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

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.

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

Mediterranean Journal of Nutrition and Metabolism ◽

10.3233/mnm-200517 ◽

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.

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Breastfeeding and Overweight in European Preschoolers: The ToyBox Study

Nutrients ◽

10.3390/nu13082880 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2880

Author(s):

Natalya Usheva ◽

Mina Lateva ◽

Sonya Galcheva ◽

Berthold V. Koletzko ◽

Greet Cardon ◽

...

Keyword(s):

Formal Education ◽

Total Sample ◽

Study Data ◽

Overweight And Obesity ◽

Preschool Age ◽

Factors Associated ◽

Breastfeeding Practices ◽

Breastfeeding Rate ◽

Reported Data ◽

Duration Of Breastfeeding

The benefits of breastfeeding (BF) include risk reduction of later overweight and obesity. We aimed to analyse the association between breastfeeding practices and overweight/obesity among preschool children participating in the ToyBox study. Data from children in the six countries, participating in the ToyBox-study (Belgium, Bulgaria, Germany, Greece, Poland, and Spain) 7554 children/families and their age is 3.5–5.5 years, 51.9% were boys collected cross-sectionally in 2012. The questionnaires included parents’ self-reported data on their weight, height, socio-demographic status, and infant feeding practices. Measurements of preschool children’s weight and height were done by trained researchers using standard protocols and equipment. The ever breastfeeding rate in the total sample was 85.0% (n = 5777). Only 6.3% (n = 428) of the children from the general sample were exclusively breastfed (EBF) for the duration of the first six months. EBF for four to six months was significantly (p < 0.001) less likely among mothers with formal education < 12 years (adjusted Odds Ratio (OR) = 0.61; 95% Confidence interval (CI) 0.44–0.85), smoking throughout pregnancy (adjusted OR = 0.39; 95% CI 0.24–0.62), overweight before pregnancy (adjusted OR = 0.67; 95%CI 0.47–0.95) and ≤25 years old. The median duration of any breastfeeding was five months. The prevalence of exclusive formula feeding during the first five months in the general sample was about 12% (n = 830). The prevalence of overweight and obesity at preschool age was 8.0% (n = 542) and 2.8% (n = 190), respectively. The study did not identify any significant association between breastfeeding practices and obesity in childhood when adjusted for relevant confounding factors (p > 0.05). It is likely that sociodemographic and lifestyle factors associated with breastfeeding practices may have an impact on childhood obesity. The identified lower than desirable rates and duration of breastfeeding practices should prompt enhanced efforts for effective promotion, protection, and support of breastfeeding across Europe, and in particular in regions with low BF rates.

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Factors associated with Exclusive Breastfeeding in Tunisian population

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.942 ◽

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.

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Factors Associated with the Implementation of the WHO Breastfeeding Recommendations in Momo Division, North-West Region of Cameroon

European Journal of Nutrition & Food Safety ◽

10.9734/ejnfs/2019/v11i330149 ◽

2019 ◽

pp. 114-123

Author(s):

Nwachan Mirabelle Boh ◽

Ejoh Aba Richard

Keyword(s):

Breast Milk ◽

Maternity Leave ◽

Cultural Beliefs ◽

Mode Of Delivery ◽

Breastfeeding Initiation ◽

Maternal Knowledge ◽

North West ◽

Factors Associated ◽

Breastfeeding Practices ◽

Duration Of Breastfeeding

Breastfeeding is essential to break the spiteful cycle of malnutrition in children. In spite of the WHO recommendations on optimum breastfeeding practices and their extensively acknowledged benefits, adherence to these recommendations in Cameroon remains incredibly low. The aim of this study was to identify the factors associated with the implementation of the WHO breastfeeding recommendations among mothers whose children are aged 0 to 24 months in Momo Division, Cameroon. To achieve this goal, 540 mothers attending 22 health units in the 5 sub divisions of Momo division completed structured interviewer administered questionnaire. Through this questionnaire, information on their socioeconomic and demographic characteristics, their knowledge and cultural beliefs about breastfeeding practices and the characteristics of their babies were collected. Results show that 51.5% of babies were girls and 46.1% of mothers had secondary education as their highest level of education. The monthly household income of most (80%) of the mothers was less than 100000frs CFA. Factors found to influence pre-lacteal feeding were mode of delivery, mother’s attitude on the type of first food to be given to the baby and birth order. Breastfeeding initiation within one hour following delivery was associated with place of delivery and mode of delivery. Exclusive breastfeeding was influenced by breast problems, mother’s employment status and misconceptions. The only factor associated with frequency of breastfeeding was the infant’s age. Duration of breastfeeding was associated with birth weight, and maternal knowledge on recommended duration of breastfeeding. The main impairments to breastfeeding practices were mistaken ideas based on misinformation, inadequate or no maternity leave, caesarian method of delivery, delayed breast milk secretion, breast problems and non-satiation of the baby after breastfeeding. The misconceptions noticed amongst mothers in this Division was the belief that breast milk alone is not enough to meet the nutritional needs of the baby for up to six months, expressed breast milk should not be fed to the baby and that infants below 6 months need water to quench their thirst. Maternal knowledge on breastfeeding was good as many knew the importance of breast milk.

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FACTORS ASSOCIATED WITH THE DURATION OF BREASTFEEDING IN QUILOMBOLA WOMEN

DEMETRA Alimentação Nutrição & Saúde ◽

10.12957/demetra.2019.42600 ◽

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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Clinical Factors Associated with Progression to AIDS in the Italian Cohort of HIV-Positive Hemophiliacs

Thrombosis and Haemostasis ◽

10.1055/s-0038-1648807 ◽

1994 ◽

Vol 72 (01) ◽

pp. 033-038 ◽

Cited By ~ 7

Author(s):

N Schinaia ◽

A M G Ghirardini ◽

M G Mazzucconi ◽

G Tagariello ◽

M Morfini ◽

...

Keyword(s):

Cumulative Incidence ◽

National Registry ◽

Factor Ix ◽

Clotting Factor ◽

Coagulation Disorders ◽

Factors Associated ◽

Kaplan Meier ◽

Significant Difference ◽

Congenital Coagulation Disorders ◽

Clotting Factor Concentrates

SummaryThis study updates estimates of the cumulative incidence of AIDS among Italian patients with congenital coagulation disorders (mostly hemophiliacs), and elucidates the role of age at seroconversion, type and amount of replacement therapy, and HBV co-infection in progression. Information was collected both retrospectively and prospectively on 767 HIV-1 positive patients enrolled in the on-going national registry of patients with congenital coagulation disorders. The seroconversion date was estimated as the median point of each patient’s seroconversion interval, under a Weibull distribution applied to the overall interval. The independence of factors associated to faster progression was assessed by multivariate analysis. The cumulative incidence of AIDS was estimated using the Kaplan-Meier survival analysis at 17.0% (95% Cl = 14.1-19.9%) over an 8-year period for Italian hemophiliacs. Patients with age greater than or equal to 35 years exhibited the highest cumulative incidence of AIDS over the same time period, 32.5% (95% Cl = 22.2-42.8%). Factor IX recipients (i.e. severe B hemophiliacs) had higher cumulative incidence of AIDS (23.3% vs 14.2%, p = 0.01) than factor VIII recipients (i.e. severe A hemophiliacs), as did severe A hemophiliacs on less-than-20,000 IU/yearly of plasma-derived clotting factor concentrates, as opposed to A hemophiliacs using an average of more than 20,000 IU (18.8% vs 10.9%, p = 0.02). No statistically significant difference in progression was observed between HBsAg-positive vs HBsAg-negative hemophiliacs (10.5% vs 16.4%, p = 0.10). Virological, immunological or both reasons can account for such findings, and should be investigated from the laboratory standpoint.

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The Effect of Older Adults’ Volunteering on Relational Satisfaction

Innovation in Aging ◽

10.1093/geroni/igaa057.1314 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 408-408

Author(s):

Meeryoung Kim

Keyword(s):

Older Adults ◽

Life Satisfaction ◽

Target Population ◽

Demographic Variables ◽

Retirement Age ◽

Relational Satisfaction ◽

Human Relations ◽

Independent Variables ◽

Dependent Variables ◽

Overall Life Satisfaction

Abstract Longevity is increasing in what is called the centenarian society. However, the average retirement age of Korea is the lowest among OECD countries. Because of increasing longevity, older adults need activities after retirement. Volunteering can be a substitute that allows Korean older adults to find a social identity. This study examined older adults’ volunteering and how many kinds of volunteering affected relational satisfaction differently. This study used the 6th additional wave of the Korean Retirement and Income Study (2016). The target population of this study was ages over 60 and the sample size was 280. For data analysis, multiple regressions were used. Demographic variables were controlled. As for independent variables, reasons for volunteering whether they were motivated for self or for others were used. For dependent variables, relational satisfaction, such as family, human relation and overall life satisfaction was used. Volunteers’ health is an important factor for relational satisfaction. If volunteering was self-motivated, satisfaction of both family and human relations were negatively affected. Reason for others also affected satisfaction of family and human relations negatively. Volunteering initiated by others increased satisfaction of family and human relations. Doing more than one kind of volunteering affected both satisfaction of family and human relations. For overall life satisfaction, the effect of volunteering for oneself was lower than other reasons. These findings implied that reasons for volunteering affected relational satisfaction differently. In addition, the activities of volunteering, such as taking part in one or more had different effects.

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

International Breastfeeding Journal ◽

10.1186/s13006-021-00366-4 ◽

2021 ◽

Vol 16 (1) ◽

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 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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Looking into the future ten years later: big full containerships and their arrival to south American ports

Journal of Shipping and Trade ◽

10.1186/s41072-021-00083-5 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Ricardo J. Sánchez ◽

Daniel E. Perrotti ◽

Alejandra Gomez Paz Fort

Keyword(s):

Economies Of Scale ◽

South American ◽

Medium Term ◽

Trade Routes ◽

Factors Associated ◽

Cascading Effect ◽

Dependent Variables ◽

The World ◽

Nominal Capacity ◽

Global Increase

AbstractSince 2006, when the Emma Maersk broke into the world of shipping, the growth in containership size has remained a continuous trend.For the last 14 years, since 2006, the enlargement of fullcontainerships size has remained a continuous trend since Emma Maersk broke into the world of shipping. This process - that also affected north-south trades - has crucial implications in the shipping business, particularly in the planning of ports and its services and related activities. This paper analyses the global increase in vessel size and forecasts larger vessels’ arrival to South American coasts. The paper analyses evidence since 2006 to understand the factors behind the trend for bigger ships (fleets between 18,000 and 24,000 TEU) and introduce a validated methodology for the prediction of the size of container ships. Experts presented a consensus vision in which factors associated with infrastructure, economics, technology, and the environment play a crucial role in driving the trend. Next, the paper presents a methodology for forecasting the size of containerships and applies it to Latin America’s trade. The models include two alternative thresholds for the dependent variables (1310 ft LOA and 18,000 TEU of nominal capacity) that are controlled by cascading effect (i.e., the size gap between Latin America and the world’s main trade routes), and the economic activity at the destination countries (represented by port activity). Finally, the conclusions highlight the forecast’s call to take action on infrastructure planning and investments, analyzing issues such as “economies of scale,” concentration, or entry barriers. Overall, the paper warns about the importance of efficient medium-term planning in the port industry to maximize its economic impact.

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FRI0248 PROGNOSTIC FACTORS FOR STEROID-FREE REMISSION IN PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES: IMPORTANCE OF ANTHROPOMETRIC MEASUREMENTS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.3010 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 708.1-708

Author(s):

J. S. Lee ◽

S. H. Nam ◽

S. J. Choi ◽

W. J. Seo ◽

S. Hong ◽

...

Keyword(s):

Prognostic Factors ◽

Cox Regression ◽

Idiopathic Inflammatory Myopathies ◽

Inflammatory Myopathies ◽

Immunosuppressant Therapy ◽

Muscle Enzymes ◽

Cox Regression Analysis ◽

Factors Associated ◽

Early Use

Background:Several studies have been conducted on factors associated with mortality in idiopathic inflammatory myopathies (IIM), but few studies have assessed prognostic factors for steroid-free remission in IIM.Objectives:We investigated the various clinical factors, including body measurements, that affect IIM treatment outcomes.Methods:Patients who were newly diagnosed with IIM between 2000 and 2018 were included. Steroid-free remission was defined as at least three months of normalisation of muscle enzymes and no detectable clinical disease activity. The factors associated with steroid-free remission were evaluated by a Cox regression analysis.Results:Of the 106 IIM patients, 35 displayed steroid-free remission during follow-up periods. In the multivariable Cox regression analyses, immunosuppressants’ early use within one month after diagnosis [hazard ratio (HR) 6.21, 95% confidence interval (CI) 2.61–14.74, p < 0.001] and sex-specific height quartiles (second and third quartiles versus first quartile, HR 3.65, 95% CI 1.40–9.51, p = 0.008 and HR 2.88, 95% CI 1.13–7.32, p = 0.027, respectively) were positively associated with steroid-free remission. Polymyositis versus dermatomyositis (HR 0.21, 95% CI 0.09–0.53, p = 0.001), presence of dysphagia (HR 0.15, CI 0.05–0.50, p = 0.002) and highest versus lowest quartile of waist circumference (WC) (HR 0.24, 95% CI 0.07–0.85, p = 0.027) were negatively associated with steroid-free remission.Conclusion:The early initiation of immunosuppressant therapy, type of myositis and presence of dysphagia are strong predictors of steroid-free remission in IIM; moreover, height and WC measurements at baseline may provide additional important prognostic value.Disclosure of Interests:None declared

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