Factors Associated With Nonexclusive Breastfeeding in 5 East and Southeast Asian Countries: A Multilevel Analysis
- 28 January 2010
- journal article
- research article
- Published by SAGE Publications in Journal of Human Lactation
- Vol. 26 (3), 248-257
- https://doi.org/10.1177/0890334409357562
Abstract
This study aimed to examine individual-, household-, and community-level characteristics associated with nonexclusive breastfeeding (non-EBF) in infants younger than 6 months of age using Demographic and Health Surveys data collected between 2002 and 2005 in East and Southeast Asia. Multilevel logistic regression was used to estimate the odds ratios for factors associated with non-EBF. Exclusive breastfeeding rates in infants younger than 6 months were as follows: Vietnam, 15.5%; Timor-Leste, 30.7%; the Philippines, 33.7%; Indonesia, 38.9%; and Cambodia, 60.1%. The significant individual factors associated with non-EBF included first-born infants, working mothers, and higher maternal age. Communities with a higher proportion of wealthier households in Indonesia, trained delivery assistance in the Philippines, and poor maternal education in Vietnam and Cambodia were at greater risk for non-EBF. All countries need effort to improve EBF, specifically targeting working mothers, less educated women, rich households, and first-time mothers. Health institutions and care providers should be appropriately guided to support EBF. J Hum Lact. 26(3):248-257.Keywords
This publication has 12 references indexed in Scilit:
- Maternal and child undernutrition: global and regional exposures and health consequencesThe Lancet, 2008
- Infant Feeding Practices in the First 6 Months and Associated Factors in a Rural and Semiurban Community in Mangochi District, MalawiJournal of Human Lactation, 2007
- Breastfeeding practices and associated factors among children under 24 months of age in Timor-LesteEuropean Journal of Clinical Nutrition, 2006
- Infant growth and health outcomes associated with 3 compared with 6 mo of exclusive breastfeedingThe American Journal of Clinical Nutrition, 2003
- How many child deaths can we prevent this year?The Lancet, 2003
- Exclusive Breastfeeding Reduces Acute Respiratory Infection and Diarrhea Deaths Among Infants in Dhaka SlumsPEDIATRICS, 2001
- Effects of Exclusive Breastfeeding for Four versus Six Months on Maternal Nutritional Status and Infant Motor Development: Results of Two Randomized Trials in HondurasJournal of Nutrition, 2001
- Determinants of breastfeeding in the Philippines: a survival analysisSocial Science & Medicine (1982), 2000
- Determinants of Breastfeeding Duration in Peninsular MalaysiaAsia Pacific Journal of Public Health, 2000
- Breastfeeding at 6 weeks and predictive factorsJournal of Tropical Pediatrics, 1997