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Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria
BACKGROUND: Non-exclusive breastfeeding (non-EBF) is a risk factor for many of the 2300 under-five deaths occurring daily in Nigeria – a developing country with approximately 40 million children. This study aimed to quantify and compare the attributable burden of key modifiable risk factors associat...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812198/ https://www.ncbi.nlm.nih.gov/pubmed/29439701 http://dx.doi.org/10.1186/s12889-018-5145-y |
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author | Ogbo, Felix Akpojene Page, Andrew Idoko, John Agho, Kingsley E. |
author_facet | Ogbo, Felix Akpojene Page, Andrew Idoko, John Agho, Kingsley E. |
author_sort | Ogbo, Felix Akpojene |
collection | PubMed |
description | BACKGROUND: Non-exclusive breastfeeding (non-EBF) is a risk factor for many of the 2300 under-five deaths occurring daily in Nigeria – a developing country with approximately 40 million children. This study aimed to quantify and compare the attributable burden of key modifiable risk factors associated with non-EBF in Nigeria to inform strategic policy responses and initiatives. METHODS: Relative risk and exposure prevalence for selected modifiable risk factors were used to calculate population attributable fractions based on Nigeria Demographic and Health Surveys data for the period (1999–2013). Scenarios based on feasible impact of community-based interventions in reducing exposure prevalence were also considered to calculate comparative potential impact fractions. RESULTS: In Nigeria, an estimated 22.8% (95% Confidence Interval, CI: 9.2–37.0%) of non-EBF was attributable to primary and no maternal education; 24.7% (95% CI: 9.5–39.5%) to middle and poor household wealth, 9.7% (1.7–18.1%) to lower number (1–3) and no antenatal care visits; 18.8% (95% CI: 6.9–30.8%) to home delivery and 16.6% (95% CI: 3.0–31.3%) to delivery assisted by a non-health professional. In combination, more than half of all cases of non-EBF (64.5%; 95% CI: 50.0–76.4%) could be attributed to those modifiable risk factors. Scenarios based on feasible impacts of community-based approaches to improve health service access and human capacity suggest that an avoidable burden of non-EBF practice of approximately 11% (95% CI: -5.4; 24.7) is achievable. CONCLUSION: Key modifiable risk factors contribute significantly to non-EBF in Nigerian women. Community-based initiatives and appropriate socio-economic government policies that specifically consider those modifiable risk factors could substantially reduce non-EBF practice in Nigeria. |
format | Online Article Text |
id | pubmed-5812198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58121982018-02-15 Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria Ogbo, Felix Akpojene Page, Andrew Idoko, John Agho, Kingsley E. BMC Public Health Research Article BACKGROUND: Non-exclusive breastfeeding (non-EBF) is a risk factor for many of the 2300 under-five deaths occurring daily in Nigeria – a developing country with approximately 40 million children. This study aimed to quantify and compare the attributable burden of key modifiable risk factors associated with non-EBF in Nigeria to inform strategic policy responses and initiatives. METHODS: Relative risk and exposure prevalence for selected modifiable risk factors were used to calculate population attributable fractions based on Nigeria Demographic and Health Surveys data for the period (1999–2013). Scenarios based on feasible impact of community-based interventions in reducing exposure prevalence were also considered to calculate comparative potential impact fractions. RESULTS: In Nigeria, an estimated 22.8% (95% Confidence Interval, CI: 9.2–37.0%) of non-EBF was attributable to primary and no maternal education; 24.7% (95% CI: 9.5–39.5%) to middle and poor household wealth, 9.7% (1.7–18.1%) to lower number (1–3) and no antenatal care visits; 18.8% (95% CI: 6.9–30.8%) to home delivery and 16.6% (95% CI: 3.0–31.3%) to delivery assisted by a non-health professional. In combination, more than half of all cases of non-EBF (64.5%; 95% CI: 50.0–76.4%) could be attributed to those modifiable risk factors. Scenarios based on feasible impacts of community-based approaches to improve health service access and human capacity suggest that an avoidable burden of non-EBF practice of approximately 11% (95% CI: -5.4; 24.7) is achievable. CONCLUSION: Key modifiable risk factors contribute significantly to non-EBF in Nigerian women. Community-based initiatives and appropriate socio-economic government policies that specifically consider those modifiable risk factors could substantially reduce non-EBF practice in Nigeria. BioMed Central 2018-02-13 /pmc/articles/PMC5812198/ /pubmed/29439701 http://dx.doi.org/10.1186/s12889-018-5145-y Text en © The Author(s). 2018 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 Article Ogbo, Felix Akpojene Page, Andrew Idoko, John Agho, Kingsley E. Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title | Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title_full | Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title_fullStr | Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title_full_unstemmed | Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title_short | Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria |
title_sort | population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in nigeria |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812198/ https://www.ncbi.nlm.nih.gov/pubmed/29439701 http://dx.doi.org/10.1186/s12889-018-5145-y |
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