Determinants of Exclusive Breast Feeding in sub-Saharan Africa: A Multilevel Approach

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dc.contributor.authorYalcin, Siddika Songul
dc.contributor.authorBerde, Anselm S.
dc.contributor.authorYalcin, Suzan
dc.date.accessioned2020-03-26T19:23:32Z
dc.date.available2020-03-26T19:23:32Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The study aimed to provide an overall picture of the general pattern of exclusive breast feeding (EBF) in sub-Saharan Africa (SSA) by examining maternal sociodemographic, antenatal and postnatal factors associated with EBF in the region, as well as explore countries variations in EBF rates. Methods: We utilised cross-sectional data from the Demographic Health Surveys in 27 SSA countries. Our study sample included 25 084 infants under 6 months of age. The key outcome variable was EBF in the last 24 h. Due to the hierarchical structure of the data, a multilevel logistic regression model was used to explore factors associated with EBF. Results: The overall prevalence of EBF in SSA was 36.0%, the prevalence was highest in Rwanda and lowest in Gabon. In the multilevel regression model, factors that were associated with increased likelihood of EBF included secondary and above maternal education, mothers within the ages of 25-34 years, rural residence, richer household wealth quantile, 4+ antenatal care visit, delivering in a health facility, singleton births, female infants, early initiation of breast feeding (EIBF), and younger infants. However, countries with higher gross national income per capita had lower EBF rates. Conclusions: To achieve a substantial increase in EBF rates in SSA, breast-feeding interventions and policies should target all women but with more emphasis to mothers with younger age, low educational status, urban residence, poor status, multiple births, and male infants. In addition, there is a need to promote antenatal care utilisation, hospital deliveries, and EIBF.en_US
dc.description.sponsorshipHacettepe Scientific Research Projects Coordination Unit [014 D10 101 001-741 (2111)]en_US
dc.description.sponsorshipThis study was supported by Hacettepe Scientific Research Projects Coordination Unit, Project number: 014 D10 101 001-741 (2111).en_US
dc.identifier.doi10.1111/ppe.12305en_US
dc.identifier.endpage449en_US
dc.identifier.issn0269-5022en_US
dc.identifier.issn1365-3016en_US
dc.identifier.issue5en_US
dc.identifier.pmid27259184en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage439en_US
dc.identifier.urihttps://dx.doi.org/10.1111/ppe.12305
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33425
dc.identifier.volume30en_US
dc.identifier.wosWOS:000388458300003en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofPAEDIATRIC AND PERINATAL EPIDEMIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectexclusive breast feedingen_US
dc.subjectsub-Saharan Africaen_US
dc.subjectmothersen_US
dc.subjectinfantsen_US
dc.subjectcountriesen_US
dc.titleDeterminants of Exclusive Breast Feeding in sub-Saharan Africa: A Multilevel Approachen_US
dc.typeArticleen_US

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