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Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study

OBJECTIVE: The objective of this study was to examine whether exposure to Intimate Partner Violence (IPV) is associated with premature termination of Exclusive Breastfeeding (EB). Per WHO recommendations, this was defined as ceasing breastfeeding or supplementing with other foods or liquids before t...

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Autores principales: Kjerulff Madsen, Frederikke, Holm-Larsen, Christina Elise, Wu, Chunsen, Rogathi, Jane, Manongi, Rachel, Mushi, Declare, Meyrowitsch, Dan Wolf, Gammeltoft, Tine, Sigalla, Geofrey Nimrody, Rasch, Vibeke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557484/
https://www.ncbi.nlm.nih.gov/pubmed/31181090
http://dx.doi.org/10.1371/journal.pone.0217479
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author Kjerulff Madsen, Frederikke
Holm-Larsen, Christina Elise
Wu, Chunsen
Rogathi, Jane
Manongi, Rachel
Mushi, Declare
Meyrowitsch, Dan Wolf
Gammeltoft, Tine
Sigalla, Geofrey Nimrody
Rasch, Vibeke
author_facet Kjerulff Madsen, Frederikke
Holm-Larsen, Christina Elise
Wu, Chunsen
Rogathi, Jane
Manongi, Rachel
Mushi, Declare
Meyrowitsch, Dan Wolf
Gammeltoft, Tine
Sigalla, Geofrey Nimrody
Rasch, Vibeke
author_sort Kjerulff Madsen, Frederikke
collection PubMed
description OBJECTIVE: The objective of this study was to examine whether exposure to Intimate Partner Violence (IPV) is associated with premature termination of Exclusive Breastfeeding (EB). Per WHO recommendations, this was defined as ceasing breastfeeding or supplementing with other foods or liquids before the child was 6 months old. METHOD: It is a prospective cohort study set in Moshi, Tanzania consisting of 1128 pregnant women with live singleton births. Women were enrolled during pregnancy and followed up with interviews during pregnancy, after birth and 2–3 years postpartum, using structured questionnaires. Emotional, physical and sexual IPV exerted by the current partner was assessed at 34 weeks gestational age with WHO questionnaires. Months of EB was assessed 2–3 years postpartum. Premature termination of EB was defined as less than 6 months of EB. Analyses were made using a logistic regression model adjusted for maternal age, education, HIV-status, alcohol use during pregnancy and parity. Confounding variables were determined using a theoretical framework approach, i.e. a Directed Acyclic Graph model to minimize bias. RESULTS: Women who were exposed to IPV had more than 50% higher odds of terminating EB before the child was 6 months old compared to women who were not exposed (aOR = 1.62, 95%CI: 1.27–2.06). Women exposed to all three types of IPV had twice the odds of early termination of EB (aOR = 1.95, 1.12; 3.37). Furthermore, the odds were tripled if exposure happened specifically during the index pregnancy (aOR = 2.93 95%CI: 1.3; 6.6). Stratified analyses showed the most severely affected groups were the mothers older than 30 and those who gave birth to girls. CONCLUSIONS: The results indicated that exposure to IPV is associated with increased risk of premature termination of EB. The odds increase with multiple types of the IPV, especially when exposed during the index pregnancy.
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spelling pubmed-65574842019-06-17 Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study Kjerulff Madsen, Frederikke Holm-Larsen, Christina Elise Wu, Chunsen Rogathi, Jane Manongi, Rachel Mushi, Declare Meyrowitsch, Dan Wolf Gammeltoft, Tine Sigalla, Geofrey Nimrody Rasch, Vibeke PLoS One Research Article OBJECTIVE: The objective of this study was to examine whether exposure to Intimate Partner Violence (IPV) is associated with premature termination of Exclusive Breastfeeding (EB). Per WHO recommendations, this was defined as ceasing breastfeeding or supplementing with other foods or liquids before the child was 6 months old. METHOD: It is a prospective cohort study set in Moshi, Tanzania consisting of 1128 pregnant women with live singleton births. Women were enrolled during pregnancy and followed up with interviews during pregnancy, after birth and 2–3 years postpartum, using structured questionnaires. Emotional, physical and sexual IPV exerted by the current partner was assessed at 34 weeks gestational age with WHO questionnaires. Months of EB was assessed 2–3 years postpartum. Premature termination of EB was defined as less than 6 months of EB. Analyses were made using a logistic regression model adjusted for maternal age, education, HIV-status, alcohol use during pregnancy and parity. Confounding variables were determined using a theoretical framework approach, i.e. a Directed Acyclic Graph model to minimize bias. RESULTS: Women who were exposed to IPV had more than 50% higher odds of terminating EB before the child was 6 months old compared to women who were not exposed (aOR = 1.62, 95%CI: 1.27–2.06). Women exposed to all three types of IPV had twice the odds of early termination of EB (aOR = 1.95, 1.12; 3.37). Furthermore, the odds were tripled if exposure happened specifically during the index pregnancy (aOR = 2.93 95%CI: 1.3; 6.6). Stratified analyses showed the most severely affected groups were the mothers older than 30 and those who gave birth to girls. CONCLUSIONS: The results indicated that exposure to IPV is associated with increased risk of premature termination of EB. The odds increase with multiple types of the IPV, especially when exposed during the index pregnancy. Public Library of Science 2019-06-10 /pmc/articles/PMC6557484/ /pubmed/31181090 http://dx.doi.org/10.1371/journal.pone.0217479 Text en © 2019 Kjerulff Madsen et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kjerulff Madsen, Frederikke
Holm-Larsen, Christina Elise
Wu, Chunsen
Rogathi, Jane
Manongi, Rachel
Mushi, Declare
Meyrowitsch, Dan Wolf
Gammeltoft, Tine
Sigalla, Geofrey Nimrody
Rasch, Vibeke
Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title_full Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title_fullStr Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title_full_unstemmed Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title_short Intimate partner violence and subsequent premature termination of exclusive breastfeeding: A cohort study
title_sort intimate partner violence and subsequent premature termination of exclusive breastfeeding: a cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557484/
https://www.ncbi.nlm.nih.gov/pubmed/31181090
http://dx.doi.org/10.1371/journal.pone.0217479
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