Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study
Objective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirt...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2024-03-01
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Series: | Journal of International Medical Research |
Online Access: | https://doi.org/10.1177/03000605231223041 |
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author | Yu Du Carolyn Onyango-Makumbi Bhavneet Walia Maxie Owor Phillipa Musoke Arthur H. Owora |
author_facet | Yu Du Carolyn Onyango-Makumbi Bhavneet Walia Maxie Owor Phillipa Musoke Arthur H. Owora |
author_sort | Yu Du |
collection | DOAJ |
description | Objective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes. Results The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months. Conclusion Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation. |
first_indexed | 2024-03-07T14:17:52Z |
format | Article |
id | doaj.art-cadfa5ba1485419fa1e31488b9c8a5a5 |
institution | Directory Open Access Journal |
issn | 1473-2300 |
language | English |
last_indexed | 2024-03-07T14:17:52Z |
publishDate | 2024-03-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of International Medical Research |
spelling | doaj.art-cadfa5ba1485419fa1e31488b9c8a5a52024-03-06T11:04:34ZengSAGE PublishingJournal of International Medical Research1473-23002024-03-015210.1177/03000605231223041Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control studyYu DuCarolyn Onyango-MakumbiBhavneet WaliaMaxie OworPhillipa MusokeArthur H. OworaObjective To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth. Methods We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes. Results The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months. Conclusion Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation.https://doi.org/10.1177/03000605231223041 |
spellingShingle | Yu Du Carolyn Onyango-Makumbi Bhavneet Walia Maxie Owor Phillipa Musoke Arthur H. Owora Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study Journal of International Medical Research |
title | Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study |
title_full | Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study |
title_fullStr | Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study |
title_full_unstemmed | Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study |
title_short | Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case–control study |
title_sort | correlates of early breastfeeding cessation and breastmilk expression in uganda a case control study |
url | https://doi.org/10.1177/03000605231223041 |
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