Association of Infant Exclusive Breast Feeding with Household Food Security and Maternal Mental Health.
Adolescent
Adult
Breast Feeding
/ psychology
Cross-Sectional Studies
Depression, Postpartum
/ psychology
Fathers
/ psychology
Female
Food Supply
/ statistics & numerical data
Humans
Infant
Infant, Newborn
Iran
Logistic Models
Male
Mental Health
Middle Aged
Mothers
/ psychology
Pregnancy
Pregnancy, Unwanted
/ psychology
Socioeconomic Factors
Surveys and Questionnaires
Young Adult
Exclusive breast feeding
Food insecurity
Postpartum depression
Socio-economic
Unwanted pregnancy
Journal
Archives of Iranian medicine
ISSN: 1735-3947
Titre abrégé: Arch Iran Med
Pays: Iran
ID NLM: 100889644
Informations de publication
Date de publication:
01 09 2019
01 09 2019
Historique:
received:
24
11
2018
accepted:
15
05
2019
entrez:
5
11
2019
pubmed:
5
11
2019
medline:
20
9
2020
Statut:
epublish
Résumé
Exclusive breastfeeding (EBF) is emphasized by the World Health Organization (WHO) as the most desirable way of infant feeding in the first 6 months. EBF has beneficial health effects on mothers and infants. The aim of this study was to examine factors influencing EBF, with emphasis on household food security status and maternal mental health. This cross-sectional study was carried out on 325 women referring to community health centers in west Tehran. Data were collected using questionnaires, including Edinburgh Postnatal Depression Scale (EPDS) and the USDA (US Department of Agriculture) 18-item questionnaire. The data was analyzed using both descriptive and analytical methods such as the chi-squared test, t test and logistic regression with SPSS 22. The prevalence of EBF was 82.5% (CI = 0.70, 0.94), 63.9% (CI = 0.57, 0.70) and 72.3% (CI = 0.62, 0.82) in 3-month, 3-6-month and 6-8-month-old infants, respectively. The results of this study showed a significant association between EBF and infant gender satisfaction (P < 0.001, OR = 4.85, CI = 2.12, 11.12), economic satisfaction score (P = 0.028, OR = 0.82, CI = 0.69, 0.98), infant birth weight (P = 0.013, OR = 0.99, CI = 0.99, 1.00) and unwanted pregnancy (P = 0.098, OR = 1.82, CI = 0.89, 3.70). However, we did not find any significant association between EBF and other variables such as household food security status, mother's postpartum depression, parents' education and age, type of delivery and pregnancy numbers. Infant gender satisfaction, economic satisfaction, unwanted pregnancy and infant birth weight were the significant factors for predicting EBF in this study. Since EBF is important for infants and mothers' health, policy-makers should devise strategies to promote and encourage EBF in the society.
Sections du résumé
BACKGROUND
Exclusive breastfeeding (EBF) is emphasized by the World Health Organization (WHO) as the most desirable way of infant feeding in the first 6 months. EBF has beneficial health effects on mothers and infants. The aim of this study was to examine factors influencing EBF, with emphasis on household food security status and maternal mental health.
METHODS
This cross-sectional study was carried out on 325 women referring to community health centers in west Tehran. Data were collected using questionnaires, including Edinburgh Postnatal Depression Scale (EPDS) and the USDA (US Department of Agriculture) 18-item questionnaire. The data was analyzed using both descriptive and analytical methods such as the chi-squared test, t test and logistic regression with SPSS 22.
RESULTS
The prevalence of EBF was 82.5% (CI = 0.70, 0.94), 63.9% (CI = 0.57, 0.70) and 72.3% (CI = 0.62, 0.82) in 3-month, 3-6-month and 6-8-month-old infants, respectively. The results of this study showed a significant association between EBF and infant gender satisfaction (P < 0.001, OR = 4.85, CI = 2.12, 11.12), economic satisfaction score (P = 0.028, OR = 0.82, CI = 0.69, 0.98), infant birth weight (P = 0.013, OR = 0.99, CI = 0.99, 1.00) and unwanted pregnancy (P = 0.098, OR = 1.82, CI = 0.89, 3.70). However, we did not find any significant association between EBF and other variables such as household food security status, mother's postpartum depression, parents' education and age, type of delivery and pregnancy numbers.
CONCLUSION
Infant gender satisfaction, economic satisfaction, unwanted pregnancy and infant birth weight were the significant factors for predicting EBF in this study. Since EBF is important for infants and mothers' health, policy-makers should devise strategies to promote and encourage EBF in the society.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
489-494Informations de copyright
© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.