Factors Affecting Exclusive Breastfeeding, Using Adaptive LASSO Regression
Journal Title: International Journal of Community Based Nursing and Midwifery - Year 2018, Vol 6, Issue 3
Abstract
Background: Exclusive breastfeeding (EBF) in the first six months of the life can significantly improve maternal and children health, and it is especially important in low- and middle-income countries. We aimed to determine the factors affecting EBF duration in a sample of Iranian infants. Methods: This prospective study was conducted between April 2012 and October 2014 in Fars, Iran. Women (N=2640), who had given birth to healthy term infants were categorized into EBF versus non-EBF groups. Demographic information from mothers and infants, medical and drug history, and pregnancy related factors were compared between the two groups. Multivariable analysis was performed using Adaptive Lasso regression. P<0.05 was considered significant. Results: The mean duration of EBF was 4.63±1.99 months. There was an inverse association between the mother’s educational level and duration of EBF (P<0.001). Also, we found that mothers who were housewives had a significantly longer duration of EBF (4.68±1.97) compared to mothers with either part-time (4.21±2.01) or full-time jobs (4.02±2.12) (P<0.001). By eliminating the redundant factors, the proposed multivariable model showed the infant’s weight gain during EBF, singleton/multiple pregnancies, maternal perception of quantity of breast milk, post-partum infection, use of pacifier, neonate’s irritability, birth place and mother’s full-time job as the most important factors affecting the duration of EBF. Twin pregnancies, post-partum infection, cesarean section by maternal request, use of a pacifier and irritability in the neonatal period significantly reduced the duration of EBF. Conclusion: Health policy-makers should promote EBF programs among the educated as well as working mothers in order to positively affect the community’s health status.
Authors and Affiliations
Najmeh Maharlouei, Amirhosein Pourhaghighi, Hadi Raeisi Shahraki, Dariush Zohoori, Kamran B. Lankarani
Keywords
Related Articles
- EP ID EP303169
- DOI -
- Views 82
- Downloads 0
Public Attitudes on Deadliest Diseases from 15th to 17th Centuries: A Corpus-driven Analysis of Historical Texts
A significant issue in medical health care studies is the representation of illnesses and how they change and affect public attitudes through years. Diachronic corpus-driven linguistics has provided an opportunity for re...
Predictors of Post-Traumatic Stress Disorder among Victims of Serious Motor Vehicle Accidents
Background: Compelling evidence has shown that motor vehicle accidents have an enormous impact on mental health. Post-traumatic Stress Disorder (PTSD) is one of the most common psychological consequences in adult survivo...
Performance of Public Health Nurses and Coverage of the Nursing Care Program by Community Health Centers in Jember, Indonesia
Background: Public Healthcare Services (PHCs) provide health care activities, including home visits by public health nurses (PHNs), as part of the Indonesian nursing care program. The present study aimed to evaluate the...
Knowledge of Prenatal Screening, Down Syndrome, Amniocentesis, and Related Factors among Iranian Pregnant Women: A Cross-Sectional Study
Background: The primary goal of prenatal aneuploidy screening is the early detection of pregnancies at high risk of Down syndrome (DS). The present study aimed to assess the knowledge about the prenatal screening test (P...
Effect of Group Counseling on Parents’ Self-Efficacy, Knowledge, Attitude, and Communication Practice in Preventing Sexual Abuse of Children Aged 2-6 Years: A Randomized Controlled Clinical Trial
Background: The present study aimed to examine the effectiveness of group counseling on parents’ self-efficacy, knowledge, attitude, and communication practice in preventing sexual abuse of children aged 2-6 years. Metho...