Knowledge, attitudes and awareness regarding donor breast milk: a cross-sectional study of mothers in a high HIV-prevalent area

被引:1
作者
Zamahlubi, Hadebe Thobeka [1 ]
Naidoo, Kimesh L. [1 ,2 ]
Khan, Fharnisa [1 ,3 ]
Masekela, Refiloe [1 ]
机构
[1] Univ KwaZulu Natal, Dept Paediat & Child Hlth, Durban, South Africa
[2] King Edward VIII Hosp, Durban, South Africa
[3] Mahatma Gandhi Mem Hosp, Durban, South Africa
关键词
donated expressed breast milk; HIV; breastfeeding; low birthweight; prematurity; BANKS;
D O I
10.1080/16070658.2023.2189347
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: The use of donated expressed breast milk (DBM) is encouraged in South Africa, with donor milk banks and legislated policies and programmes available in hospitals serving populations with a high HIV prevalence. Concerns over poor attitudes amongst mothers towards DBM seem to persist. Methods: A cross-sectional mixed-methods approach was used in a cohort of mothers of neonates in a regional hospital. Between April 2021 and January 2022, survey data on knowledge, awareness and attitudes towards DBM was collected. Qualitative data from open-ended questions were thematically analysed. Comparative analysis using independent sample t-tests and logistic regression to determine differences in variables and to understand associations related to knowledge was conducted. Results: A total of 163 mothers with a mean (SD) age of 27.1 +/- 6.3 years were included; 49.7% of mothers had post-high-school qualifications, 82.8% were unemployed and 87.0% received social security. Some 64.4% had inadequate knowledge of DBM. Awareness of DBM had the strongest association with better knowledge concerning DBM and AdjOR (25.25 95% CI 10.60- 68.40; p < 0.001). Negative attitudes towards DBM were largely driven by a lack of knowledge regarding human immunodeficiency virus (HIV) screening of donor mothers and fears of HIV transmission when using DBM. Conclusion: Lack of awareness concerning DBM was associated with poor knowledge of DBM, which may drive poor uptake of this critical nutritional source for at-risk neonates. Implementing targeted awareness programmes on DBM, which begin in the antenatal period and specifically address HIV screening of donor mothers, could address the poor uptake of DBM.
引用
收藏
页码:1 / 8
页数:8
相关论文
共 23 条
  • [1] Benefits of donor human milk for preterm infants: Current evidence
    Bertino, Enrico
    Giuliani, Francesca
    Occhi, Luciana
    Coscia, Alessandra
    Tonetto, Paola
    Marchino, Federica
    Fabris, Claudio
    [J]. EARLY HUMAN DEVELOPMENT, 2009, 85 (10) : S9 - S10
  • [2] Factors Affecting the Decision of Postnatal Mothers to Donate Milk at a Government Satellite Human Milk Bank Site, in KwaZulu Natal, South Africa
    Bhoola, Priya
    Biggs, Chara
    [J]. JOURNAL OF HUMAN LACTATION, 2021, 37 (01) : 95 - 104
  • [3] Combined interventions to reduce HIV incidence in KwaZulu-Natal: a modelling study
    Blaizot, Stephanie
    Huerga, Helena
    Riche, Benjamin
    Ellman, Tom
    Shroufi, Amir
    Etard, Jean-Francois
    Ecochard, Rene
    [J]. BMC INFECTIOUS DISEASES, 2017, 17
  • [4] Acceptability of donor breastmilk banking among health workers: a cross-sectional survey in Zimbabwean urban settings
    Chagwena, Dexter T.
    Mugariri, Felistas
    Sithole, Bhekimpilo
    Mataga, Steady Faith
    Danda, Ruvimbo
    Matsungo, Tonderayi M.
    Maponga, Charles C.
    [J]. INTERNATIONAL BREASTFEEDING JOURNAL, 2020, 15 (01)
  • [5] Acceptability of donated breast milk in a resource limited South African setting
    Coutsoudis I.
    Petrites A.
    Coutsoudis A.
    [J]. International Breastfeeding Journal, 6 (1)
  • [6] Department of Health, 2011, S AFR J CLIN NUTR, V24, P214
  • [7] Fang MT, 2021, LANCET GLOB HEALTH, V9, pE104, DOI 10.1016/S2214-109X(20)30468-X
  • [8] Goodfellow HE, 2016, S AFR J CHILD HEALTH, V10, P83, DOI [10.7196/sajch.2016.v10i1.1103, 10.7196/SAJCH.2016.v10i1.1103]
  • [9] Knowledge and attitude on donation of breast milk in hospitalized mothers
    Huang, Cuiqin
    Han, Wei
    Fan, Yajing
    [J]. GACETA SANITARIA, 2021, 35 (03) : 213 - 215
  • [10] Perception of donor breast milk and determinants of its acceptability among mothers in a developing community: a cross-sectional multi-center study in south-east Nigeria
    Iloh, Kenechukwu K.
    Osuorah, Chidiebere D. I.
    Ndu, Ikenna K.
    Asinobi, Isaac N.
    Obumneme-Anyim, Ijeoma N.
    Ezeudu, Chijioke E.
    Oluchi, Ukoha M.
    Anyanwu, Onyinye U.
    Ekwochi, Uchenna
    Ogoke, Christian C.
    Ayuk, Adaeze C.
    Obu, Herbert U.
    [J]. INTERNATIONAL BREASTFEEDING JOURNAL, 2018, 13