The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis
Exclusive breastfeeding (EBF) is essential for infant and child health. This study aimed to explore the trend in the EBF over the last decade in Bangladesh and investigated if there was a significant association with maternal employment by analyzing the data extracted from three consecutive national...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.988016/full |
| _version_ | 1811186692075290624 |
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| author | Foyez Ahmmed Md. Jamal Hossain Tasmiah Sad Sutopa Md. Al-Mamun Morshed Alam Md. Rabiul Islam Rohit Sharma Md. Moklesur Rahman Sarker Mohd Fahami Nur Azlina |
| author_facet | Foyez Ahmmed Md. Jamal Hossain Tasmiah Sad Sutopa Md. Al-Mamun Morshed Alam Md. Rabiul Islam Rohit Sharma Md. Moklesur Rahman Sarker Mohd Fahami Nur Azlina |
| author_sort | Foyez Ahmmed |
| collection | DOAJ |
| description | Exclusive breastfeeding (EBF) is essential for infant and child health. This study aimed to explore the trend in the EBF over the last decade in Bangladesh and investigated if there was a significant association with maternal employment by analyzing the data extracted from three consecutive nationally representative surveys: Bangladesh Demographic and Health Surveys (BDHS) of 2011, 2014, and 2017–2018. Prevalence of EBF (95% confidence interval) with the Cochran-Armitage test was reported to see the trend in EBF. A chi-square (χ2) test was applied to find the potential factors associated with EBF. Finally, a three-level logistic regression was utilized to find the significant association between maternal employment and EBF while adjusting other covariates. We observed no increase in the practice of EBF over the last decade (P = 0.632). The prevalence of EBF was 64.9% (95% CI: 61.41, 68.18) in 2011, followed by 60.1% (95% CI: 56.25, 64) in 2014, and 64.9% (95% CI: 61.82, 67.91) in 2017. Regression results showed that employed mothers had 24% (p < 0.05) lower odds of EBF than unemployed mothers. Early initiation of breastfeeding was also found to be significantly associated [Adjusted odds ratio (AOR): 1.22, P < 0.05] with EBF. Government and policymakers must come forward with new interventions to increase the practice of EBF, providing basic education and campaigns on the topic of EBF. Maternity leave should be extended up to 6 months of the child's age to achieve an optimal level of EBF. |
| first_indexed | 2024-04-11T13:49:25Z |
| format | Article |
| id | doaj.art-986b9dcb3ffd48fd85c7c1433e8b9339 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T13:49:25Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-986b9dcb3ffd48fd85c7c1433e8b93392022-12-22T04:20:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.988016988016The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysisFoyez Ahmmed0Md. Jamal Hossain1Tasmiah Sad Sutopa2Md. Al-Mamun3Morshed Alam4Md. Rabiul Islam5Rohit Sharma6Md. Moklesur Rahman Sarker7Mohd Fahami Nur Azlina8Department of Statistics, Comilla University, Cumilla, BangladeshDepartment of Pharmacy, State University of Bangladesh, Dhaka, BangladeshDepartment of Statistics, University of Dhaka, Dhaka, BangladeshDepartment of Sociology, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj, BangladeshInstitute of Education and Research, Jagannath University, Dhaka, BangladeshDepartment of Pharmacy, University of Asia Pacific, Dhaka, BangladeshDepartment of Rasashastra and Bhaishajya Kalpana, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Pharmacy, State University of Bangladesh, Dhaka, BangladeshDepartment of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaExclusive breastfeeding (EBF) is essential for infant and child health. This study aimed to explore the trend in the EBF over the last decade in Bangladesh and investigated if there was a significant association with maternal employment by analyzing the data extracted from three consecutive nationally representative surveys: Bangladesh Demographic and Health Surveys (BDHS) of 2011, 2014, and 2017–2018. Prevalence of EBF (95% confidence interval) with the Cochran-Armitage test was reported to see the trend in EBF. A chi-square (χ2) test was applied to find the potential factors associated with EBF. Finally, a three-level logistic regression was utilized to find the significant association between maternal employment and EBF while adjusting other covariates. We observed no increase in the practice of EBF over the last decade (P = 0.632). The prevalence of EBF was 64.9% (95% CI: 61.41, 68.18) in 2011, followed by 60.1% (95% CI: 56.25, 64) in 2014, and 64.9% (95% CI: 61.82, 67.91) in 2017. Regression results showed that employed mothers had 24% (p < 0.05) lower odds of EBF than unemployed mothers. Early initiation of breastfeeding was also found to be significantly associated [Adjusted odds ratio (AOR): 1.22, P < 0.05] with EBF. Government and policymakers must come forward with new interventions to increase the practice of EBF, providing basic education and campaigns on the topic of EBF. Maternity leave should be extended up to 6 months of the child's age to achieve an optimal level of EBF.https://www.frontiersin.org/articles/10.3389/fpubh.2022.988016/fullexclusive breastfeeding (EBF)maternal employmentBangladesh demographic and health surveysearly initiation of breastfeedingmultilevel logistic regression |
| spellingShingle | Foyez Ahmmed Md. Jamal Hossain Tasmiah Sad Sutopa Md. Al-Mamun Morshed Alam Md. Rabiul Islam Rohit Sharma Md. Moklesur Rahman Sarker Mohd Fahami Nur Azlina The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis Frontiers in Public Health exclusive breastfeeding (EBF) maternal employment Bangladesh demographic and health surveys early initiation of breastfeeding multilevel logistic regression |
| title | The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis |
| title_full | The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis |
| title_fullStr | The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis |
| title_full_unstemmed | The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis |
| title_short | The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis |
| title_sort | trend in exclusive breastfeeding practice and its association with maternal employment in bangladesh a multilevel analysis |
| topic | exclusive breastfeeding (EBF) maternal employment Bangladesh demographic and health surveys early initiation of breastfeeding multilevel logistic regression |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.988016/full |
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