母乳喂养和母亲特征对纳米比亚 0-2 岁儿童腹泻发病率的影响

Opeoluwa Oyedele
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引用次数: 0

摘要

背景:尽管腹泻病是可以治疗和预防的,但它仍然是发展中国家幼儿的主要杀手之一。研究目的研究母乳喂养和母亲特征对纳米比亚 0-2 岁儿童腹泻发病率的影响。方法:采用横断面定量研究设计:采用定量横断面研究设计和多变量对数二叉模型,从 2013 年国家人口与健康调查收集的数据中研究母乳喂养和母亲特征对 0-2 岁儿童腹泻发病率的影响。研究结果母乳喂养和母亲相关特征,如母乳喂养状况、与其他家庭共用厕所设施、曾经出生的孩子总数、医疗保险覆盖率和在家中讲的主要语言,对儿童腹泻发病率的风险较低,而居住地类型、最高教育水平、电力和冰箱等特征对儿童腹泻发病率的风险较高、而居住地类型、最高教育程度、家中是否有电和冰箱、宗教信仰、财富指数、昨晚使用的蚊帐类型、母亲的初产年龄、儿童目前的年龄、儿童的居住地以及在过去 6 个月中是否服用过治疗肠道寄生虫的药物等特征对儿童腹泻发病率的影响较高,而地区对儿童腹泻发病率的影响则不尽相同。结论研究表明,要降低儿童腹泻感染的发病风险,父母必须充分了解相关信息,因此,所有负责医疗服务和儿童福利的相关组织和政府部门都应利用广播和电视等大众媒体,不断传播有关母乳喂养的一致信息,并倡导有 0-2 岁孩子的母亲更好地实施环境卫生和个人卫生习惯,尤其是在卡万戈斯(东/西)和卡普里维/赞比西地区的农村和最贫困地区。关键词母乳喂养;腹泻;对数二项式模型;母亲特征;儿童腹泻发病率;纳米比亚。
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Effect of breastfeeding and maternal characteristics on diarrhoea morbidity among children aged 0-2 years in Namibia
Background: Despite it being treatable and preventable, morbidity from diarrhoeal disease still remains one of the leading killers of young children in developing countries. Objectives: To examine the effect of breastfeeding and maternal characteristics on diarrhoea morbidity among 0-2 years old children in Namibia. Methods: A quantitative cross-sectional study design with a multivariable log-binomial model was used to examine the effect of breastfeeding and maternal characteristics on diarrhoea morbidity among 0-2 year old children from data collected from the 2013 NDHS. Results: Breastfeeding and maternal related characteristics such as breastfeeding status, sharing toilet facilities with other households, total children ever born, health insurance cover and main language spoken in home had lower risks on child diarrhoea morbidity, while characteristics such as type of place of residence, highest educational level, electricity & refrigerator in the household, religion, wealth index, type of mosquito bed net(s) slept under last night, mother's age at first birth, current age of child, child’s residency and drugs taken for intestinal parasites in last 6 months had higher risks and region had mixed risks. Conclusions: Since studies have shown that the possibility of reducing the risk of morbidity related to diarrhoeal infections in children requires well-informed parents, all relevant organizations and governmental ministries that deals with health services and children’s well-being should make use of mass media like radio and television to constantly spread consistent messages on breastfeeding and advocate for better implementation of sanitation and hygiene practices among mothers with children aged 0-2 years, especially in rural and poorest areas of the Kavangos (East/West) and Caprivi/Zambezi regions. Keywords: Breastfeeding; diarrhoea; log-binomial model; maternal characteristics; child diarrhoea morbidity; Namibia.
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