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Prevalence and Determinants of Early Initiation (EI), Exclusive Breastfeeding (EBF), and Prelacteal Feeding among Children Aged 0-24 Months in Slums of Pune City, in Maharashtra.
Jeyakumar, Angeline; Jungari, Suresh; Nair, Raji; Menon, Pramila; Babar, Prasad; Bhushan, Barai; Yogita, Hulsurkar; Ali, Janan; Saddichha, Marathe; Bhagyashree, Mitragotri; Monika, Phadake; Sakshi, Sneha.
Affiliation
  • Jeyakumar A; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Jungari S; School of Tourism and Hospitality Management, University of Johannesburg, Johannesburg, South Africa.
  • Nair R; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Menon P; Department of Paediatrics, UNICEF, Mumbai, India.
  • Babar P; Dr. D.Y. Patil Medical College and Hospital, Pimpri - Chinchwad, India.
  • Bhushan B; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Yogita H; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Ali J; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Saddichha M; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Bhagyashree M; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Monika P; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
  • Sakshi S; Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
Ecol Food Nutr ; 60(3): 377-393, 2021.
Article in En | MEDLINE | ID: mdl-33334182
Infant and young child feeding practices remain a public health challenge in India. We determined the socio-demographic risk factors for early initiation, exclusive breastfeeding and prelacteal feeding in the urban slums of Pune city.A cross sectional survey of mother (N=1443) children (< 2 years) dyads was performed. Socio-demographic, maternal and child characteristics were recorded. Breastfeeding practices were assessed using WHO indicators. Multiple logistic regression was employed to model associations between socio-demographic factors and breastfeeding indicators.Early initiation was reported by 45.2%, prelacteal feeding by 37.5% and exclusive breastfeeding by 23.7%. Caesarean delivery decreased the odds of early initiation (AOR: 0.403; 95% CI; 0.303.-0.536) and exclusive breastfeeding (OR: 0.675; 95% CI: 0. 478-0.953), while it increased the odds of prelacteal feeding (AOR: 3.525; 95% CI: 2.653-4.683). Delivery in a public health care facility increased the odds of early initiation (AOR: 1.439; 95% CI: 1.095-1.891) and exclusive breastfeeding (OR: 0.514; 95% CI: 0.366-0.720), while it decreased the odds of prelacteal feeding (AOR: 0.421; 95% CI: 0.318-0.559). Odds of early initiation decreased significantly in very low-birth-weight (AOR: 0.209; CI: 0.76-0.567) whereas, it increased odds of prelacteal feeding (AOR: 1.389; 95% CI: 0.640-3.019), (AOR: 0.483; 95% CI: 0.262-0.889). Religion other than Hindu or Muslim, age of the mother between 26-30 years increased the odds of exclusive breastfeeding and parity <2 increased the odds of prelacteal feeding.Interventions that address setting specific determinants, focusing on local contexts are essential to improve child feeding practices in urban slums.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Breast Feeding / Poverty Areas Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Adult / Child / Female / Humans / Infant / Pregnancy Country/Region as subject: Asia Language: En Journal: Ecol Food Nutr Year: 2021 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Breast Feeding / Poverty Areas Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Adult / Child / Female / Humans / Infant / Pregnancy Country/Region as subject: Asia Language: En Journal: Ecol Food Nutr Year: 2021 Document type: Article Affiliation country: Country of publication: