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Does exclusive breastfeeding relate to the longer duration of breastfeeding? A prospective cohort study
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Objectives: Suboptimal breastfeeding contributes to morbidity and mortality in children. Studies in highincome countries (HICs) show that exclusive-breastfeeding (EBF) is associated with longer breastfeeding
duration. The aim of this study was to determine whether maternal reports of EBF at six months are
associated with longer duration of breastfeeding during the first two years of life in a low and middleincome country (LMIC) setting, and to identify determinants of breastfeeding duration.
Methods: This prospective cohort includes data from an EBF promotion program in Demak District, Central Java Province, Indonesia, with a non-randomized pretest-posttest control group. Mothers and infants
were followed through 26 months postnatal age. Data were analyzed using Cox proportional hazard regression with time to cessation of EBF as the outcome.
Results: A total of 147 families were included in the study. Longer EBF duration was not associated with
prolonged duration of breastfeeding. Longer breastfeeding duration was associated with mothers who
disagreed with a statement of being ashamed to breastfeed (HR 0.035, 95%CI 0.003,0.44). Risk factors for
shorter breastfeeding duration included mothers’ plan to breastfeed for less than 24 months (HR 4.28
95%CI 1.91,9.60), mothers’ belief that breastfeeding less than 24 months was the norm (HR 2.98 95%CI
1.31,6.77) and exposure to EBF promotion (HR:4.09 95%CI 2.14,7.82).
Conclusions: In a LMIC community where long breastfeeding duration is common, EBF is not associated with breastfeeding duration. However, modifiable behavioral factors were significant predictors of
breastfeeding duration. We therefore recommend that prolonged breastfeeding duration can be achieved
through programs that improve breastfeeding behavior
Informasi Detail
| Pernyataan Tanggungjawab |
Kun A. Susiloretn
|
|---|---|
| Pengarang |
Kun A. Susiloretni - Pengarang Utama
Hamam Had - Pengarang Tambahan Mia M. Blakstad - Pengarang Tambahan Emily R. Smith - Pengarang Tambahan Anuraj H. Shankar - Pengarang Tambahan |
| NIM | |
| Bahasa |
English
|
| Deskripsi Fisik |
9 p.;Ilus.;
|
| Dilihat sebanyak |
963
|
| Penerbit | Elsevier Inc : ., 2019 |
|---|---|
| Edisi | |
| Subjek | |
| Klasifikasi |
NONE
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