Social determinants of mixed feeding behavior among HIV-infected mothers in Jos, Nigeria

Autor: Alash'le Abimiku, Anuli Ajene, Buki Inyang, Ruth Guyit, Man Charurat, Pam Datong, Sheela Maru, Dilhatu Selleng, Edwina Mang
Rok vydání: 2009
Předmět:
Zdroj: AIDS care. 21(9)
ISSN: 1360-0451
Popis: Mixed feeding confers excess risk of mother-to-child transmission (MTCT) of HIV compared with exclusive breastfeeding (EBF) and exclusive formula feeding (EFF). We undertook a qualitative and quantitative cross-sectional survey to identify the social determinants of mixed feeding among a subset of the 469 HIV-infected women enrolled in a MTCT prevention program in Jos, Nigeria. Formula was provided free-of-cost. Of the 91 participants, 68(75%) exclusively formula fed, 7(8%) exclusively breastfed, and 16(18%) practiced mixed feeding. Of the mixed feeding women, 7 primarily formula fed and 9 primarily breastfed. Women who primarily formula fed described family pressure as the reason for mixed feeding, while women who primarily breastfed reported insufficient breast milk. In a multivariate analysis, lack of partner support of the feeding decision predicted mixed feeding behavior (OR: 4.2; 95% CI: 1.2-14.9; p=0.03). Disclosure of HIV status was significantly correlated (p
Databáze: OpenAIRE
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