Food insecurity is associated with attitudes towards exclusive breastfeeding among women in urban Kenya.

作者: Aimee Webb-Girard , Anne Cherobon , Samwel Mbugua , Elizabeth Kamau-Mbuthia , Allison Amin

DOI: 10.1111/J.1740-8709.2010.00272.X

关键词:

摘要: This study aimed to document whether food insecurity was associated with beliefs and attitudes towards exclusive breastfeeding (EBF) among urban Kenyan women. We conducted structured interviews 75 human immunodeficiency virus (HIV)-affected HIV-status unknown, low-income women who were either pregnant or a child ≤24 months residing in Nakuru, Kenya generate categorical open-ended responses on knowledge, EBF insecurity. facilitated six focus group discussions (FGD) HIV-affected unknown mothers (n = 50 women) assess barriers facilitators EBF. Of 148 complete interview data, 77% moderately severely insecure (FIS). Women FIS households had significantly greater odds of believing that breast milk would be insufficient for 6 [odds ratio (OR), 2.6; 95% confidence interval (95% CI), 1.0, 6.8], experience health social problems (OR, 2.7; CI, 7.3), need adequate support 6.7) they themselves unable follow counsellor's advice 3.2; 1.3, 8.3). Qualitative analysis FGD transcripts indicated the maternal hunger contributes perceived insufficiency, anxiety about infant perception access is necessary successful breastfeeding. The lived sample low-income, commonly FIS, reduces their capacity implement at least one key recommended feeding practices, months.

参考文章(42)
Daniel W. Sellen, Sub-Optimal Breast Feeding Practices: Ethnographic approaches to building “Baby Friendly” communities Advances in Experimental Medicine and Biology. ,vol. 503, pp. 223- 232 ,(2002) , 10.1007/978-1-4615-0559-4_26
Marjorie J. Haskell, Kenneth H. Brown, Maternal Vitamin A Nutriture and the Vitamin A Content of Human Milk Journal of Mammary Gland Biology and Neoplasia. ,vol. 4, pp. 243- 257 ,(1999) , 10.1023/A:1018745812512
Teresa González-Cossı́o, Jean-Pierre Habicht, Kathleen M. Rasmussen, Hernán L. Delgado, Impact of Food Supplementation during Lactation on Infant Breast-Milk Intake and on the Proportion of Infants Exclusively Breast-Fed Journal of Nutrition. ,vol. 128, pp. 1692- 1702 ,(1998) , 10.1093/JN/128.10.1692
CN Nyaruhucha, JM Msuya, PS Mamiro, AJ Kerengi, Nutritional status and feeding practices of under-five children in Simanjiro District Tanzania. Tanzania journal of health research. ,vol. 8, pp. 162- 167 ,(2009) , 10.4314/THRB.V8I3.45114
Ramoteme L Mamabolo, Marianne Alberts, Gertrude X Mbenyane, Nelia P Steyn, Nndivheni G Nthangeni, Henriette A Delemarre-van De Waal, Naomi S Levitt, None, Feeding practices and growth of infants from birth to 12 months in the central region of the Limpopo Province of South Africa. Nutrition. ,vol. 20, pp. 327- 333 ,(2004) , 10.1016/J.NUT.2003.11.011
Robert E Black, Lindsay H Allen, Zulfiqar A Bhutta, Laura E Caulfield, Mercedes De Onis, Majid Ezzati, Colin Mathers, Juan Rivera, Maternal and Child Undernutrition Study Group, None, Maternal and child undernutrition: global and regional exposures and health consequences The Lancet. ,vol. 371, pp. 243- 260 ,(2008) , 10.1016/S0140-6736(07)61690-0
Megan D. Lent, Lindsay E. Petrovic, Josephine A. Swanson, Christine M. Olson, Maternal mental health and the persistence of food insecurity in poor rural families. Journal of Health Care for the Poor and Underserved. ,vol. 20, pp. 645- 661 ,(2009) , 10.1353/HPU.0.0182