母亲提供全面的健康教育，以减少这一问题。

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Unsafe Infant Feeding Practice and Associated Factors Among HIV Positive Mothers Attending PMTCT in Ethiopia: A Cross-Sectional Study.

Introduction: Infant feeding practices can have an impact on the health of infants born to HIV-positive mothers. Breastfeeding has significant health advantages for newborns even while it increases the risk of HIV transmission from an HIV-positive mother to her child. One-third to half of child HIV infections in African settings may be linked to breastfeeding. This study was intended to investigate the level of unsafe infant feeding practice and associated factors among HIV positive mothers attending PMTCT at selected governmental hospitals in Afar regional state, Ethiopia, 2022.

Methods: A cross-sectional study was done among 423 HIV positive mothers from February 15 to March 15, 2022 in Afar regional state at selected PMTCT providing governmental hospitals. The proportional allocation was done for samples to be taken from Asayta, Dupti and Mohammed Akle hospitals. A systematic sampling technique was performed to select the study participants. Epidata version 3.1 was used for data entry, and SPSS software version 23 was used for statistical analysis.

Results: The majority, 296 (70.0%), of mothers with HIV-positive were aged between 25 and 34 years. The level of unsafe infant feeding practice among HIV-positive mothers was 153 (36.2%). About 270 (63.8%) mothers exclusively breastfed their infants. In multivariable logistic regression analysis, PNC follow-up (AOR=1.814, 95% CI: (1.127, 2.919)), ART follow-up (AOR=1.987, 95% CI: (1.128, 3.501)), and HIV disclosure status (AOR=2.324, 95% CI: (1.470, 3.673)) were significantly associated with unsafe infant feeding practice among HIV-positive mothers.

Conclusion: The level of unsafe infant feeding practice among HIV-positive mothers was high. PNC follow-up, ART follow-up, and HIV disclosure status were significantly associated with unsafe infant feeding practice among HIV-positive mothers. Comprehensive health educations need to be provided for HIV-positive mothers to reduce this problem.

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来源期刊

HIV AIDS-Research and Palliative Care INFECTIOUS DISEASES-

CiteScore

3.00

自引率

6.70%

发文量

审稿时长

16 weeks

期刊介绍： About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.