دورية أكاديمية
أعرض في EDS

Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda.

التفاصيل البيبلوغرافية
العنوان: Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda.
المؤلفون: Kimuli D; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. derrick.kimuli@dlhcorp.com., Nakaggwa F; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Namuwenge N; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Nsubuga RN; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Isabirye P; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Kasule K; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Katwesige JF; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Nyakwezi S; The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda., Sevume S; The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda., Mubiru N; The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda., Amuron B; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda., Bukenya D; Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda.
المصدر: International breastfeeding journal [Int Breastfeed J] 2023 Dec 05; Vol. 18 (1), pp. 66. Date of Electronic Publication: 2023 Dec 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101251562 Publication Model: Electronic Cited Medium: Internet ISSN: 1746-4358 (Electronic) Linking ISSN: 17464358 NLM ISO Abbreviation: Int Breastfeed J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Breast Feeding* , Lot Quality Assurance Sampling*, Infant ; Adolescent ; Child ; Female ; Humans ; Pregnancy ; Child, Preschool ; Uganda/epidemiology ; Mothers ; Surveys and Questionnaires
مستخلص: Background: Uganda surpasses many African nations and the global average in exclusive breastfeeding (EBF) rates. Yet, malnutrition is a critical issue, with stunting impacting roughly 29% of children under 5 years. Enhancing EBF could mitigate such nutritional challenges. This study focused on determining the current EBF prevalence and identifying associated factors across 77 surveyed districts.
Methods: Pooled data from the Lot Quality Assurance Sampling (LQAS) surveys conducted in 77 districts in Uganda during 2021 and 2022 were analyzed. The analysis involved 7,210 mothers of children under 6 months, EBF was considered as the proportion of infants who received breast milk only in the 24 hours before the survey. A mother practicing EBF was (1) currently breastfeeding (2) had not started giving foods other than breastmilk (3) had not given any other probed liquids or (4) semi-solid foods the previous day or night. Multivariable logistic regression was used to identify factors associated with EBF, presenting adjusted odds ratios (aOR) with corresponding 95% confidence intervals at a 5% significance level.
Results: The prevalence of EBF was 62.3%. In the adjusted analysis, EBF was more common among older mothers 20-24 years, 25-29 years and 30 + years (aOR 1.4; 95% CI 1.2,1.6), (aOR 1.4; 95% CI 1.1, 1.6) and (aOR 1.3; 95% CI 1.1, 1.5) respectively compared to teenage mothers. Also, EBF was more likely among mothers who lived in rural areas compared to urban areas (aOR 1.1; 95% CI 1.0, 1.3) and those who attended antenatal care (ANC) (aOR 2.2; 95% CI 1.5, 3.1). On the contrary, EBF was less common for children aged 3-5 months compared to younger (aOR 0.5; 95% CI 0.5, 0.6) and children who had received Vitamin A supplementation (aOR 0.7; 95% 0.6, 0.8).
Conclusion: The study suggests that most districts in Uganda might not have made significant strides in improving EBF rates over the last twenty years, pointing to possible ongoing hurdles that need urgent attention. Particularly, there's a pressing need to focus on teenage mothers. Maintaining and strengthening programs that advocate EBF, such as ANC, is crucial to bridge the gaps and bring about more equitable rates among different groups.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Community surveys; Discrepancy; Exclusive breastfeeding
تواريخ الأحداث: Date Created: 20231205 Date Completed: 20231207 Latest Revision: 20231208
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10698875
DOI: 10.1186/s13006-023-00604-x
PMID: 38053098
قاعدة البيانات: MEDLINE
الوصف
تدمد:1746-4358
DOI:10.1186/s13006-023-00604-x