The Moderating Effect of Urban Versus Rural Residence on the Relationship Between Type of Birth Attendant and Early Initiation of Breastfeeding in Ghana
| Autor: | John Francescon, Bhakti Chavan, Ilana R. Azulay Chertok, Zelalem T. Haile, Asli K. Teweldeberhan, Bismark Sarfo |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Rural Population medicine.medical_specialty Adolescent Urban Population Breastfeeding Mothers Epidemiological method Midwifery Ghana Early initiation 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Humans Medicine 030212 general & internal medicine Breastfeeding support Chi-Square Distribution business.industry Obstetrics Obstetrics and Gynecology Middle Aged Breast Feeding Cross-Sectional Studies Logistic Models Socioeconomic Factors Birth attendant Female Residence business Demography |
| Zdroj: | Journal of Human Lactation. 34:810-820 |
| ISSN: | 1552-5732 0890-3344 |
| DOI: | 10.1177/0890334417741881 |
| Popis: | Early initiation of breastfeeding increases the likelihood of longer duration of breastfeeding. Factors associated with breastfeeding include maternal sociodemographic, behavioral and health-related characteristics, infant health characteristics, and perinatal factors. Research aim: This study aimed to determine the association between type of birth attendant and early initiation of breastfeeding among women in Ghana.A cross-sectional study was conducted using women ( N = 3,087) who participated in the 2014 Ghana Demographic and Health Survey. The main outcome of interest was early initiation of breastfeeding, defined as provision of mother's milk to the infant within 1 hr of birth. Chi-square tests and multivariable logistic regression modeling were performed.Breastfeeding was initiated within 1 hr of birth by 58.3% of women. In the multivariable model, there was a significant interaction between type of birth attendant and place of residence on early initiation of breastfeeding. For rural areas, compared with women who had a nurse or midwife as their birth attendant, the multivariable odds ratios [95% confidence intervals] for early initiation of breastfeeding were lower among women whose birth attendant was a relative or other, 0.20 [0.07, 0.55], p = .002; village health volunteer or traditional health practitioner, 0.21 [0.07, 0.62], p = .005; none, 0.34 [0.12, 0.93], p = .035; community health officer, 0.42 [0.21, 0.85], p = .016; and doctor, 0.48 [0.24, 0.96], p = .037. For urban areas, no significant association was detected between type of birth attendant and early initiation of breastfeeding.Findings from the study highlight the need for focused, context-specific, early initiation of breastfeeding promotion and intervention, especially for women and their birth attendants in rural areas. |
| Databáze: | OpenAIRE |
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