Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?

Background: Human immunodeficiency virus (HIV)-exposed infants enrolled into the prevention of mother-to-child transmission of HIV program generally receive antiretroviral therapy (ARV), but the feeding methods differ based on several socioeconomic and cultural differences. Objective: The objective...

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Main Authors: Olusoga Babatunde Ogunfowora, Tinuade Adetutu Ogunlesi, Abiodun Folashade Adekanmbi, Victor Ayodeji Ayeni
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=278;epage=283;aulast=Ogunfowora
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author Olusoga Babatunde Ogunfowora
Tinuade Adetutu Ogunlesi
Abiodun Folashade Adekanmbi
Victor Ayodeji Ayeni
author_facet Olusoga Babatunde Ogunfowora
Tinuade Adetutu Ogunlesi
Abiodun Folashade Adekanmbi
Victor Ayodeji Ayeni
author_sort Olusoga Babatunde Ogunfowora
collection DOAJ
description Background: Human immunodeficiency virus (HIV)-exposed infants enrolled into the prevention of mother-to-child transmission of HIV program generally receive antiretroviral therapy (ARV), but the feeding methods differ based on several socioeconomic and cultural differences. Objective: The objective of the study was to examine the incidence and pattern of morbidities among HIV-exposed uninfected (HEU) Nigerian infants and determine any relationship with infant feeding methods. Methods: A review of the hospital records of all HEU infants attending the Virology Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, between July 2013 and June 2015, was done. The recorded data included biodemographic profile, social parameters, feeding methods, anthropometry, and morbidities. The feeding method groups were statistically compared in relation to the various morbidities. Results: Out of 119 children, 81.5% were exclusively breastfed, whereas 18.5% had exclusive breast milk substitute feeding. About half had various morbidities which included upper airway infections (UAIs) (16.8%), malaria (15.9%), malnutrition (8.4%), diarrhea (8.4%), and pneumonia (2.5%). The frequencies of these conditions were similar among infant groups irrespective of feeding method. The infants with and without morbidities were comparable in terms of the frequency of exclusive breastfeeding (80.3% vs. 82.8%). Low family socioeconomic status (SES) (odds ratio [OR] = 7.7) and ARV use (OR = 0.4) among infants were predictors of morbidities among HEU infants. Conclusion: The incidence and pattern of morbidities among HEU infants showed no relation to the mode of feeding. Rather, family SES and the use of antiretroviral drugs were predictors of morbidities among HEU infants.
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spelling doaj.art-5d4cac8c08ce4bc79ac5f8664aff7b482022-12-21T19:17:18ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2017-01-0161427828310.4103/ijph.IJPH_142_16Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?Olusoga Babatunde OgunfoworaTinuade Adetutu OgunlesiAbiodun Folashade AdekanmbiVictor Ayodeji AyeniBackground: Human immunodeficiency virus (HIV)-exposed infants enrolled into the prevention of mother-to-child transmission of HIV program generally receive antiretroviral therapy (ARV), but the feeding methods differ based on several socioeconomic and cultural differences. Objective: The objective of the study was to examine the incidence and pattern of morbidities among HIV-exposed uninfected (HEU) Nigerian infants and determine any relationship with infant feeding methods. Methods: A review of the hospital records of all HEU infants attending the Virology Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, between July 2013 and June 2015, was done. The recorded data included biodemographic profile, social parameters, feeding methods, anthropometry, and morbidities. The feeding method groups were statistically compared in relation to the various morbidities. Results: Out of 119 children, 81.5% were exclusively breastfed, whereas 18.5% had exclusive breast milk substitute feeding. About half had various morbidities which included upper airway infections (UAIs) (16.8%), malaria (15.9%), malnutrition (8.4%), diarrhea (8.4%), and pneumonia (2.5%). The frequencies of these conditions were similar among infant groups irrespective of feeding method. The infants with and without morbidities were comparable in terms of the frequency of exclusive breastfeeding (80.3% vs. 82.8%). Low family socioeconomic status (SES) (odds ratio [OR] = 7.7) and ARV use (OR = 0.4) among infants were predictors of morbidities among HEU infants. Conclusion: The incidence and pattern of morbidities among HEU infants showed no relation to the mode of feeding. Rather, family SES and the use of antiretroviral drugs were predictors of morbidities among HEU infants.http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=278;epage=283;aulast=OgunfoworaBreast milk substitutebreast milkdiarrheahighly active antiretroviral therapyhuman immunodeficiency virus-exposedinfant feedingmalnutrition
spellingShingle Olusoga Babatunde Ogunfowora
Tinuade Adetutu Ogunlesi
Abiodun Folashade Adekanmbi
Victor Ayodeji Ayeni
Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
Indian Journal of Public Health
Breast milk substitute
breast milk
diarrhea
highly active antiretroviral therapy
human immunodeficiency virus-exposed
infant feeding
malnutrition
title Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
title_full Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
title_fullStr Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
title_full_unstemmed Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
title_short Does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus-exposed uninfected nigerian infants?
title_sort does infant feeding method influence the incidence and pattern of morbidities among human immunodeficiency virus exposed uninfected nigerian infants
topic Breast milk substitute
breast milk
diarrhea
highly active antiretroviral therapy
human immunodeficiency virus-exposed
infant feeding
malnutrition
url http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=4;spage=278;epage=283;aulast=Ogunfowora
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