Predictors of non-exclusive breastfeeding at 6 months among rural mothers in east Ethiopia: A community-based analytical cross-sectional study

被引：53
作者：
Egata G. [1 ]
Berhane Y. [2 ]
Worku A. [2 ,3 ]
机构：
[1] College of Health and Medical Sciences, Haramaya University, Harar
[2] Addis Continental Institute of Public Health, Addis Ababa
[3] Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa University, Addis Continental Institute of Public Health, Addis Ababa
来源：
International Breastfeeding Journal | / 8卷 / 1期
关键词：
Children under-two; Ethiopia; Non-exclusive breastfeeding; Predictors;
D O I：
10.1186/1746-4358-8-8
中图分类号：
学科分类号：
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. © 2013 Egata et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 44 条
  • [1] Indicators for assessing infant and young child feeding practices: Definitions. Conclusions of a consensus meeting held 6-8 November 2007, (2008)
  • [2] The state of breastfeeding in 33 countries: tracking infant and young child feeding policies and programmes worldwide, (2010)
  • [3] Imtiaz Y.M., Saleem M., Exclusive breastfeeding and child survival in Pakistan and other south Asian countries, Pak J Nutr, 8, 6, pp. 910-911, (2009)
  • [4] Qiu L., Zhao Y., Binns C.W., Lee A.H., 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, 4, (2009)
  • [5] Perera P.J., 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, 6, (2011)
  • [6] Learning from large-scale community-based programmes to improve breastfeeding practices, (2008)
  • [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, 12, (2012)
  • [8] The state of the World's children: children in an urban world, (2012)
  • [9] Agho K.E., Dibley M.J., Odiase J.I., Ogbonmwan S.M., Determinants of exclusive breastfeeding in Nigeria, BMC Pregnancy Childbirth, 11, (2011)
  • [10] Venancio S.I., Monteiro C.A., Individual and contextual determinants of exclusive breastfeeding in São Paulo, Brazil: a multilevel analysis, Public Health Nutr, 9, pp. 40-46, (2005)
12345