Assessment of Practice and Factors Affecting Sunlight Exposure of Infants Among Mothers Attending Governmental Health Facilities in Debre Markos Town, East Gojjam, Ethiopia, 2015
American Journal of Nursing Science
Volume 5, Issue 1, February 2016, Pages: 30-36
Received: Nov. 16, 2015;
Accepted: Nov. 27, 2015;
Published: Mar. 2, 2016
Views 4014 Downloads 123
Abebe Abate, Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
Rajalakshmi Murugan, Department of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Tenaw Gualu, Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
Introduction: For centuries, sunlight has been used for therapeutic purposes. Parents still expose their infants to sunlight to treat neonatal jaundice, mostly to supply vitamin D for bone development as a consequence of health beliefs. Objective: The main objective of this study was to assess practice and factors affecting sunlight exposure of infants among mothers attending governmental health facilities in Debre Markos Town, East Gojjam, Ethiopia, 2015. Method: Cross sectional descriptive study was conducted among mothers attending in under five and immunization clinics of all government health facilities in Debre Markos Town by taking a total sample size of 345 from December 1 to 30, 2014. Probability sampling method was used for the selection of individual respondents. Data was entered using EPI data version 3.1 and analyzed by SPSS version 20. Binary and multiple logistic regressions were done to show the association of dependent and independent variables. Results: Out of 359 respondents identified for the study 96% (n=345) were responded for the interview. From the total respondents (55.4%) of them had poor practice about sunlight exposure. In multivariate analysis mothers’ educational status had significant association with practice of sunlight exposure of infants. Conclusion and Recommendations: The findings in this study showed mothers had poor practice about sunlight exposure. Therefore, mothers need to be educated about the importance of sunlight exposure.
Assessment of Practice and Factors Affecting Sunlight Exposure of Infants Among Mothers Attending Governmental Health Facilities in Debre Markos Town, East Gojjam, Ethiopia, 2015, American Journal of Nursing Science.
Vol. 5, No. 1,
2016, pp. 30-36.
Harrison SL, Buettner PG, MacLennan R. Why do mothers still sun their infants? J Paediatr Child Health.2002; 35: 296-299.
Roelandts R. The history of phototherapy: Something new under the sun? J Am Acad Dermatol. 2002 Jun; 46(6): 926-930.
Albert MR, Ostheimer KG. The evolution of current medical and popular attitudes toward ultraviolet light exposure. Part 1. J Am Acad Dermatol. 2002 Dec; 47(6): 930-937.
Newman BY. The sun tan myth. Optometry. 2000 Nov; 71(11): 688.
Albert MR, Ostheimer KG. The evolution of current medical and popular attitudes toward ultraviolet light exposure. Part 2. J Am Acad Dermatol. 2003 June; 48(6): 909-918.
Yurdakok M. Hiperbiluribinemide Isık ve Ilaç Tedavisi. katki Pediatri Dergisi.1995; 16(5): 722-744.
Johnston RV, Anderson JN, Prentice C. Is sunlight an effective treatment for infants with jaundice? MJA. 2003 Apr; 178: 403.
Emedicine [homepage on the Internet]. Newborn Jaundice. [updated 2005 Aug 10; cited 2005 oct 16] Available from: http://www.emedicinehealth.com/articles/10101-6.
Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 2008, 87: 1080-1086.
Brash DE. Sunlight and the onset of skin cancer. Trends Genet 1997, 13: 410-414.
Beadle PC. Sunlight, ozone and vitamin D. Br J Dermatol 1977, 97: 585-591.
Holick MF. Deficiency of sunlight and vitamin D. BMJ 2008, 336: 1318-1319.
Holick MF. Vitamin D: A millennium perspective. J Cell Biochem 2003; 88: 296–307.
Hess AF, Unger LJ. The cure of infantile rickets by sunlight. JAMA 1921; 77: 39.
Mullin GE, Dobs A. Vitamin d and its role in cancer and immunity: a prescription for sunlight. Nutr Clin Pract 2007, 22: 305-322.
Wharton B, Bishop N. Rickets. Lancet 2003, 362: 1389-1400.
Holick M. Vitamin D deficiency. N Eng J Med 2007, 357, 266–81.
Glerup H, Mikkelsen K, Poulsen K, et al. Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med 2000, 247, 260–8.
Anthony N, Roger B, Daniel B. Nutritional rickets around the world. Journal of Steroid Biochemistry and Molecular Biology, July 2013; 136: 201–206.
Vitamin D wiki. Review of vitamin D Deficiencies in developing countries. October 2011
US Interdepartmental Commission on Nutrition for National Defense. Ethiopian Nutrition Survey 1959; Section VIII: 62-64. Washington, D. C.
Aust-Kettis A, Bjornesjo KB, Mannheimer E, Cvibah T, Clark P, Debele M. Rickets in Ethiopia. Ethiop Med J 1965; 3: 109-21.
Woldemariam T, Sterky B. Severe rickets in infancy and childhood in Ethiopia. J Pediatr 1973; 82: 876-8.
Hojer B, Gebremedhin M. Combined vitamin D deficiency rickets and protein-energy malnutrition in Ethiopian infants. J Trop Pediatr 1977; 23: 73-9.
Lulseged S. Severe rickets in a children's hospital in Addis Ababa. Ethiop Med J 1990; 28: 175-81.
Getaneh T, Assefa A, Tadesse Z. The knowledge and practice of exposure to sunlight in Jimma Town, South Western Ethiopia. Ethiop J Hlth Dev 1998; 29-32.
Lulseged S, Fitwi G. Vitamin D Deficiency rickets: Socio-demographic and clinical risk factors in children seen at a referral hospital in Addis Ababa. East Afr Med J 1999; 76: 457-61.
Sileshi L, Catherine D. Behavioral intention and factors influencing intention of Ethiopian mothers to expose infants to sunshine. April, 1999.
Redy V, lamb WH. Nutritional Rickets. In: Stanfield P, Brueton M, Chan M, Parkin M, Waterston T, editors. Diseases of children in the subtropics & Tropics. 4th ed. Edward Arnold, 1991; 376-379.
Eshetu M. Analysis of paediatric admissions to Jimma Hosptial paediatrics ward: A three year retrospective study. Bulletin of Jimma Institute of Health Sciences 1994; 4: 1-11.
Tesfaye G, Afework A, Zerihun T. Rickets and the knowledge and practice of exposure to sunlight in Jimma Town. 1998.
Cinar ND, Filiz TM, Topsever P, Ucar F, Akgul S, Gorpelioglu S. Intentional sun exposure in infancy in Sakarya, Turkey. Saudi Med J, 2006; 27 (8): 1222-5.
Nihal A, Tuncay M, Pinar T, Suleyman G. Knowledge and behaviour of parents concerning sunning their babies. BMC Pediatrics 2006, 6: 27.