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- Birth Patterns and Delayed Breastfeeding Initiation in Indonesia
- Tika Dwi Tama, Erni Astutik, Septa Katmawanti, Jauhari Oka Reuwpassa
- J Prev Med Public Health. 2020;53(6):465-475. Published online October 26, 2020
- DOI: https://doi.org/10.3961/jpmph.20.212
- 4,609 View
- 166 Download
- 2 Crossref
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Abstract
PDF - Objectives
This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation. -
Summary
Citations
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- Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis
Samuel Hailegebreal, Yosef Haile, Binyam Tariku Seboka, Ermias Bekele Enyew, Tamiru Shibiru, Zeleke Abebaw Mekonnen, Shegaw Anagaw Mengiste, James Mockridge
PLOS ONE.2022; 17(9): e0273793. CrossRef - The Intervention of Maternal Nutrition Literacy Has the Potential to Prevent Childhood Stunting: Randomized Control Trials
Sirajuddin, Saifuddin Sirajuddin, Amran Razak, Ansariadi, Ridwan M Thaha, Toto Sudargo
Journal of Public Health Research.2021; 10(2): jphr.2021.2235. CrossRef
- Effects of Socio-demographic Factors on the Decreasing Trend in the Sex Ratio at Birth in Korea, 1997-2017
- Jisuk Bae
- J Prev Med Public Health. 2020;53(5):371-380. Published online August 7, 2020
- DOI: https://doi.org/10.3961/jpmph.20.282
- 3,135 View
- 100 Download
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Abstract
PDF
Supplementary Material - Objectives
This study investigated the effects of socio-demographic factors on the decreasing trend in the sex ratio at birth from 1997 to 2017 in Korea.
Methods
Data from 10 349 602 live births registered with Statistics Korea from 1997 to 2017 were analyzed. The secondary sex ratio (SSR), defined as the ratio of male to female live births, during the study period (1997-1999 [phase I], 2000-2002 [phase II], 2003-2005 [phase III], 2006-2008 [phase IV], 2009-2011 [phase V], 2012-2014 [phase VI], and 2015-2017 [phase VII]) was calculated according to selected socio-demographic factors, such as parental age, education, occupation, and birth order. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals for a male birth after adjusting for potential confounders.
Results
The SSR gradually decreased from 1.10 (in 1998-2000 and 2002) to 1.05 (in 2013-2016). While a decreasing trend in the SSR was not noted among first births, male-biased sex ratios were prominent among third and higher-order births, for which the highest SSR was 1.46 in 1998. Higher birth order was significantly associated with an excess of male births in phases I-VI (≥third vs. first, OR range, 1.03 to 1.35). Advanced maternal age was significantly associated with an excess of female births in phases II, III, and V (≥40 vs. 20-24 years, OR range, 0.92 to 0.95).
Conclusions
This study demonstrated that advanced maternal age and reduction of the artificially-biased SSR among third and higher-order births may partially explain the decreasing trend in the SSR from 1997 to 2017 in Korea. -
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