Risk Factors Associated with Increased Mortality among HIV Infected Children Initiating Antiretroviral Therapy (ART) in South Africa

Abstract Background Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first 6 months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods This was a cross-sectional study conducted between January to May 2018, on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice. Results The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. E Exclusive breastfeeding’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women (adjusted odds ratio [AOR] 1.66, 95% Confidence Interval [CI] 1.08–2.56) and those with grade 12 or less level of education (AOR 2.76, 95% CI 1.02–7.49) had a higher likelihood of practising EBF for 6 months since birth while mothers who consumed alcohol (AOR 0.54, 95% CI 0.34–0.85) were less likely to practice EBF for 6 months. Conclusions The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

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Environmental and demographic risk factors associated with the prevalence of Cryptosporidium infection in the Alice rural settlements of the Eastern Cape Province of South Africa: a pilot study

Reviews on Environmental Health ◽

10.1515/reveh.2011.017 ◽

2011 ◽

Vol 26 (2) ◽

Cited By ~ 5

Author(s):

Beauty Omoruyi ◽

Fredrick Matongo ◽

Noxolo T. Nkwetshana ◽

Ezekiel Green ◽

Anna M. Clarke ◽

...

Keyword(s):

Risk Factors ◽

South Africa ◽

Pilot Study ◽

Eastern Cape Province ◽

Cryptosporidium Infection ◽

Eastern Cape ◽

Rural Settlements ◽

Factors Associated ◽

Demographic Risk ◽

Demographic Risk Factors

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Gendered risk factors associated with self-harm mortality among youth in South Africa, 2006 - 2014

South African Medical Journal ◽

10.7196/samj.2017.v107i12.12652 ◽

2017 ◽

Vol 107 (12) ◽

pp. 1132

Author(s):

N De Wet

Keyword(s):

Risk Factors ◽

South Africa ◽

Factors Associated ◽

Self Harm

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Risk factors associated with occurrence of anthelmintic resistance in sheep of resource-poor farmers in Limpopo province, South Africa

Tropical Animal Health and Production ◽

10.1007/s11250-018-1724-2 ◽

2018 ◽

Vol 51 (3) ◽

pp. 555-563

Author(s):

Morutse Mphahlele ◽

Ana M. Tsotetsi-Khambule ◽

Rebone Moerane ◽

Majela L. Mashiloane ◽

Oriel M. M. Thekisoe

Keyword(s):

Risk Factors ◽

South Africa ◽

Anthelmintic Resistance ◽

Limpopo Province ◽

Factors Associated ◽

Resource Poor

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Sociodemographic and lifestyle correlates of exclusive breastfeeding practices among mothers on antiretroviral therapy in the Eastern Cape, South Africa

10.21203/rs.3.rs-40582/v4 ◽

2021 ◽

Author(s):

Daniel Ter Goon ◽

Anthony Idowu Ajayi ◽

Oladele Vincent Adeniyi

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

Exclusive Breastfeeding ◽

Hiv Transmission ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Eastern Cape ◽

Cross Sectional ◽

Factors Associated ◽

Breastfeeding Practice

Abstract Background: Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first six months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods: This was a cross-sectional study conducted between January – May 2018 on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice.Results: The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. EBF’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women [adjusted odds ratio (AOR) = 1.66, 95% Confidence Interval CI), 1.08-2.56] and those with grade 12 or less level of education (AOR =2.76, 95% CI, 1.02-7.49) had a higher likelihood of practising EBF for six months since birth while mothers who consumed alcohol (AOR = 0.54, 95% CI, 0.34-0.85) were less likely to practice EBF for six months. Conclusions: The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

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