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Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic

Objectives: Breastfeeding rates are decreasing rapidly in many low and middle-income countries, disproportionately affecting urban residences. We use data from Lao People’s Democratic Republic to identify primary mechanisms underlying the urban-rural gap in breastfeeding practices. Methods: We used...

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Autores principales: Wallenborn, Jordyn T., Valera, Camille B., Kounnavong, Sengchanh, Sayasone, Somphou, Odermatt, Peter, Fink, Günther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458572/
https://www.ncbi.nlm.nih.gov/pubmed/34566553
http://dx.doi.org/10.3389/ijph.2021.1604062
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author Wallenborn, Jordyn T.
Valera, Camille B.
Kounnavong, Sengchanh
Sayasone, Somphou
Odermatt, Peter
Fink, Günther
author_facet Wallenborn, Jordyn T.
Valera, Camille B.
Kounnavong, Sengchanh
Sayasone, Somphou
Odermatt, Peter
Fink, Günther
author_sort Wallenborn, Jordyn T.
collection PubMed
description Objectives: Breastfeeding rates are decreasing rapidly in many low and middle-income countries, disproportionately affecting urban residences. We use data from Lao People’s Democratic Republic to identify primary mechanisms underlying the urban-rural gap in breastfeeding practices. Methods: We used data from the 2017 Lao Social Indicator Survey II. Residence was categorized as large-urban (>1 million), small-urban (<1 Million), and rural. Multivariable logistic regression provided odds ratios and 95% confidence intervals (CI) to identify factors attributing to the urban-rural differences in complying with World Health Organization’s breastfeeding recommendations for children <24 months. Results: Mothers in large-urban residences had 3.78 (95% confidence intervals: 1.19, 11.95) and 4.67 (95% CI: 2.30, 9.46) higher odds of non-compliance with exclusive and complementary breastfeeding recommendations, respectively, than mothers living in rural areas in bivariate models. Breastfeeding differentials between small urban and rural residences were largely explained by differences in maternal education and household wealth. Conclusion: Results of our paper suggest large disparities in breastfeeding practices between large-urban, small-urban, and rural residences.
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spelling pubmed-84585722021-09-24 Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic Wallenborn, Jordyn T. Valera, Camille B. Kounnavong, Sengchanh Sayasone, Somphou Odermatt, Peter Fink, Günther Int J Public Health Public Health Archive Objectives: Breastfeeding rates are decreasing rapidly in many low and middle-income countries, disproportionately affecting urban residences. We use data from Lao People’s Democratic Republic to identify primary mechanisms underlying the urban-rural gap in breastfeeding practices. Methods: We used data from the 2017 Lao Social Indicator Survey II. Residence was categorized as large-urban (>1 million), small-urban (<1 Million), and rural. Multivariable logistic regression provided odds ratios and 95% confidence intervals (CI) to identify factors attributing to the urban-rural differences in complying with World Health Organization’s breastfeeding recommendations for children <24 months. Results: Mothers in large-urban residences had 3.78 (95% confidence intervals: 1.19, 11.95) and 4.67 (95% CI: 2.30, 9.46) higher odds of non-compliance with exclusive and complementary breastfeeding recommendations, respectively, than mothers living in rural areas in bivariate models. Breastfeeding differentials between small urban and rural residences were largely explained by differences in maternal education and household wealth. Conclusion: Results of our paper suggest large disparities in breastfeeding practices between large-urban, small-urban, and rural residences. Frontiers Media S.A. 2021-09-09 /pmc/articles/PMC8458572/ /pubmed/34566553 http://dx.doi.org/10.3389/ijph.2021.1604062 Text en Copyright © 2021 Wallenborn, Valera, Kounnavong, Sayasone, Odermatt and Fink. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health Archive
Wallenborn, Jordyn T.
Valera, Camille B.
Kounnavong, Sengchanh
Sayasone, Somphou
Odermatt, Peter
Fink, Günther
Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title_full Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title_fullStr Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title_full_unstemmed Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title_short Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People’s Democratic Republic
title_sort urban-rural gaps in breastfeeding practices: evidence from lao people’s democratic republic
topic Public Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458572/
https://www.ncbi.nlm.nih.gov/pubmed/34566553
http://dx.doi.org/10.3389/ijph.2021.1604062
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