期刊论文详细信息
International Breastfeeding Journal
Predictors of non-exclusive breastfeeding at 6 months among rural mothers in east Ethiopia: a community-based analytical cross-sectional study
Alemayehu Worku2  Yemane Berhane3  Gudina Egata1 
[1] College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia;Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa University, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia;Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
关键词: Children under-two;    Predictors;    Ethiopia;    Non-exclusive breastfeeding;   
Others  :  801072
DOI  :  10.1186/1746-4358-8-8
 received in 2012-09-06, accepted in 2013-08-04,  发布年份 2013
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【 摘 要 】

Background

Exclusive breastfeeding in infants aged under six months is a simple and cost-effective feeding method that ensures better infant and child survival and boosts the achievement of child related Millennium Development Goals in the developing world. Identifying factors associated with good breastfeeding practice helps to increase its coverage and maximize its advantages through improved advocacy. The objective of this study was to identify the predictors of non-exclusive breastfeeding in the rural areas of eastern Ethiopia.

Methods

A community-based analytical cross-sectional study was conducted on mother/caregiver–child pairs in east Ethiopia from July to August 2011. Data on infant feeding practices were collected by trained interviewers who used a pretested and structured questionnaire. Odds ratio with a 95% confidence interval was estimated for the predictors of non-exclusive breastfeeding using the multivariable logistic regression.

Results

The prevalence of non-exclusive breastfeeding in infants aged under six months, was 28.3%. Non-exclusive breastfeeding was more likely to be practiced by mothers who were not married at the moment [AOR (95% CI) = 2.6 (1.1, 6.0)], mothers who had no access to health facility [AOR (95% CI) = 2.9 (1.9, 4.3)], and mothers whose knowledge about infant and young child feeding practices was low [AOR (95% CI) = 3.4 (2.4, 4.7)].

Conclusion

Non–exclusive breastfeeding was more common among mothers with no marital relationships, poor access to health facilities, and inadequate knowledge about infant and young child feeding practices. Family support, education, and behavior change communication on infant feeding, especially on exclusive breastfeeding, at the community level may improve the knowledge, behavior, and practice of mothers on optimal infant and young child feeding practices.

【 授权许可】

   
2013 Egata et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]World Health Organization: Indicators for assessing infant and young child feeding practices: Definitions. Conclusions of a consensus meeting held 6–8 November 2007. Washington D.C., USA; 2008. http://www.unicef.org/nutritioncluster/files/IYCFE_WHO_Part1_eng.pdf webcite
  • [2]World Breastfeeding Trends Initiatives (WBTi): The state of breastfeeding in 33 countries: tracking infant and young child feeding policies and programmes worldwide. 2010. http://www.bfmed.org/Media/Files/Documents/pdf/WBTi%20The-state-of-breastfeeding-in-33-countries-2010.pdf webcite
  • [3]Imtiaz YM, Saleem M: Exclusive breastfeeding and child survival in Pakistan and other south Asian countries. Pak J Nutr 2009, 8(6):910-911.
  • [4]Qiu L, Zhao Y, Binns CW, Lee AH, Xie X: Initiation of breastfeeding and prevalence of exclusive breastfeeding at hospital discharge in urban, suburban, and rural areas of Zhejiang China. International Breastfeeding Journal 2009, 4:1. BioMed Central Full Text
  • [5]Perera PJ, Fernando M, Warnakulasuria T, Ranathunga N: Feeding practices among children attending child welfare clinics in Ragama MOH area: a descriptive cross-sectional study. International Breastfeeding Journal 2011, 6:18. BioMed Central Full Text
  • [6]World Health Organization: Learning from large-scale community-based programmes to improve breastfeeding practices. 2008. http://whqlibdoc.who.int/publications/2008/9789241597371_eng.pdf webcite
  • [7]Ma J-Q, Zhou L-L, Hu Y-Q, Liu J-R, Liu S-S, Zhang J, Sheng X-Y: A summary index of infant and child feeding practices is associated with child growth in urban shanghai. BMC Public Health 2012, 12:568. BioMed Central Full Text
  • [8]UNICEF: The state of the World’s children: children in an urban world. 2012. http://www.unicef.org/sowc/files/SOWC_2012-Main_Report_EN_21Dec2011.pdf webcite
  • [9]Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM: Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy Childbirth 2011, 11:2. BioMed Central Full Text
  • [10]Venancio SI, Monteiro CA: Individual and contextual determinants of exclusive breastfeeding in Sa˜o Paulo, Brazil: a multilevel analysis. Public Health Nutr 2005, 9:40-46.
  • [11]UNICEF: The state of the World's children special edition: celebrating 20 years of the convention on the rights of the child. 2010. http://www.unicef.org/rightsite/sowc/pdfs/SOWC_Spec%20Ed_CRC_Main%20Report_EN_090409.pdf webcite
  • [12]Central Statistical Agency [Ethiopia] and ICF International: Ethiopia demographic and health survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
  • [13]Chudasama RK, Amin CD, Parikh YN: Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: a prospective study. Online Journal of Health and Allied Sciences 2009, 8:1.
  • [14]World Health Organization: Breastfeeding in the WHO multicentre growth reference study . Acta Paediatr 2006, Suppl 450:16-26.
  • [15]Al-Sahab B, Lanes A, Feldman M, Tamim H: Prevalence and predictors of 6 - month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatr 2010, 10:20. BioMed Central Full Text
  • [16]Shi L, Zhang J, Wang Y, Guyer B: Breastfeeding in rural China: association between knowledge, attitudes, and practices. J Hum Lact 2008, 24:377-385.
  • [17]Mihrshahi S, Ichikawa N, Shuaib M, Oddy W, Ampon R, Dibley MJ, Kabir AKML, Peat JK: Prevalence of exclusive breastfeeding in Bangladesh and its association with diarrhoea and acute respiratory infection: results of the multiple indicator cluster survey 2003. J Health Popul Nutr 2007, 25(2):195-204.
  • [18]Tan KL: Factors associated with exclusive breastfeeding among infants under - six months of age in peninsular Malaysia. International Breastfeeding Journal 2011, 6:2. BioMed Central Full Text
  • [19]Koosha A, Hashemifesharaki R, Mousavinasab N: Breastfeeding patterns and factors determining exclusive breast-feeding. Singapore Med J 2008, 49(12):1002-1006.
  • [20]Inayati DA, Scherbaum V, Purwestri RC, Hormann E, Wirawan NN, Suryantan J, Hartono S, Bloem MA, Pangaribuan RV, Biesalski HK, Hoffmann V, Bellows AC: Infant feeding practices among mildly wasted children: a retrospective study on Nias island, Indonesia. International Breastfeeding Journal 2012, 7:3. BioMed Central Full Text
  • [21]Macro, International, Inc: Nutrition of young children and women, Ethiopia 2005: findings from the 2005 Ethiopia demographic and health survey. Calverton, Maryland, USA: Macro International Inc; 2008.
  • [22]Alemayehu T, Haidar J, Habte D: Determinants of exclusive breastfeeding practices in Ethiopia. Ethiopian Journal of Health Development 2009, 23(1):12-18.
  • [23]Mukuria AG, Kothari MT, Abderrahim N: Infant and young child feeding updates. Calverton, Maryland, USA: ORC Macro; 2006.
  • [24]Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J, for the Maternal and Child Under-nutrition Study Group: Maternal and child under-nutrition: global and regional exposures and health consequences. Lancet 2008, 371:243-260.
  • [25]World Health Organization: Infant and young child feeding: model chapter for text books for medical students and allied health professionals. Switzerland: World Health Organization; 2009.
  • [26]Tan KL: Factors associated with non-exclusive breastfeeding among 4-week post-partum mothers in Klang district, Peninsular Malaysia. Malalysian Journal of Nutrition 2009, 15(1):11-18.
  • [27]Ulak M, Chandyo RK, Mellander L, Shrestha PS, Strand TA: Infant feeding practices in Bhaktapur, Nepal: a cross-sectional, health facility based survey. International Breastfeeding Journal 2012, 7:1. BioMed Central Full Text
  • [28]Kimani-Murage EW, Madise NJ, Fotso JC, Kyobutungi C, Mutua MK, Gitau TM, Yatich N: Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health 2011, 11:396. BioMed Central Full Text
  • [29]Radzniwan AR, Azimah NM, Zuhra H, Khairani O: Breastfeeding practice and knowledge among mothers attending an urban Malaysian maternal and child health clinic. Medicine and Health 2009, 4(1):1-7.
  • [30]Sapna SP, Ameya AH, Rooma SP, Aarti P, Rashid AK, Narayan KA: Prevalence of exclusive breastfeeding and its correlates in an urban slum in western India. International eJournal of Science Medicine & Education 2009, 3(2):14-18.
  • [31]Saha KK, Frongillo EA, Alam DS, Arifeen SE, Persson LA, Rasmusse KM: Household food security is associated with infant feeding practices in rural Bangladesh. Journal of Nutrition 2008, 138:1383-1390.
  • [32]Gomes GP, Gubert MB: Breastfeeding in children under 2 years old and household food and nutrition security status. Jornal de pediatria 2012, 88(3):279-282.
  • [33]Setegn T, Belachew T, Gerbaba M, Deribe K, Deribew A, Biadgilign S: Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: a cross-sectional study. International Breastfeeding Journal 2012, 7:17. BioMed Central Full Text
  • [34]Tamiru D, Belachew T, Loha E, Mohammed S: Sub-optimal breastfeeding of infants during the first six months and associated factors in rural communities of Jimma arjo Woreda, Southwest Ethiopia. BMC Public Health 2012, 12:363. BioMed Central Full Text
  • [35]Kersa DHO: Health service coverage. Eastern Hararge Oromia Ethiopia: Kersa District Health Office; 2011.
  • [36]Federal Ministry of Health: Health extension program in Ethiopia profile. Addis Ababa, Ethiopia: Health Extension and Education Center Federal Ministry of Health; 2007.
  • [37]Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia demographic and health survey (EDHS) 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2006.
  • [38]Kolenikov S, Angeles G: Socio-economic status measurement with discrete proxy variables: is principal component analysis a reliable answer? Review of Income and Wealth 2009, 55(1):128-165.
  • [39]Coates J, Anne S, Paula B: Household food insecurity access scale (HFIAS) for measurement of household food access: indicator guide: version 3. Washington, D.C: Food and Nutrition Technical Assistance Project, Academy for Educational Development; 2007.
  • [40]Roberts P, Priest H: Reliability and validity in research. Nurs Stand 2006, 20:41-45.
  • [41]Belachew T, Hadley C, Lindstrom D, Gebremariam A, Lachat C, Kolsteren P: Food insecurity, school absenteeism and educational attainment of adolescents in Jimma zone southwest Ethiopia: a longitudinal study. Nutr J 2011, 10:29. BioMed Central Full Text
  • [42]Ekambaram M, Bhat B, Vishnu B, Padiyath Ahamed MA: Knowledge, attitude and practice of breastfeeding among postnatal mothers. Current Pediatric Research 2010, 14(2):119-124.
  • [43]Pan Y, Jackson R: Ethnic difference in the relationship between acute inflammation and serum ferritin in US adult males. Epidemiol Infect 2009, 136:421-431.
  • [44]Baker EJ, Sanei LC, Franklin N: Early initiation of and exclusive breastfeeding in large-scale community-based programmes in Bolivia and Madagascar. J Health Popul Nutr 2006, 24(4):530-539.
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