| Determinants of infant and young child feeding practices in Sri Lanka: secondary data analysis of Demographic and Health Survey 2000. | |
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MedLine Citation:
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PMID: 20707238 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Poor feeding practices in early childhood contribute to the burden of childhood malnutrition and morbidity. OBJECTIVE: To estimate the key indicators of breastfeeding and complementary feeding and the determinants of selected feeding practices in Sri Lanka. METHODS: The sample consisted of 1127 children aged 0 to 23 months from the Sri Lanka Demographic and Health Survey 2000. The key infant feeding indicators were estimated and selected indicators were examined against a set of individual-, household-, and community-level variables using univariate and multivariate analyses. RESULTS: Breastfeeding was initiated within the first hour after birth in 56.3% of infants, 99.7% had ever been breastfed, 85.0% were currently being breastfed, and 27.2% were being bottle-fed. Of infants under 6 months of age, 60.6% were fully breastfed, and of those aged 6 to 9 months, 93.4% received complementary foods. The likelihood of not initiating breastfeeding within the first hour after birth was higher for mothers who underwent cesarean delivery (OR = 3.23) and those who were not visited by a Public Health Midwife at home during pregnancy (OR = 1.81). The rate of full breastfeeding was significantly lower among mothers who did not receive postnatal home visits by a Public Health Midwife. Bottlefeeding rates were higher among infants whose mothers had ever been employed (OR = 1.86), lived in a metropolitan area (OR = 3.99), or lived in the South-Central Hill country (OR = 3.11) and were lower among infants of mothers with secondary education (OR = 0.27). Infants from the urban (OR = 8.06) and tea estate (OR = 12.63) sectors were less likely to receive timely complementary feeding than rural infants. CONCLUSIONS: Antenatal and postnatal contacts with Public Health Midwives were associated with improved breastfeeding practices. Breastfeeding promotion strategies should specifically focus on the estate and urban or metropolitan communities. |
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Authors:
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Upul Senarath; Michael J Dibley; S S P Godakandage; Hiranya Jayawickrama; Aravinda Wickramasinghe; Kingsley E Agho; |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Food and nutrition bulletin Volume: 31 ISSN: 0379-5721 ISO Abbreviation: Food Nutr Bull Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-08-16 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7906418 Medline TA: Food Nutr Bull Country: Japan |
Other Details:
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Languages: eng Pagination: 352-65 Citation Subset: IM |
Affiliation:
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Department of Community Medicine, University of Colombo, Sri Lanka. upul.senarath@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aging Bottle Feeding / statistics & numerical data Breast Feeding* / statistics & numerical data Cesarean Section Educational Status Feeding Behavior* Female Health Promotion* Health Surveys House Calls Humans Infant Infant Food / statistics & numerical data Infant, Newborn Male Midwifery Mothers Rural Population Sri Lanka Urban Population Women, Working |
| Investigator | |
Investigator/Affiliation:
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S K Roy / ; Iqbal Kabir / ; Archana Patel / ; Neetu Badhoniya / ; Sandhya Khadse / ; Sharada Pandey / ; Kalpana Tiwari / ; Tabish Hazir / ; D S Akram / ; Seema Mihrshahi / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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