Factors associated with exclusive breastfeeding of children under six months of age in Cote d'Ivoire.

Publisher: BioMed Central Country of Publication: England NLM ID: 101251562 Publication Model: Electronic Cited Medium: Internet ISSN: 1746-4358 (Electronic) Linking ISSN: 17464358 NLM ISO Abbreviation: Int Breastfeed J Subsets: MEDLINE

Original Publication: [London] : BioMed Central, 2006-

Breast Feeding* ; Mothers*; Infant ; Female ; Child ; Humans ; Cote d'Ivoire ; Family Characteristics ; Surveys and Questionnaires

Background: Despite benefits of exclusive breastfeeding (EBF) and its strategic place in the national guidelines for infant and young child feeding, its practice remains insufficient in Cote d'Ivoire. It is therefore important to identify its early stopping associated factors. We aimed to (i) assess the extent of children's exposure to exclusive breastfeeding and the associated explanatory factors for discontinuation before six months, and (ii) to profile non-exclusively breastfed children and interrelationships between these factors.
Methods: A secondary analysis of data from the 2016 Cote d'Ivoire Fifth Multi Indicator Cluster Survey (MICS5) of 980 children under six months of age was conducted in this study. Data were analyzed using the actuarial method of survival hazard estimation combined with the Wilcoxon (Gehan) test, discrete time proportional hazards regression models, and Multiple Correspondence Analysis (MCA) to profile the children.
Results: Maternal exposure to counseling session, age at delivery, and child sex were significantly associated with the likelihood of discontinuing exclusive breastfeeding before the first six months of life. Children deprived of EBF resided in urban areas, in high and very high economic welfare households. Their mothers had a secondary education or higher and had three or fewer children. Logistic analysis showed that health status and sex of the child were significantly associated (P < 0.001) with exclusive breastfeeding. An extremely important and rarely studied factor is that children who were sick in weeks prior to the survey were more likely to remain exclusive breastfeeding (adjusted OR 1.80; 95% Confidence Interval (CI) 1.452, 2.234). Girls are less likely to be exclusively breastfed than boys (adjusted OR 1.48; 95% CI 1.22, 1.798). Low standard of living was associated with early cessation of EBF (adjusted OR 2.15; CI 1.325, 3.499). The duration of the exclusive breastfeeding was significantly longer among mothers with high exposure to medical discourse (adjusted OR 0.74; CI 0.595, 0.91).
Conclusions: Improving the practice of exclusive breastfeeding in Cote d'Ivoire requires strengthening the capacities of health professionals in terms of advice and assistance to mothers for the practice of exclusive breastfeeding and its maintenance until six months of age, regardless of the health status and sex of the child.
(© 2023. BioMed Central Ltd., part of Springer Nature.)

BMC Public Health. 2012 Nov 12;12:964. (PMID: 23140543)
BMC Pregnancy Childbirth. 2011 Jan 11;11:2. (PMID: 21219659)
Breastfeed Med. 2011 Aug;6(4):191-6. (PMID: 21770735)
BMC Nutr. 2022 Aug 4;8(1):74. (PMID: 35927737)
Int Breastfeed J. 2016 Aug 02;11:22. (PMID: 27489561)
BMC Public Health. 2018 Jun 19;18(1):757. (PMID: 29914417)
Int J Epidemiol. 1997 Apr;26(2):349-56. (PMID: 9169170)
Int Breastfeed J. 2015 Aug 13;10:23. (PMID: 26269708)
BMC Public Health. 2011 May 26;11:396. (PMID: 21615957)
BMC Public Health. 2008 Jun 10;8:205. (PMID: 18544162)
Arch Latinoam Nutr. 2001 Mar;51(1 Suppl 1):37-41. (PMID: 11688080)
Lancet. 2016 Jan 30;387(10017):475-90. (PMID: 26869575)
East Mediterr Health J. 2010 Jun;16(6):630-5. (PMID: 20799590)
Hum Resour Health. 2003 Apr 14;1(1):1. (PMID: 12904254)
Med J Aust. 2008 Sep 1;189(5):254-6. (PMID: 18759719)
Matern Child Health J. 2010 May;14(3):459-65. (PMID: 19156508)
Food Nutr Bull. 2008 Sep;29(3):159-62. (PMID: 18947028)
J Obstet Gynaecol Can. 2011 Feb;33(2):145-52. (PMID: 21352634)
Sante Publique. 2014 Mar-Apr;26(2):259-65. (PMID: 25108968)
Int Breastfeed J. 2018 Mar 06;13:12. (PMID: 29541153)
Public Health Rev. 2018 Nov 01;39:28. (PMID: 30410814)
BMC Pediatr. 2018 Mar 2;18(1):93. (PMID: 29499670)
Eur J Clin Nutr. 2007 Mar;61(3):387-97. (PMID: 17021597)
Arch Pediatr. 2013 Nov;20 Suppl 2:S29-48. (PMID: 25063312)
Sante Publique. 2014 Jul-Aug;26(4):555-62. (PMID: 25380271)

Keywords: Abidjan; Cote d’Ivoire; Duration; Exclusive breastfeeding; Explanatory factors; Infant

Date Created: 20230814 Date Completed: 20230816 Latest Revision: 20231122

20250114

PMC10426086

10.1186/s13006-023-00573-1

37580738