Modelling time-to-discontinuation of exclusive breastfeeding: Analysis of infants and under-2 survival in Nigeria

Q3 Social Sciences

Etude de la Population Africaine Pub Date : 2020-07-24 DOI:10.11564/34-1-1500

O. Oyedele, A. Fagbamigbe, O. Ayeni

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引用次数: 4

Abstract

Background: Regardless of national and international strategies towards promoting exclusive breastfeeding, only 17% and 35% of infants were exclusively breastfed in 2015 in Nigeria and Worldwide respectively. Therefore, we aim to estimate average length of exclusive breastfeeding for infants and under-2, evaluate and predict maternal impact. Data Source and Methods: This retrospective cross-sectional study applied NARHS data collected via multistage-cluster random sampling. Count and proportion quantified maternal characteristics, Kaplan-Meier method estimated length of exclusive breastfeeding whereas Cox Proportional Hazard model and Wald-test determine and evaluate maternal effect. Results: Median duration of exclusive breastfeeding was 6.0 months. Locality {P < 0.05 (0.73 – 0.98)} and place-of-delivery {P < 0.01 (1.06 – 1.19)} were the determinant factors. Cox Proportional Hazard model fit the data and Wald-test identified main predictors. Conclusions: Average time at which exclusive breastfeeding was discontinued was six months, mothers’ locality and delivery-place of infants influence exclusive breastfeeding duration in Nigeria. Hence, exclusive breastfeeding interventions should target those factors.

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模拟停止纯母乳喂养的时间:尼日利亚婴儿和2岁以下儿童的生存分析

背景：无论国家和国际促进纯母乳喂养的战略如何，2015年尼日利亚和全球分别只有17%和35%的婴儿纯母乳喂养。因此，我们旨在估计婴儿和2岁以下儿童纯母乳喂养的平均时间，评估和预测母亲的影响。数据来源和方法：这项回顾性横断面研究应用了通过多级整群随机抽样收集的NARHS数据。计数和比例量化了母亲的特征，Kaplan-Meier方法估计了纯母乳喂养的时间，而Cox比例风险模型和Wald检验确定并评估了母亲的影响。结果：纯母乳喂养的中位持续时间为6.0个月。地点{P<0.05（0.73–0.98）}和分娩地点{P<0.01（1.06–1.19）}是决定因素。Cox比例风险模型符合数据，Wald检验确定了主要预测因素。结论：在尼日利亚，停止纯母乳喂养的平均时间为6个月，母亲所在地和婴儿出生地影响纯母乳喂养持续时间。因此，纯母乳喂养干预措施应针对这些因素。

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来源期刊

Etude de la Population Africaine Social Sciences-Demography

自引率

0.00%

发文量

期刊介绍： African Population Studies is a biannual, peer-reviewed journal that publishes original research articles, reviews, commentaries, letters and case studies on topics related to the disciplines represented by the Union for African Population Studies Association. These disciplines include demography, population studies, public health, epidemiology, social statistics, population geography, development studies, economics and other social sciences that deal with population and development interrelationships that are unique and relevant to Africa and global audience.