Factors associated with Exclusive Breastfeeding in Tunisian population

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ben Rejeb ◽  
Y Agina ◽  
H Ben Hmida ◽  
S Chelbi
Keyword(s):  
Child Health ◽  
Median Duration ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Tunisian Population ◽  
Factors Associated ◽  
Telephone Interviews ◽  
Kaplan Meier ◽  
Cox Proportional Hazard Regression ◽  
Duration Of Breastfeeding

Abstract Background Breastfeeding (BF) is one of the most effective ways to ensure child health and survival. WHO recommend the maintaining the exclusive breastfeeding (EB) up to six months. Unfortunately, its prevalence does not exceed 13% in our country at this age. A better understanding of factors associated with short duration of breastfeeding can allow us to identify the strategies that improve it. This study aimed to determine prevalence of EB and predominant breastfeeding (PB) during the first 2 months and identify their associated factors. Methods We conducted an observational prospective study in two centers of maternal and child health of Monastir (Tunisia) during April and May 2019. Data collection was performed after birth using a self-administered questionnaire and at 4th and 8th postpartum week by telephone interviews. We used the BSES-SF scale to identify self-efficacy in BF and the IIFAS-A scale to measure the mother's attitude towards BF. We used Kaplan Meier survival analysis and Cox Proportional Hazard regression to identify independent factors associated with EB and PB. Results During the study, 437 mothers were enrolled. Prevalence at 8th postpartum week was 6.2% with median duration of eight days and 35.6% with median duration of 21 days respectively for EB and PB. Absence of a breastfeeding experience (HR = 1.31 [1.07-1.61], p = 0.008), the first breastfeeding at beyond 12 hours (HR = 1.47 [1.05-2.07], p = 0.023), the intention of mixed breastfeeding (HR = 1.25 [1- 1.55], p = 0.043) were associated with a shorter duration of EB. Absence of breastfeeding experience (HR = 1.47 [1.05-2.07], p = 0.023), the first breastfeeding at beyond 2 hours (HR1 = 1.72 [1.08-2.73]; p = 0.007) and the non-determination of the duration of breastfeeding (HR = 1.54 [1.43-4.51], p = 0.006) were associated with a shorter duration of PB. Conclusions This study allowed us to identify mothers likely to stop BF early. They should be the target of specific promotion interventions. Key messages Breastfeeding is one of the most effective ways to ensure child health and survival. Information about BF, time of first BF, type and duration of planned BF and self-efficacy deserve a particular attention and constitute key axes of effective promotion interventions of EB and PB.

Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

2021 ◽  
pp. 1-11
Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Survey Report ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

scholarly journals Survival of the Recidivistic? Revealing Factors Associated with the Criminal Career Length of Multiple Homicide Offenders

2020 ◽  
Author(s):  
Gian Maria Campedelli ◽  
Enzo Yaksic
Keyword(s):  
Criminal Career ◽  
Proportional Hazard ◽  
Multiple Methods ◽  
Factors Associated ◽  
Career Length ◽  
Cox Proportional Hazard ◽  
Kaplan Meier ◽  
Inferential Analysis ◽  
Cox Proportional Hazard Regression ◽  
Multiple Homicide

Relying on a sample of 1,394 US-based multiple homicide offenders (MHOs), we study the duration of the careers of this extremely violent category of offenders through Kaplan-Meier estimation and Cox Proportional Hazard regression. We investigate the characteristics of such careers in terms of length and we provide an inferential analysis investigating correlates of career duration. The models indicate that females, MHOs employing multiple methods, younger MHOs and MHOs that acted in more than one US state have higher odds of longer careers. Conversely, those offending with a partner and those targeting victims from a single sexual group have a higher probability of shorter careers.

scholarly journals Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

2016 ◽  
Vol 56 (1) ◽  
pp. 24 ◽  
Author(s):  
Yovita Ananta ◽  
Ellen Gandaputra ◽  
Elina Waiman ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Nanis Sacharina Marzuki ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Head Circumference ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Developmental Status ◽  
Factors Associated ◽  
Breastfed Infants ◽  
Breastfeeding Rate ◽  
Duration Of Breastfeeding

Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.

scholarly journals Pola, tren, dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survei Demografi Kesehatan Indonesia 2007

2009 ◽  
Vol 6 (1) ◽  
pp. 42
Author(s):  
Siswanto Agus Wilopo
Keyword(s):  
Cultural Values ◽  
Demographic Variables ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Kaplan Meier ◽  
Dependent Variables ◽  
Early Use ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice ◽  
Use Of Health Services

Background : A modernization can lead to the adoption of western behavior while cultural values can also prevails, resulting in rejection of certain aspects of modernity. The question is how such conflicting forces affect breastfeeding practices in Indonesian women. Objective : This study examined modern and traditional factors that may affect pattern, trends and differentials of breastfeeding in Indonesia. Methods : The study based on data from Indonesian Demographic Health Survey (IDHS) conducted in 2007. There were 32.895 women or 19.939 children born after January 2002 and contributed to this information. We used duration of breastfeeding as dependent variables which based on information pertained to the last two children of respondent. The variable was calculated as the number of months that the mother reports having breastfed the child. The early use of supplementary food for children and the use of health services were examined to represent cultural values and modernity respectively. Socio-economic and demographic variables were considered important variables for breastfeeding practices. Kaplan Meier graphs were employed for the analysis of pattern, trends, and differentials of breastfeeding.Result : In Indonesia, the duration of breastfeeding varied between provinces. There was a trend of shortening of duration breastfeding about two months during 5 years period. Factors associated with modernity were significant determinant in shortening breastfeeding practice. These included: type of residence (urban or rual), level of education, prenatal care, previous or ever use of contraceptives, delivery at the hospital, and the use of an infant formula. Conclusion : Factors associated with modernity were significant in terms of early termination of breastfeeding. Traditional factors associated with breastfeeding practice did not show significant roles in maintaining the breastfeeding practice. We recommend to use a social enginering to include breastfeeding practice as a part of modern health practices.

Factors Associated with Exclusive Breastfeeding in Mother and Child Health Center at Tsaralalana Antananarivo

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Fidiniaina Mamy Randriatsarafara ◽  
Vatsiharizandry Mandrosovololona ◽  
Rodolphe Naina Zakaria Andriamifidison ◽  
Zafindrasoa Domoina Rakotovao-Ravahatra ◽  
Mino Andrianombonana ◽  
...  
Keyword(s):  
Child Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Factors Associated ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

scholarly journals Promotion of breastfeeding in Poland: the current situation

2017 ◽  
Vol 45 (6) ◽  
pp. 1976-1984 ◽  
Author(s):  
Barbara Królak-Olejnik ◽  
Ilona Błasiak ◽  
Anna Szczygieł
Keyword(s):  
Exclusive Breastfeeding ◽  
Medical Staff ◽  
Perinatal Period ◽  
High Rate ◽  
Feeding Method ◽  
Telephone Interviews ◽  
Healthy Infants ◽  
Mothers And Children ◽  
Computer Aided ◽  
Duration Of Breastfeeding

Objective Exclusive breastfeeding is safe and beneficial for healthy infants; it is the optimal feeding method during the first 6 months of life. Infants should be complementary fed in conjunction with breastfeeding until 12 months of age or longer. The aim of the present study was to analyse the duration of breastfeeding through 12 months of age. Methods Participants were 1679 women from 42 randomly selected hospitals in Poland. The data were obtained from surveys, including a paper and pencil interview that was conducted after mothers delivered in the hospital and before discharge. Computer aided telephone interviews were administered at 2, 4, 6 and 12 months. Results There was a high rate of initiating breastfeeding after birth (97%), a rapid abandonment of exclusive breastfeeding (43.5% at 2 months, 28.9% at 4 months and 4% at 6 months) and an onset of formula feeding during the first days of life, which is contrary to current recommendations. Conclusions It is necessary re-educate mothers, medical staff who care for mothers and children during the perinatal period, and other specialists.

scholarly journals Ecology and policy for exclusive breastfeeding in Colombia: a proposal

2012 ◽  
pp. 206-211 ◽  
Author(s):  
Julio Cesar Mateus Solarte
Keyword(s):  
Exclusive Breastfeeding ◽  
Cost Effective ◽  
Breastfeeding Duration ◽  
Surveillance Systems ◽  
Comprehensive Planning ◽  
Factors Associated ◽  
Planning Strategies ◽  
Institutional Strategies ◽  
Healthcare Interventions ◽  
Duration Of Breastfeeding

Introduction: Breastfeeding promotion is one of the most important strategies against infant mortality and to control child undernourishment. Despite policies and plans to promote and protect breastfeeding in Colombia, its practice is low and its duration is short. Objective: To propose an ecology framework to interpret and incorporate contextual, interpersonal, and individual factors associated with the practice of breastfeeding and duration. Thereby, the plans and policies addressed to promote and pro­tect breastfeeding in Colombia could be reinforced. Conclusions: To implement an ecology framework for Breastfeeding in Colombia, it is necessary to identify the effect of contextual factors in the biggest cultural regions of Colombia, to recognize the limitations of Infant-Friendly Hospital Initiatives to improve exclusive breastfeeding duration, to execute prospective studies in order to identify factors associated with breastfeeding duration, to design and implement plans and policies based on comprehensive planning strategies of healthcare interventions, to develop appropriate and cost-effective extra-institutional strategies aimed at prolonging the duration of breastfeeding, and to implement more reliable breastfeeding surveillance systems.

scholarly journals Breastfeeding: what changed after a decade?

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Áurea Tamami Minagawa Toryiama ◽  
Elizabeth Fujimori ◽  
Claudia Nery Teixeira Palombo ◽  
Luciane Simões Duarte ◽  
Ana Luiza Vilela Borges ◽  
...  
Keyword(s):  
Median Duration ◽  
Cox Regression ◽  
Small City ◽  
Cross Sectional ◽  
Significance Level ◽  
Paulo State ◽  
Kaplan Meier ◽  
Duration Of Breastfeeding ◽  
Method Analysis ◽  
Pacifier Use

ABSTRACT Objective: to analyze the changes in prevalence, median duration and correlates of breastfeeding in a small city in São Paulo state, Brazil. Method: analysis of two cross-sectional studies, conducted at intervals of one decade, with 261 and 302 children younger than two years, respectively. We used Kaplan-Meier survival analysis for calculation of the median duration of breastfeeding, and Cox regression for correlates analysis, with significance level of 5%. Results: an increase of 33.4% in the prevalence of exclusive breastfeeding and 20.9% in breastfeeding was identified. Regarding the latter, the median duration increased from 7.2 to 12 months. In the most recent study, the median duration was lower in first-born children who used pacifiers, and it was not associated with breastfeeding incentive actions. Conclusions: advances in the prevalence and duration of breastfeeding were observed during the 10 year-period, however, pacifier use still remains associated to a shorter median duration of breastfeeding. Our findings contribute to highlighting the need for intensification of nursing actions in the promotion of breastfeeding, and discouragement regarding the use of pacifiers.

Factors Associated With Extended Breastfeeding in India

2016 ◽  
Vol 33 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Arpit R. Mehta ◽  
Sigamani Panneer ◽  
Suparna Ghosh-Jerath ◽  
Elizabeth F. Racine
Keyword(s):  
Median Duration ◽  
Rural Areas ◽  
Health Effect ◽  
World Health ◽  
Breastfeeding Duration ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nationally Representative ◽  
Health Organization ◽  
Duration Of Breastfeeding

Background: Extended breastfeeding duration is common in India. Extended breastfeeding protects the infant from infectious disease and promotes child spacing. In the 1990s, the median breastfeeding duration in India was 24 months. Research aim: This study aimed to investigate the median duration of breastfeeding in India and to identify the factors associated with extended breastfeeding to 24 months as recommended by the World Health Organization. Methods: This cross-sectional data analysis used nationally representative data from the 2011–2012 Indian Human Development Survey II. The outcome in this study was extended breastfeeding defined as breastfeeding to 24 months or more. Multivariate logistic regression was used to identify the factors associated with extended breastfeeding. Results: The median duration of breastfeeding was 12 months; approximately 25% of women breastfed 24 months or more. Women were at greater odds of breastfeeding 24 months or more if the infant was a boy compared with a girl, if the women lived in a rural area compared with an urban area, if the women were married at a young age (< 17 vs. 20 years or older at marriage), and if the delivery was assisted by a friend or relative compared with a doctor. Conclusion: The median duration of breastfeeding has decreased by 50% from 1992–1993 to 2011–2012. The women who continue to breastfeed 24 months or more tend to be more traditional (i.e., living in rural areas, marrying young, and having family/friends as birth attendants). Further research to study the health effect of decreased breastfeeding duration is warranted.

scholarly journals FACTORS ASSOCIATED WITH THE DURATION OF BREASTFEEDING IN QUILOMBOLA WOMEN

2019 ◽  
Vol 14 ◽  
pp. e42600
Author(s):  
Glenda Pereira Costa Silva ◽  
Luana Lopes Padilha ◽  
Victor Nogueira da Cruz Silveira ◽  
Maria Tereza Borges Araújo Frota
Keyword(s):  
Factors Associated ◽  
Kaplan Meier ◽  
Duration Of Breastfeeding

Objetivo: Avaliar a duração mediana do aleitamento materno total e exclusivo em crianças quilombolas e identificar quais fatores interferem na duração do aleitamento materno total. Métodos: Estudo transversal realizado com 207 crianças com até 24 meses de 27 comunidades quilombolas em um estado no Nordeste do Brasil. A duração mediana do aleitamento materno total e exclusivo foi calculada em dias, com o estimador de Kaplan-Meier, e os fatores associados, obtidos pela regressão de Cox. Resultados: A duração mediana do aleitamento materno total e exclusivo foi de 270 e 60 dias, respectivamente. Idade materna ≥ 30 anos [Taxa de Risco (TR): 0,66; Intervalo de confiança de 95% (IC95%): 0,45 - 0,97] demonstrou ser protetora para a continuidade da amamentação, enquanto a comunidade não certificada (TR: 1,40; IC95%: 1,03 - 1,89) e consumo de suco antes dos seis meses de vida (TR: 1,75; IC 95%: 1,25 - 2,55) foram fatores de risco. Conclusão: A duração do aleitamento materno exclusivo e total, embora elevada, ficou abaixo do recomendado. A idade mais avançada, comunidade não certificada e o consumo de suco antes dos seis meses de idade foram os únicos fatores associados, evidenciando que a amamentação é suscetível a condições ambientais e fisiológicas.DOI: 10.12957/demetra.2019.42600 

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