Cargando…

Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis

BACKGROUND: Exclusive breastfeeding is giving only breast milk to an infant from birth up to six months of age, with the exception of medications and vitamins. For the first six months of life, breast milk alone is the ideal nourishment to meet the nutritional demand of the growing child. Although b...

Descripción completa

Detalles Bibliográficos
Autores principales: Kasahun, Abebaw Wasie, Wako, Wako Golicha, Gebere, Meron Worku, Neima, Gebremariam Hailemichael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5399807/
https://www.ncbi.nlm.nih.gov/pubmed/28439290
http://dx.doi.org/10.1186/s13006-017-0107-z
_version_ 1783230708950499328
author Kasahun, Abebaw Wasie
Wako, Wako Golicha
Gebere, Meron Worku
Neima, Gebremariam Hailemichael
author_facet Kasahun, Abebaw Wasie
Wako, Wako Golicha
Gebere, Meron Worku
Neima, Gebremariam Hailemichael
author_sort Kasahun, Abebaw Wasie
collection PubMed
description BACKGROUND: Exclusive breastfeeding is giving only breast milk to an infant from birth up to six months of age, with the exception of medications and vitamins. For the first six months of life, breast milk alone is the ideal nourishment to meet the nutritional demand of the growing child. Although breastfeeding is a universal practice, in Ethiopia only 52% of children aged less than six months old were exclusively breastfed. The study aimed to investigate the predictors of exclusive breastfeeding duration among women who had children aged between 6–12 months in Gurage zone, South Ethiopia. METHODS: A mixed method cross-sectional study was conducted to assess predictors of exclusive breastfeeding duration in south Ethiopia. Eight hundred and twenty eight study participants were recruited using a multistage sampling technique for the quantitative survey. Interviewer administered close ended questionnaire was used to collect the quantitative data. Data were entered using Epi Data and analyzed using SPSS version 21. The Kaplan-Meier curve with log rank test was used to compare the survival difference due to the selected covariates. A binary and multivariable Cox regression model was used to identify the independent predictors of exclusive breastfeeding duration. Three focus group discussions were conducted to generate the qualitative data. Qualitative data is transcribed and analyzed by thematic approach using open-code software. RESULTS: The median duration of exclusive breastfeeding was six months. About 21.9% of women introduced complementary food before six months of child age. Women with education status of diploma and above (Adjusted Hazard Ratio [AHR]: 2.89, 95% CI: 1.05, 7.97), perceived inadequate breast milk (AHR: 11, 95% CI: 6.7, 18.0) and cesarean section delivery (AHR: 3.8, 95% CI: 2.0, 7.2) were more likely to cease exclusive breastfeeding before six months of child age; while women who had infant feeding counseling during postnatal care (AHR: 5.1, 95% CI: 2.5, 10.23) were less likely to cease exclusive breastfeeding before the child was six months of age. CONCLUSIONS: A significant proportion of women cease exclusive breastfeeding before the recommended six months duration. Maternal education of diploma and above, perceived inadequacy of breast milk, cesarean section delivery, postnatal counseling on child feeding are factors significantly associated with the duration of exclusive breastfeeding. Encouraging behavioral change and improving communication regarding the duration of exclusive breastfeeding, and increasing the utilization of postnatal counseling about exclusive breastfeeding are recommended.
format Online
Article
Text
id pubmed-5399807
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-53998072017-04-24 Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis Kasahun, Abebaw Wasie Wako, Wako Golicha Gebere, Meron Worku Neima, Gebremariam Hailemichael Int Breastfeed J Research BACKGROUND: Exclusive breastfeeding is giving only breast milk to an infant from birth up to six months of age, with the exception of medications and vitamins. For the first six months of life, breast milk alone is the ideal nourishment to meet the nutritional demand of the growing child. Although breastfeeding is a universal practice, in Ethiopia only 52% of children aged less than six months old were exclusively breastfed. The study aimed to investigate the predictors of exclusive breastfeeding duration among women who had children aged between 6–12 months in Gurage zone, South Ethiopia. METHODS: A mixed method cross-sectional study was conducted to assess predictors of exclusive breastfeeding duration in south Ethiopia. Eight hundred and twenty eight study participants were recruited using a multistage sampling technique for the quantitative survey. Interviewer administered close ended questionnaire was used to collect the quantitative data. Data were entered using Epi Data and analyzed using SPSS version 21. The Kaplan-Meier curve with log rank test was used to compare the survival difference due to the selected covariates. A binary and multivariable Cox regression model was used to identify the independent predictors of exclusive breastfeeding duration. Three focus group discussions were conducted to generate the qualitative data. Qualitative data is transcribed and analyzed by thematic approach using open-code software. RESULTS: The median duration of exclusive breastfeeding was six months. About 21.9% of women introduced complementary food before six months of child age. Women with education status of diploma and above (Adjusted Hazard Ratio [AHR]: 2.89, 95% CI: 1.05, 7.97), perceived inadequate breast milk (AHR: 11, 95% CI: 6.7, 18.0) and cesarean section delivery (AHR: 3.8, 95% CI: 2.0, 7.2) were more likely to cease exclusive breastfeeding before six months of child age; while women who had infant feeding counseling during postnatal care (AHR: 5.1, 95% CI: 2.5, 10.23) were less likely to cease exclusive breastfeeding before the child was six months of age. CONCLUSIONS: A significant proportion of women cease exclusive breastfeeding before the recommended six months duration. Maternal education of diploma and above, perceived inadequacy of breast milk, cesarean section delivery, postnatal counseling on child feeding are factors significantly associated with the duration of exclusive breastfeeding. Encouraging behavioral change and improving communication regarding the duration of exclusive breastfeeding, and increasing the utilization of postnatal counseling about exclusive breastfeeding are recommended. BioMed Central 2017-04-21 /pmc/articles/PMC5399807/ /pubmed/28439290 http://dx.doi.org/10.1186/s13006-017-0107-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Kasahun, Abebaw Wasie
Wako, Wako Golicha
Gebere, Meron Worku
Neima, Gebremariam Hailemichael
Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title_full Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title_fullStr Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title_full_unstemmed Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title_short Predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, South Ethiopia: a survival analysis
title_sort predictors of exclusive breastfeeding duration among 6–12 month aged children in gurage zone, south ethiopia: a survival analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5399807/
https://www.ncbi.nlm.nih.gov/pubmed/28439290
http://dx.doi.org/10.1186/s13006-017-0107-z
work_keys_str_mv AT kasahunabebawwasie predictorsofexclusivebreastfeedingdurationamong612monthagedchildreninguragezonesouthethiopiaasurvivalanalysis
AT wakowakogolicha predictorsofexclusivebreastfeedingdurationamong612monthagedchildreninguragezonesouthethiopiaasurvivalanalysis
AT geberemeronworku predictorsofexclusivebreastfeedingdurationamong612monthagedchildreninguragezonesouthethiopiaasurvivalanalysis
AT neimagebremariamhailemichael predictorsofexclusivebreastfeedingdurationamong612monthagedchildreninguragezonesouthethiopiaasurvivalanalysis