scholarly journals Determinants of early breastfeeding initiation and exclusive breastfeeding in Colombia

2019 ◽  
Vol 23 (3) ◽  
pp. 496-505 ◽  
Author(s):  
Sheridan Finnie ◽  
Rafael Peréz-Escamilla ◽  
Gabriela Buccini

AbstractObjective:To identify modifiable risk factors associated with early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) in Colombia.Design:Cross-sectional study from the 2010 Colombia nationally representative Demographic Health Survey (DHS). Studied exposures were categorized into five hierarchical blocks of increasing proximity to the outcomes: household, maternal, health systems, child, and early feeding characteristics. The two outcomes examined were delayed breastfeeding initiation among infants <24 months and interruption of EBF among infants <6 months. Prevalence ratios were computed using Poisson regression analysis with robust error variance, adjusted for sampling weights, following a hierarchical modelling approach.Setting:Nationally representative cross-sectional survey from Colombia.Participants:The EIBF analytical sample included 6592 and the EBF sample 1512 women with young children.Results:EIBF prevalence was 65·6 % in children under 24 months and EBF was 43 % in infants under 6 months. Modifiable risk factors associated with delayed breastfeeding initiation were: C-section (PR = 2·08, CI 95 % = 1·92, 2·25), maternal overweight/obesity (PR = 1·09, CI 95 % = 1·01, 1·17), lack of skilled attendant at birth (PR = 1·09, CI 95 % = 1·01, 1·18). Modifiable risk factors for EBF interruption were C-section (PR = 1·12, CI 95 % = 1·02, 1·23) and prelacteal feeding (PR = 1·51, CI 95 % = 1·37, 1·68). Non-pregnancy intention was a protective factor for EBF interruption (PR = 0·82, CI 95 % = 0·72, 0·93).Conclusions:C-section, lack of skilled attendant at birth, prelacteal feeding, maternal nutritional status, and pregnancy intention were modifiable factors associated with suboptimal breastfeeding practices in Colombia.

Author(s):  
Hesteria F.A.S ◽  
I.W.G. Artawan Eka Putra ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it.Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic, knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis.Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76).Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.


2018 ◽  
Vol 2 (1) ◽  
pp. 51
Author(s):  
Agnes Rihi Leo

The purpose of this study is to analyze the differences risk factors of stunting among children aged 2-5 years in ridge and coastal. Study using cross sectional design. Number of subject is 114 subjects in plateau and 114 subjects in coastal chossed with purposive and consist of 57 stunted and 57 non-stunted. The risk factors of stunting in the ridge is a low of protein adequacy level (PR = 4,8; 95% CI = 2,096-10,99), low of Zn adequacy level (PR = 2,827; 95% CI = 1,499-5,322 ), low of Fe adequacy level (PR = 3,766; 95% CI = 1,785-7,944), and non-exclusive breastfeeding (PR = 1,626; 95% CI = 1,15-2,299). Risk factors of stunting in coastal is low of energy adequacy level (PR = 3,463; 95% CI = 1,648-7,278), low of Zn adequacy level (PR = 1,973; 95% CI = 1282-3,038), and low of Fe adequacy level (PR = 2,033; 95% CI = 1,003-4,120). Risk factors associated most strongly with stunting in the ridge area is a non-exclusive breastfeeding and low of protein adequacy level. The risk factors most strongly associated with stunting in coastal areas is low of protein adequacy level.There is differences risk factors of stunting between ridge and coastal.


2017 ◽  
Vol 34 (1) ◽  
pp. 97-105 ◽  
Author(s):  
Shimrit Keddem ◽  
Rosemary Frasso ◽  
Melissa Dichter ◽  
Alexandra Hanlon

Background: Although breastfeeding is associated with proven benefits to both mother and child, there are many factors that influence a mother’s decision to breastfeed. Pregnancy intentionality at the time of conception is associated with postpartum maternal behavior including breastfeeding. Research aim: We sought to understand how maternal and paternal pregnancy intentions were associated with breastfeeding initiation and duration in a nationally representative sample. Methods: We used a cross-sectional, retrospective study of the CDC National Survey of Family Growth data to examine the link between pregnancy intentionality and breastfeeding initiation and duration among women ages 15 to 44 years. Results: We found that whereas the mother’s intention to have a child was a factor in how long she breastfed, the paternal intention to have a child predicted whether the mother breastfed at all. Additionally, Hispanic mothers were most likely to breastfeed and breastfed the longest of any other group. Age and education were also positive predictors of ever breastfeeding. Conclusion: Understanding the father’s and mother’s attitudes toward the pregnancy and influence on breastfeeding intention is important for intervention planning.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S856-S856
Author(s):  
Gillian Marshall ◽  
William Bryson ◽  
Ola Rostant ◽  
Sarah Canham

Abstract Objective: To identify associations between modifiable risk factors (cigarette smoking, alcohol consumption, and obesity) and financial hardship (difficulty paying bills, food insecurity and medication need) among middle-aged and older Americans in a nationally representative sample. Methods: This was a cross-sectional study of 8,212 persons age 50 years and older who completed the core 2010 Health and Retirement Study survey and the psychosocial questionnaire. We ran separate multinomial logistic regressions to assess the association of three modifiable risk factors and three different financial hardship indicators. Results: Adjusting for all covariates, compared to men of normal weight, men who were obese had a 1.4 greater odds of difficulty paying their bills (95% CI: 1.08-1.76); former smokers had a 1.8 greater odds of being food insecure (95% CI: 1.05-2.95); current smokers were twice as likely to be food insecure (95% CI: 1.21-3.73); Compared to women who never smoked, current smokers had a 1.5 greater odds of having difficulty paying their bills (95% CI: 1.11-2.02); current smokers had a 1.8 greater odds of being food insecure (95% CI: 1.13-2.91); and women who were obese had a 1.5 greater odds of reducing medication due to cost (95% CI: 1.11, 2.02). Conclusion: Our findings contribute to the literature on health behaviors and financial hardship by highlighting the cyclical nature between different indicators of socioeconomic status, modifiable risk factors, and poor health outcomes among middle-aged and older adults. Furthermore, findings highlight how modifiable risk factors may culminate in financial hardship in later life.


Author(s):  
Ashfaq Modiwala ◽  
Ajit Deshpande ◽  
R. R. Wavare ◽  
S. L. Kantharia

Background: Hypertension is growing rapidly to epidemic levels in the developing countries, that’s why described by some clinicians as a ‘silent killer’. The objective of the study was to study the prevalence of hypertension among adults in urban area of Indore city.Methods: A community based survey was conducted among the 375 residents of urban population of Indore.Results: In our study 157 subjects were found to be hypertensive with the prevalence of 41.9%. Where; new cases of hypertension were found to be with prevalence of 15.7%. Out of which males were 44 (20.3%). Whereas, previously diagnosed 98 (62.4%) subjects were on anti-hypertensive medication and 59 (37.6%) newly diagnosed subjects who did not know they were having hypertension.Conclusions: The prevalence of hypertension in study subjects was 41.9%. 15.7% subjects didn’t know that they were having hypertension. 31.6% of hypertensive subjects were on irregular medication. It was found that lack of awareness, negative attitude of people for practicing modifiable risk factors associated with hypertension.


2021 ◽  
Vol 319 ◽  
pp. 01100
Author(s):  
Waliou Amoussa Hounkpatin ◽  
Sam Bodjrenou ◽  
Maryline Baba-Ode ◽  
Jaurès Lokonon ◽  
Sosthene Vissoh ◽  
...  

The purpose of this study was to determine the factors associated with exclusive breastfeeding (EBF) practices in community settings of southern Benin. We conducted a quantitative and qualitative cross-sectional study in Sakété commune. Six midwives and 100 breastfeeding women with at least one child under 6 months of age completed a semi-structured questionnaire. We also conducted focus groups with grandmothers. The quantitative data were analyzed with SPSS 20 using chi-square tests, Student's t-tests, and logistic regression. The data from the focus groups were analyzed thematically. The Information-Education-Communication (IEC) sessions on the EBF were conducted in all the visited maternity care facilities. Nonetheless, only 58% of breastfeeding mothers followed EBF practices, and most grandmothers did not follow EBF practices. Regression analysis identified that mothers who participated in IEC sessions focused on good infant feeding and nutrition practices and those seeking advice from close relatives were more likely to use EBF. The study revealed a low EBF rate and suggested that interventions could educate mothers and other household members on the importance of timely breastfeeding initiation in the study area.


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