Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study
Sub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemi...
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| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/6/817 |
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| author | Maha Hoteit Carla Ibrahim Danielle Saadeh Marwa Al-Jaafari Marwa Atwi Sabine Alasmar Jessica Najm Yonna Sacre Lara Hanna-Wakim Ayoub Al-Jawaldeh |
| author_facet | Maha Hoteit Carla Ibrahim Danielle Saadeh Marwa Al-Jaafari Marwa Atwi Sabine Alasmar Jessica Najm Yonna Sacre Lara Hanna-Wakim Ayoub Al-Jawaldeh |
| author_sort | Maha Hoteit |
| collection | DOAJ |
| description | Sub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemic as well as the economic and the political crises in Lebanon. A nationally representative stratified random sample of mother–child dyads (<i>n</i> = 511) was collected from households using a stratified cluster sampling design. The survey inquired about infant’s feeding and complementary feeding practices using a valid questionnaire. Anthropometric measurements of the mother and child were collected. Multivariate logistic regression was conducted to explore the determinants associated with under-5 children’s practices. The prevalence of underweight, stunting, wasting, overweight and obese children was 0.5%, 8.4%, 6.7%, 16.8% and 8.9%, respectively. In total, among under-5 children, the prevalence of ever breastfeeding, exclusive breastfeeding, and bottle feeding at birth was 95.1%, 59.1% and 25.8%, respectively. Half the children in this study started solid foods between 4 and 6 months. Regression analysis showed that supporting breastfeeding at hospital (aOR = 8.20, 95% CI (3.03–22.17)) and husband’s support (aOR = 3.07, 95% CI (1.9–4.92)) were associated with increased breastfeeding odds. However, mother’s occupation (aOR = 0.18, 95% CI (0.55–0.58)) was inversely associated with breastfeeding practices. Male children (aOR = 2.119, 95% CI (1.37–3.27), mothers diagnosed with COVID-19 (aOR = 0.58, 95% CI (0.35–0.95)), and bottle feeding at hospital (aOR = 0.5, 95% CI (0.32–0.77)) were more likely to induce early initiation of solid foods at 4 months of age. This study demonstrated non-negligible rates of malnutrition, low prevalence of exclusive breastfeeding, and high rates of early introduction of formula feeding and solid foods among Lebanese under-5-children amid escalating crises. |
| first_indexed | 2024-03-10T00:08:21Z |
| format | Article |
| id | doaj.art-9f7bd1a7cf2942ba9d2ea2c45b134295 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T00:08:21Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-9f7bd1a7cf2942ba9d2ea2c45b1342952023-11-23T16:05:17ZengMDPI AGChildren2227-90672022-06-019681710.3390/children9060817Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional StudyMaha Hoteit0Carla Ibrahim1Danielle Saadeh2Marwa Al-Jaafari3Marwa Atwi4Sabine Alasmar5Jessica Najm6Yonna Sacre7Lara Hanna-Wakim8Ayoub Al-Jawaldeh9Faculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonPHENOL Research Group (Public HEalth Nutrition prOgram Lebanon), Faculty of Public Health, Lebanese University, Beirut 6573, LebanonFaculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonFaculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonFaculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonFaculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonFaculty of Public Health, Section 1, Lebanese University, Beirut 6573, LebanonDepartment of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), P.O. Box 446, Jounieh 1200, LebanonDepartment of Agricultural and Food Engineering, School of Engineering, Holy Spirit University of Kaslik (USEK), P.O. Box 446, Jounieh 1200, LebanonWorld Health Organization Regional Office for the Eastern Mediterranean, Cairo 11371, EgyptSub-optimal feeding practices among under-5 children are the major drivers of malnutrition. This study aims to assess the prevalence of malnutrition and the factors affecting exclusive breastfeeding, bottle feeding, and complementary feeding practices among under 5 children amid the COVID-19 pandemic as well as the economic and the political crises in Lebanon. A nationally representative stratified random sample of mother–child dyads (<i>n</i> = 511) was collected from households using a stratified cluster sampling design. The survey inquired about infant’s feeding and complementary feeding practices using a valid questionnaire. Anthropometric measurements of the mother and child were collected. Multivariate logistic regression was conducted to explore the determinants associated with under-5 children’s practices. The prevalence of underweight, stunting, wasting, overweight and obese children was 0.5%, 8.4%, 6.7%, 16.8% and 8.9%, respectively. In total, among under-5 children, the prevalence of ever breastfeeding, exclusive breastfeeding, and bottle feeding at birth was 95.1%, 59.1% and 25.8%, respectively. Half the children in this study started solid foods between 4 and 6 months. Regression analysis showed that supporting breastfeeding at hospital (aOR = 8.20, 95% CI (3.03–22.17)) and husband’s support (aOR = 3.07, 95% CI (1.9–4.92)) were associated with increased breastfeeding odds. However, mother’s occupation (aOR = 0.18, 95% CI (0.55–0.58)) was inversely associated with breastfeeding practices. Male children (aOR = 2.119, 95% CI (1.37–3.27), mothers diagnosed with COVID-19 (aOR = 0.58, 95% CI (0.35–0.95)), and bottle feeding at hospital (aOR = 0.5, 95% CI (0.32–0.77)) were more likely to induce early initiation of solid foods at 4 months of age. This study demonstrated non-negligible rates of malnutrition, low prevalence of exclusive breastfeeding, and high rates of early introduction of formula feeding and solid foods among Lebanese under-5-children amid escalating crises.https://www.mdpi.com/2227-9067/9/6/817feeding practicesunder-5 childrenmalnutritioncrisesLebanon |
| spellingShingle | Maha Hoteit Carla Ibrahim Danielle Saadeh Marwa Al-Jaafari Marwa Atwi Sabine Alasmar Jessica Najm Yonna Sacre Lara Hanna-Wakim Ayoub Al-Jawaldeh Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study Children feeding practices under-5 children malnutrition crises Lebanon |
| title | Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study |
| title_full | Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study |
| title_fullStr | Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study |
| title_full_unstemmed | Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study |
| title_short | Correlates of Sub-Optimal Feeding Practices among under-5 Children amid Escalating Crises in Lebanon: A National Representative Cross-Sectional Study |
| title_sort | correlates of sub optimal feeding practices among under 5 children amid escalating crises in lebanon a national representative cross sectional study |
| topic | feeding practices under-5 children malnutrition crises Lebanon |
| url | https://www.mdpi.com/2227-9067/9/6/817 |
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