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.
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  • [11] The state of the World's children special edition: celebrating 20 years of the convention on the rights of the child, (2010)
  • [12] Ethiopia demographic and health survey 2011, (2012)
  • [13] Chudasama R.K., Amin C.D., Parikh Y.N., Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: a prospective study, Online Journal of Health and Allied Sciences, 8, (2009)
  • [14] Breastfeeding in the WHO multicentre growth reference study, Acta Paediatr, Suppl 450, pp. 16-26, (2006)
  • [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, 10, (2010)
  • [16] Shi L., Zhang J., Wang Y., Guyer B., Breastfeeding in rural China: association between knowledge, attitudes, and practices, J Hum Lact, 24, pp. 377-385, (2008)
  • [17] Mihrshahi S., Ichikawa N., Shuaib M., Oddy W., Ampon R., Dibley M.J., Kabir A.K.M.L., Peat J.K., 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, 25, 2, pp. 195-204, (2007)
  • [18] Tan K.L., Factors associated with exclusive breastfeeding among infants under - six months of age in peninsular Malaysia, International Breastfeeding Journal, 6, (2011)
  • [19] Koosha A., Hashemifesharaki R., Mousavinasab N., Breastfeeding patterns and factors determining exclusive breast-feeding, Singapore Med J, 49, 12, pp. 1002-1006, (2008)
  • [20] Inayati D.A., Scherbaum V., Purwestri R.C., Hormann E., Wirawan N.N., Suryantan J., Hartono S., Bloem M.A., Pangaribuan R.V., Biesalski H.K., Hoffmann V., Bellows A.C., Infant feeding practices among mildly wasted children: a retrospective study on Nias island, Indonesia, International Breastfeeding Journal, 7, (2012)
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