Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study

Ratib Mawa; Caroline Kambugu Nabasirye; Margaret Chota; Stephen Lawoko; Tracy Leigh Schumacher; Krishna Nand Sharma

doi:doi:10.11648/j.jfns.20190701.12

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Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study

Ratib Mawa, Caroline Kambugu Nabasirye, Margaret Chota, Stephen Lawoko, Tracy Leigh Schumacher, Krishna Nand Sharma

Published in Journal of Food and Nutrition Sciences (Volume 7, Issue 1)

Received: 28 March 2019 Accepted: 5 May 2019 Published: 23 May 2019

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Abstract

Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda. This study therefore aimed to examine the association between socio-economic status and early initiation of breastfeeding among 5504 children aged 0-23 months in a country-wide population based cross-sectional study. Early initiation of breastfeeding defined as initiation of breastfeeding within an hour of birth was the outcome of interest. Proxy measures of socio-economic status (maternal occupation and household wealth index) were the exposure variable of interest. Bivariate analysis was conducted to determine the distribution of the prevalence of early initiation of breastfeeding by infant-mother dyad characteristics. Multivariate binary logistic regression models adjusted for relevant confounders were fitted to examine the association between socio-economic status and early initiation of breastfeeding. The results showed an overall prevalence early initiation of breastfeeding of 67.8% among Ugandan children. Children whose mothers self-reported their occupation as farmers and skilled manual workers had lower odds of early initiation of breastfeeding compared to those whose mothers were doing professional/technical/managerial work; OR: 0.69 (0.51 - 0.95) and 0.70 (0.49 - 0.99) respectively. On the other hand, children that lived in the poorest and poorer households had lower odds of early initiation of breastfeeding OR: 0.46 (0.32-0.67) and 0.64 (0.43-0.94) respectively. In conclusion, we found individual and household socio-economic inequality in EIB among children less than two years of age. Targeting interventions for promotion of EIB to less affluent mother-child dyads and households might be important in increasing optimal breastfeeding practices.

Published in	Journal of Food and Nutrition Sciences (Volume 7, Issue 1)
DOI	10.11648/j.jfns.20190701.12
Page(s)	8-15
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Children, Breastfeeding, Socio-Economic Status, Uganda, Africa

References

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APA Style

Ratib Mawa, Caroline Kambugu Nabasirye, Margaret Chota, Stephen Lawoko, Tracy Leigh Schumacher, et al. (2019). Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. Journal of Food and Nutrition Sciences, 7(1), 8-15. https://doi.org/10.11648/j.jfns.20190701.12

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ACS Style

Ratib Mawa; Caroline Kambugu Nabasirye; Margaret Chota; Stephen Lawoko; Tracy Leigh Schumacher, et al. Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. J. Food Nutr. Sci. 2019, 7(1), 8-15. doi: 10.11648/j.jfns.20190701.12

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AMA Style

Ratib Mawa, Caroline Kambugu Nabasirye, Margaret Chota, Stephen Lawoko, Tracy Leigh Schumacher, et al. Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. J Food Nutr Sci. 2019;7(1):8-15. doi: 10.11648/j.jfns.20190701.12

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@article{10.11648/j.jfns.20190701.12,
  author = {Ratib Mawa and Caroline Kambugu Nabasirye and Margaret Chota and Stephen Lawoko and Tracy Leigh Schumacher and Krishna Nand Sharma},
  title = {Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {7},
  number = {1},
  pages = {8-15},
  doi = {10.11648/j.jfns.20190701.12},
  url = {https://doi.org/10.11648/j.jfns.20190701.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20190701.12},
  abstract = {Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda. This study therefore aimed to examine the association between socio-economic status and early initiation of breastfeeding among 5504 children aged 0-23 months in a country-wide population based cross-sectional study. Early initiation of breastfeeding defined as initiation of breastfeeding within an hour of birth was the outcome of interest. Proxy measures of socio-economic status (maternal occupation and household wealth index) were the exposure variable of interest. Bivariate analysis was conducted to determine the distribution of the prevalence of early initiation of breastfeeding by infant-mother dyad characteristics. Multivariate binary logistic regression models adjusted for relevant confounders were fitted to examine the association between socio-economic status and early initiation of breastfeeding. The results showed an overall prevalence early initiation of breastfeeding of 67.8% among Ugandan children. Children whose mothers self-reported their occupation as farmers and skilled manual workers had lower odds of early initiation of breastfeeding compared to those whose mothers were doing professional/technical/managerial work; OR: 0.69 (0.51 - 0.95) and 0.70 (0.49 - 0.99) respectively. On the other hand, children that lived in the poorest and poorer households had lower odds of early initiation of breastfeeding OR: 0.46 (0.32-0.67) and 0.64 (0.43-0.94) respectively. In conclusion, we found individual and household socio-economic inequality in EIB among children less than two years of age. Targeting interventions for promotion of EIB to less affluent mother-child dyads and households might be important in increasing optimal breastfeeding practices.},
 year = {2019}
}

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TY  - JOUR
T1  - Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study
AU  - Ratib Mawa
AU  - Caroline Kambugu Nabasirye
AU  - Margaret Chota
AU  - Stephen Lawoko
AU  - Tracy Leigh Schumacher
AU  - Krishna Nand Sharma
Y1  - 2019/05/23
PY  - 2019
N1  - https://doi.org/10.11648/j.jfns.20190701.12
DO  - 10.11648/j.jfns.20190701.12
T2  - Journal of Food and Nutrition Sciences
JF  - Journal of Food and Nutrition Sciences
JO  - Journal of Food and Nutrition Sciences
SP  - 8
EP  - 15
PB  - Science Publishing Group
SN  - 2330-7293
UR  - https://doi.org/10.11648/j.jfns.20190701.12
AB  - Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda. This study therefore aimed to examine the association between socio-economic status and early initiation of breastfeeding among 5504 children aged 0-23 months in a country-wide population based cross-sectional study. Early initiation of breastfeeding defined as initiation of breastfeeding within an hour of birth was the outcome of interest. Proxy measures of socio-economic status (maternal occupation and household wealth index) were the exposure variable of interest. Bivariate analysis was conducted to determine the distribution of the prevalence of early initiation of breastfeeding by infant-mother dyad characteristics. Multivariate binary logistic regression models adjusted for relevant confounders were fitted to examine the association between socio-economic status and early initiation of breastfeeding. The results showed an overall prevalence early initiation of breastfeeding of 67.8% among Ugandan children. Children whose mothers self-reported their occupation as farmers and skilled manual workers had lower odds of early initiation of breastfeeding compared to those whose mothers were doing professional/technical/managerial work; OR: 0.69 (0.51 - 0.95) and 0.70 (0.49 - 0.99) respectively. On the other hand, children that lived in the poorest and poorer households had lower odds of early initiation of breastfeeding OR: 0.46 (0.32-0.67) and 0.64 (0.43-0.94) respectively. In conclusion, we found individual and household socio-economic inequality in EIB among children less than two years of age. Targeting interventions for promotion of EIB to less affluent mother-child dyads and households might be important in increasing optimal breastfeeding practices.
VL  - 7
IS  - 1
ER  -

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Author Information

Ratib Mawa

Department of Public Health, Faculty of Health Sciences, Victoria University Kampala, Uganda
Caroline Kambugu Nabasirye

Department of Nursing and Midwifery, Faculty of Health Sciences, Lira University, Lira, Uganda
Margaret Chota

Department of Public Health, Faculty of Health Sciences, Victoria University Kampala, Uganda
Stephen Lawoko

Department of Public Health, Faculty of Health Sciences, Victoria University Kampala, Uganda
Tracy Leigh Schumacher

Department of Rural Health, Faculty of Health and Medicine University of Newcastle, Newcastle, Australia
Krishna Nand Sharma

Department of Public Health, Faculty of Health Sciences, Victoria University Kampala, Uganda

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APA Style

Ratib Mawa, Caroline Kambugu Nabasirye, Margaret Chota, Stephen Lawoko, Tracy Leigh Schumacher, et al. (2019). Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. Journal of Food and Nutrition Sciences, 7(1), 8-15. https://doi.org/10.11648/j.jfns.20190701.12

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ACS Style

Ratib Mawa; Caroline Kambugu Nabasirye; Margaret Chota; Stephen Lawoko; Tracy Leigh Schumacher, et al. Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. J. Food Nutr. Sci. 2019, 7(1), 8-15. doi: 10.11648/j.jfns.20190701.12

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AMA Style

Ratib Mawa, Caroline Kambugu Nabasirye, Margaret Chota, Stephen Lawoko, Tracy Leigh Schumacher, et al. Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study. J Food Nutr Sci. 2019;7(1):8-15. doi: 10.11648/j.jfns.20190701.12

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@article{10.11648/j.jfns.20190701.12,
  author = {Ratib Mawa and Caroline Kambugu Nabasirye and Margaret Chota and Stephen Lawoko and Tracy Leigh Schumacher and Krishna Nand Sharma},
  title = {Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {7},
  number = {1},
  pages = {8-15},
  doi = {10.11648/j.jfns.20190701.12},
  url = {https://doi.org/10.11648/j.jfns.20190701.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20190701.12},
  abstract = {Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda. This study therefore aimed to examine the association between socio-economic status and early initiation of breastfeeding among 5504 children aged 0-23 months in a country-wide population based cross-sectional study. Early initiation of breastfeeding defined as initiation of breastfeeding within an hour of birth was the outcome of interest. Proxy measures of socio-economic status (maternal occupation and household wealth index) were the exposure variable of interest. Bivariate analysis was conducted to determine the distribution of the prevalence of early initiation of breastfeeding by infant-mother dyad characteristics. Multivariate binary logistic regression models adjusted for relevant confounders were fitted to examine the association between socio-economic status and early initiation of breastfeeding. The results showed an overall prevalence early initiation of breastfeeding of 67.8% among Ugandan children. Children whose mothers self-reported their occupation as farmers and skilled manual workers had lower odds of early initiation of breastfeeding compared to those whose mothers were doing professional/technical/managerial work; OR: 0.69 (0.51 - 0.95) and 0.70 (0.49 - 0.99) respectively. On the other hand, children that lived in the poorest and poorer households had lower odds of early initiation of breastfeeding OR: 0.46 (0.32-0.67) and 0.64 (0.43-0.94) respectively. In conclusion, we found individual and household socio-economic inequality in EIB among children less than two years of age. Targeting interventions for promotion of EIB to less affluent mother-child dyads and households might be important in increasing optimal breastfeeding practices.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Socio-Economic Differences in Early Initiation of Breastfeeding Among Children in a Ugandan Cross-Sectional Study
AU  - Ratib Mawa
AU  - Caroline Kambugu Nabasirye
AU  - Margaret Chota
AU  - Stephen Lawoko
AU  - Tracy Leigh Schumacher
AU  - Krishna Nand Sharma
Y1  - 2019/05/23
PY  - 2019
N1  - https://doi.org/10.11648/j.jfns.20190701.12
DO  - 10.11648/j.jfns.20190701.12
T2  - Journal of Food and Nutrition Sciences
JF  - Journal of Food and Nutrition Sciences
JO  - Journal of Food and Nutrition Sciences
SP  - 8
EP  - 15
PB  - Science Publishing Group
SN  - 2330-7293
UR  - https://doi.org/10.11648/j.jfns.20190701.12
AB  - Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda. This study therefore aimed to examine the association between socio-economic status and early initiation of breastfeeding among 5504 children aged 0-23 months in a country-wide population based cross-sectional study. Early initiation of breastfeeding defined as initiation of breastfeeding within an hour of birth was the outcome of interest. Proxy measures of socio-economic status (maternal occupation and household wealth index) were the exposure variable of interest. Bivariate analysis was conducted to determine the distribution of the prevalence of early initiation of breastfeeding by infant-mother dyad characteristics. Multivariate binary logistic regression models adjusted for relevant confounders were fitted to examine the association between socio-economic status and early initiation of breastfeeding. The results showed an overall prevalence early initiation of breastfeeding of 67.8% among Ugandan children. Children whose mothers self-reported their occupation as farmers and skilled manual workers had lower odds of early initiation of breastfeeding compared to those whose mothers were doing professional/technical/managerial work; OR: 0.69 (0.51 - 0.95) and 0.70 (0.49 - 0.99) respectively. On the other hand, children that lived in the poorest and poorer households had lower odds of early initiation of breastfeeding OR: 0.46 (0.32-0.67) and 0.64 (0.43-0.94) respectively. In conclusion, we found individual and household socio-economic inequality in EIB among children less than two years of age. Targeting interventions for promotion of EIB to less affluent mother-child dyads and households might be important in increasing optimal breastfeeding practices.
VL  - 7
IS  - 1
ER  -

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