Factors are not the same for risk of stopping exclusive breast-feeding and introducing different types of liquids and solids in HIV-affected communities in Ghana.
Identifieur interne : 000204 ( Main/Exploration ); précédent : 000203; suivant : 000205Factors are not the same for risk of stopping exclusive breast-feeding and introducing different types of liquids and solids in HIV-affected communities in Ghana.
Auteurs : Grace S. Marquis [Canada] ; Anna Lartey [Ghana] ; Rafael Perez-Escamilla [États-Unis] ; Robert E. Mazur [États-Unis] ; Lucy Brakohiapa [Ghana] ; Katherine A. Birks [Canada]Source :
- The British journal of nutrition [ 1475-2662 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aliment du nourrisson au cours de la première année, Allaitement maternel, Facteurs de risque, Femelle, Ghana (épidémiologie), Grossesse, Humains, Infections à VIH (), Infections à VIH (transmission), Infections à VIH (épidémiologie), Jeune adulte, Lait humain, Nourrisson, Nouveau-né, Phénomènes physiologiques nutritionnels chez le nourrisson, Préparation pour nourrissons, Régime alimentaire, Transmission verticale de maladie infectieuse.
- MESH :
- épidémiologie : Ghana, Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Aliment du nourrisson au cours de la première année, Allaitement maternel, Facteurs de risque, Femelle, Grossesse, Humains, Infections à VIH, Jeune adulte, Lait humain, Nourrisson, Nouveau-né, Phénomènes physiologiques nutritionnels chez le nourrisson, Préparation pour nourrissons, Régime alimentaire, Transmission verticale de maladie infectieuse.
English descriptors
- KwdEn :
- Adolescent, Adult, Breast Feeding, Diet, Female, Ghana (epidemiology), HIV Infections (epidemiology), HIV Infections (prevention & control), HIV Infections (transmission), Humans, Infant, Infant Food, Infant Formula, Infant Nutritional Physiological Phenomena, Infant, Newborn, Infectious Disease Transmission, Vertical, Middle Aged, Milk, Human, Pregnancy, Risk Factors, Young Adult.
- MESH :
- epidemiology : Ghana, HIV Infections.
- prevention & control : HIV Infections.
- transmission : HIV Infections.
- Adolescent, Adult, Breast Feeding, Diet, Female, Humans, Infant, Infant Food, Infant Formula, Infant Nutritional Physiological Phenomena, Infant, Newborn, Infectious Disease Transmission, Vertical, Middle Aged, Milk, Human, Pregnancy, Risk Factors, Young Adult.
Abstract
Exclusive breast-feeding (EBF) for 6 months supports optimal infant growth, health and development. This paper examined whether maternal HIV status was associated with EBF and other infant feeding practices. Pregnant women were enrolled after HIV counselling, and their babies were followed up for up to 1 year. Data on household socio-economics and demographics, maternal characteristics and infants' daily diet were available for 482 infants and their mothers (150 HIV-positive (HIV-P), 170 HIV-negative (HIV-N) and 162 HIV-unknown (HIV-U)). Survival analyses estimated median EBF duration and time to introduction of liquids and foods; hazards ratios (HR) used data from 1-365 and 1-183 d, adjusting for covariates. Logistic regression estimated the probability of EBF for 6 months. Being HIV-P was associated with a shorter EBF duration (139 d) compared with HIV-N (163 d) and HIV-U (165 d) (P=0·004). Compared with HIV-N, being HIV-P was associated with about a 40 % higher risk of stopping EBF at any time point (HR 1·39; 95 % CI 1·06, 1·84; P=0·018) and less than half as likely to complete 6 months of EBF (adjusted OR 0·42; 95 % CI 0·22, 0·81; P=0·01). Being HIV-P tended to be or was associated with a higher risk of introducing non-milk liquids (HR 1·34; 95 % CI 0·98, 1·83; P=0·068), animal milks (HR 2·37; 95 % CI 1·32, 4·24; P=0·004) and solids (HR 1·56; 95 % CI 1·10, 2·22; P=0·011) during the first 6 months. Weight-for-age Z-score was associated with EBF and introducing formula. Different factors (ethnicity, food insecurity, HIV testing strategy) were associated with the various feeding behaviours, suggesting that diverse interventions are needed to promote optimal infant feeding.
DOI: 10.1017/S0007114516001707
PubMed: 27149980
Affiliations:
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This paper examined whether maternal HIV status was associated with EBF and other infant feeding practices. Pregnant women were enrolled after HIV counselling, and their babies were followed up for up to 1 year. Data on household socio-economics and demographics, maternal characteristics and infants' daily diet were available for 482 infants and their mothers (150 HIV-positive (HIV-P), 170 HIV-negative (HIV-N) and 162 HIV-unknown (HIV-U)). Survival analyses estimated median EBF duration and time to introduction of liquids and foods; hazards ratios (HR) used data from 1-365 and 1-183 d, adjusting for covariates. Logistic regression estimated the probability of EBF for 6 months. Being HIV-P was associated with a shorter EBF duration (139 d) compared with HIV-N (163 d) and HIV-U (165 d) (P=0·004). Compared with HIV-N, being HIV-P was associated with about a 40 % higher risk of stopping EBF at any time point (HR 1·39; 95 % CI 1·06, 1·84; P=0·018) and less than half as likely to complete 6 months of EBF (adjusted OR 0·42; 95 % CI 0·22, 0·81; P=0·01). Being HIV-P tended to be or was associated with a higher risk of introducing non-milk liquids (HR 1·34; 95 % CI 0·98, 1·83; P=0·068), animal milks (HR 2·37; 95 % CI 1·32, 4·24; P=0·004) and solids (HR 1·56; 95 % CI 1·10, 2·22; P=0·011) during the first 6 months. Weight-for-age Z-score was associated with EBF and introducing formula. Different factors (ethnicity, food insecurity, HIV testing strategy) were associated with the various feeding behaviours, suggesting that diverse interventions are needed to promote optimal infant feeding.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Ghana</li><li>États-Unis</li></country><region><li>Connecticut</li><li>Iowa</li></region></list><tree><country name="Canada"><noRegion><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S" last="Marquis">Grace S. Marquis</name></noRegion><name sortKey="Birks, Katherine A" sort="Birks, Katherine A" uniqKey="Birks K" first="Katherine A" last="Birks">Katherine A. Birks</name></country><country name="Ghana"><noRegion><name sortKey="Lartey, Anna" sort="Lartey, Anna" uniqKey="Lartey A" first="Anna" last="Lartey">Anna Lartey</name></noRegion><name sortKey="Brakohiapa, Lucy" sort="Brakohiapa, Lucy" uniqKey="Brakohiapa L" first="Lucy" last="Brakohiapa">Lucy Brakohiapa</name></country><country name="États-Unis"><region name="Connecticut"><name sortKey="Perez Escamilla, Rafael" sort="Perez Escamilla, Rafael" uniqKey="Perez Escamilla R" first="Rafael" last="Perez-Escamilla">Rafael Perez-Escamilla</name></region><name sortKey="Mazur, Robert E" sort="Mazur, Robert E" uniqKey="Mazur R" first="Robert E" last="Mazur">Robert E. Mazur</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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