Effect of exclusive breastfeeding cessation time on childhood morbidity and adverse nutritional outcomes in Ethiopia: Analysis of the demographic and health surveys.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
14
06
2019
accepted:
19
09
2019
entrez:
3
10
2019
pubmed:
3
10
2019
medline:
17
3
2020
Statut:
epublish
Résumé
Though exclusive breastfeeding (EBF) for the first six months is recommended, it remains a debatable issue in both developed and developing countries. Thus, this study investigated the effect of EBF cessation time on childhood morbidity and adverse nutritional outcome in Ethiopia. We used the 2011 and 2016 Ethiopian Demographic and Health Surveys. The study involved 2,433 children under six months of age. Logistic regression model was applied to determine the effect of EBF cessation time on outcome variables. Population Attributable Fraction was calculated to evaluate the public health impacts of EBF termination in the population. Discontinuing EBF at 0-3 months (adjusted odds ratio (AOR): 1.95, 95% confidence interval (CI): 1.08, 3.53)) and 4-6 months (AOR: 3.57, 95% CI: 2.19, 5.83) increased diarrhea occurrence compared to children who continued EBF up to 6 months. Children who had terminated EBF at 4-6 months had increased odds of fever (AOR: 1.73, 95% CI: 1.11, 2.68) and acute respiratory illnesses (ARIs) (AOR: 2.74, 95% CI: 1.61, 4.65). Cessation of EBF earlier than 4 months or between 4-6 months was associated with increased odds of having at least one childhood morbidity. Termination of EBF at 0-3 months and at 4-6 months were associated with increased occurrence of wasting (AOR: 2.32, 95% CI: 1.45, 3.74) and underweight (AOR: 2.30, 95% CI: 1.36, 3.91), respectively. Exclusive breastfeeding can avert 42% of diarrhea, 27% of ARI, 21% of fever, 26% of wasting and 23% of underweight burden among children under six months of age. Termination of EBF before six months was associated with increased occurrence of diarrhea, fever and ARIs. It was also linked with increased occurrence of childhood wasting and underweight. The finding emphasized EBF for the first six months to reduce childhood morbidity and adverse nutritional outcomes.
Sections du résumé
BACKGROUND
Though exclusive breastfeeding (EBF) for the first six months is recommended, it remains a debatable issue in both developed and developing countries. Thus, this study investigated the effect of EBF cessation time on childhood morbidity and adverse nutritional outcome in Ethiopia.
METHODS
We used the 2011 and 2016 Ethiopian Demographic and Health Surveys. The study involved 2,433 children under six months of age. Logistic regression model was applied to determine the effect of EBF cessation time on outcome variables. Population Attributable Fraction was calculated to evaluate the public health impacts of EBF termination in the population.
RESULTS
Discontinuing EBF at 0-3 months (adjusted odds ratio (AOR): 1.95, 95% confidence interval (CI): 1.08, 3.53)) and 4-6 months (AOR: 3.57, 95% CI: 2.19, 5.83) increased diarrhea occurrence compared to children who continued EBF up to 6 months. Children who had terminated EBF at 4-6 months had increased odds of fever (AOR: 1.73, 95% CI: 1.11, 2.68) and acute respiratory illnesses (ARIs) (AOR: 2.74, 95% CI: 1.61, 4.65). Cessation of EBF earlier than 4 months or between 4-6 months was associated with increased odds of having at least one childhood morbidity. Termination of EBF at 0-3 months and at 4-6 months were associated with increased occurrence of wasting (AOR: 2.32, 95% CI: 1.45, 3.74) and underweight (AOR: 2.30, 95% CI: 1.36, 3.91), respectively. Exclusive breastfeeding can avert 42% of diarrhea, 27% of ARI, 21% of fever, 26% of wasting and 23% of underweight burden among children under six months of age.
CONCLUSIONS
Termination of EBF before six months was associated with increased occurrence of diarrhea, fever and ARIs. It was also linked with increased occurrence of childhood wasting and underweight. The finding emphasized EBF for the first six months to reduce childhood morbidity and adverse nutritional outcomes.
Identifiants
pubmed: 31577821
doi: 10.1371/journal.pone.0223379
pii: PONE-D-19-14831
pmc: PMC6774524
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0223379Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Adv Nutr. 2011 Nov;2(6):523-4
pubmed: 22332095
Pediatr Clin North Am. 2013 Feb;60(1):31-48
pubmed: 23178059
BMC Public Health. 2011 Apr 13;11 Suppl 3:S15
pubmed: 21501432
BMC Public Health. 2017 Nov 21;17(1):889
pubmed: 29162064
Cochrane Database Syst Rev. 2014 Nov 25;(11):CD006462
pubmed: 25420475
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD003517
pubmed: 22895934
PLoS One. 2017 Feb 13;12(2):e0171792
pubmed: 28192518
Eur J Clin Nutr. 2006 Mar;60(3):401-7
pubmed: 16306929
BMJ. 2018 Feb 22;360:k757
pubmed: 29472187
Int Breastfeed J. 2015 Nov 27;10:32
pubmed: 26617666
Am J Clin Nutr. 2007 Feb;85(2):635S-638S
pubmed: 17284769
Int Breastfeed J. 2018 May 25;13:19
pubmed: 29849742
Eur J Clin Nutr. 2016 Dec;70(12):1420-1427
pubmed: 27460268
BMC Public Health. 2013;13 Suppl 3:S18
pubmed: 24564728
Cochrane Database Syst Rev. 2002;(1):CD003517
pubmed: 11869667
Lancet. 2016 Jan 30;387(10017):475-90
pubmed: 26869575
Pediatrics. 2007 Apr;119(4):e837-42
pubmed: 17403827
BMC Med. 2013 Dec 04;11:254
pubmed: 24305597
Paediatr Int Child Health. 2015 Feb;35(1):14-23
pubmed: 25005815
Int Breastfeed J. 2017 Aug 1;12:36
pubmed: 28775760