Sociodemographic Factors Associated with Bottle Feeding Practices in Infants Under Two Years of Age: A hospital-based study in Woldia, Ethiopia
Main Article Content
Abstract
Introduction: Bottle feeding should be avoided when possible in infants under the age of two to improve health outcomes. The magnitude of bottle feeding practice is currently increasing in Ethiopia, however factors associated with bottle feeding usage are rarely addressed in research. We aimed to fill this gap and assess the magnitude of bottle feeding and its association with sociodemographic factors among infants in Woldia, Ethiopia in 2019.
Methods: A hospital-based cross-sectional study was conducted in Woldia General Hospital at the Immunization Clinic. A total of 255 mothers who had infants were selected by systematic random sampling method. Data was collected through face-to-face interview using a structured standardized questionnaire. The data was entered to EpiData version 3.1 and analyzed using SPSS version 20. Binary logistic regression analysis models were used to assess the association between dependent and independent variables. Variables with p-value < 0.2 in bivariable logistic regression analysis were entered to multivariable logistic regression analysis. Finally, variables with p-value < 0.05 with 95% CI in multivariable logistic regression were taken as independent predictors. COR and AOR were used to show the strength of association between the dependent and independent variables.
Results: The rate of bottle feeding practice in this study was 42.7% (95%CI: 35.8,48.2). Being an infant age 0-5 months old [AOR=0.16; 95%CI: 0.06,0.4], being a mother age 35-50 years old [AOR=0.43; 95%CI: 0.22, 0.85], having 2-5 children [AOR=6.37; 95%CI: 1.33, 30.44], and being a farmer as reported mother’s occupation [AOR=2.72; 95%CI: 1.30, 5.67] showed significant association with bottle feeding practice.
Conclusion: The magnitude of bottle feeding practice was significantly higher in the current study as compared to national prevalence. Several sociodemographic factors showed significant association with bottle feeding practice which need to be explored further in the future research.
Article Details
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
References
Batista CLC, Ribeiro VS, Nascimento M, Rodrigues VP. Association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding. J Pediatr (Rio J). 2018;94(6):596-601.
Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(10017):475-490.
Haile D, Biadgilign S. Higher breastfeeding performance index is associated with lower risk of illness in infants under six months in Ethiopia. International breastfeeding journal. 2015;10(1):32.
Central Statistical Agency., The DHS Program ICF. Ethiopian Demographic and Health Survey 2016 Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF2017.
Shukure R. Assessment of Knowledge, Attitude and Practice on Initiation of Complementary Feeding Among Under Two Years Children in Fiche Town, North Showa Zone, Ethiopia. International Journal of Biomedical Engineering and Clinical Science. 2017;3(6):103-109.
Jabbar NS, Bueno AB, Silva PE, Scavone-Junior H, Ines Ferreira R. Bottle feeding, increased overjet and Class 2 primary canine relationship: is there any association? Braz Oral Res. 2011;25(4):331-337.
Lakshman R, Ogilvie D, Ong KK. Mothers' experiences of bottle-feeding: a systematic review of qualitative and quantitative studies. Archives of Disease in Childhood. 2009;94(8):596-601.
Ventura AK, Mennella JA. An Experimental Approach to Study Individual Differences in Infants' Intake and Satiation Behaviors during Bottle-Feeding. Child Obes. 2017;13(1):44-52.
Matanda DJ, Mittelmark MB, Kigaru DM. Breast-, complementary and bottle-feeding practices in Kenya: stagnant trends were experienced from 1998 to 2009. Nutr Res. 2014;34(6):507-517.
Sutcliffe TL, Khambalia A, Westergard S, Jacobson S, Peer M, Parkin PC. Iron depletion is associated with daytime bottle-feeding in the second and third years of life. Arch Pediatr Adolesc Med. 2006;160(11):1114-1120.
Olatosi OO, Sote EO. Association of Early Childhood Caries with Breastfeeding and Bottle Feeding in Southwestern Nigerian Children of Preschool Age. J West Afr Coll Surg. 2014;4(1):31-53.
Avila WM, Pordeus IA, Paiva SM, Martins CC. Breast and Bottle Feeding as Risk Factors for Dental Caries: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(11):e0142922.
Krogh C, Biggar RJ, Fischer TK, Lindholm M, Wohlfahrt J, Melbye M. Bottle-feeding and the Risk of Pyloric Stenosis. Pediatrics. 2012;130(4):e943-949.
Li R, Magadia J, Fein SB, Grummer-Strawn LM. Risk of bottle-feeding for rapid weight gain during the first year of life. Arch Pediatr Adolesc Med. 2012;166(5):431-436.
McAteer JP, Ledbetter DJ, Goldin AB. Role of bottle feeding in the etiology of hypertrophic pyloric stenosis. JAMA Pediatr. 2013;167(12):1143-1149.
Kim HY, Han Y, Pyun Y, Kim J, Ahn K, Lee SI. Prolonged bedtime bottle feeding and respiratory symptoms in infants. Asia Pac Allergy. 2011;1(1):30-35.
Berde AS. Factors Associated with Bottle Feeding in Namibia: Findings from Namibia 2013 Demographic and Health Survey. J Trop Pediatr. 2018;64(6):460-467.
Hassan AA, Taha Z, Abdulla MA, Ali AA, Adam I. Assessment of Bottle-Feeding Practices in Kassala, Eastern Sudan: A Community-Based Study. Open Access Maced J Med Sci. 2019;7(4):651-656.
Kebebe T, Assaye H. Intention, magnitude and factors associated with bottle feeding among mothers of 0-23 months old children in Holeta town, Central Ethiopia: a cross sectional study. BMC Nutr. 2017;3:53.
Yngve A, Sjöström M. Breastfeeding determinants and a suggested framework for action in Europe. Public health nutrition. 2001;4(2):729-739.
Sheka Shemsi Seid, Elsa Muluneh, Ismael Ahmed Sinbirro, Tolasa Takele Moga, Tura Koshe Haso, Shamsedin Amme Ibro. Utilization of Bottle Feeding Practices and Associated Factors among Mothers Who Have Infant Less than 12 Months of Age in Agaro Town, Jimma Zone South West Ethiopia, 2018. Health Science Journal. 2019;13(1):630.
Fetene N, Linnander E, Fekadu B, et al. The Ethiopian health extension program and variation in health systems performance: what matters? PloS one. 2016;11(5):e0156438.
Kim SS, Rawat R, Mwangi EM, et al. Exposure to large-scale social and behavior change communication interventions is associated with improvements in infant and young child feeding practices in Ethiopia. PloS one. 2016;11(10):e0164800.
Central Statistical Agency [Ethiopia], ICF International. Ethiopia Demographic and Health Survey 2011. In: Central Statistical Agency , ICF International, eds. Addis Ababa, Ethiopia. Calverton, Maryland, USA, 2012.
Croft, N. T, Marshall AMJ, Allen CK, al. e. 2018. Guide to DHS Statistics. Rockville, Maryland, USA: ICF; 2018.
Demilew YM, Tafere TE, Abitew DB. Infant and young child feeding practice among mothers with 0 – 24 months old children in Slum areas of Bahir Dar City, Ethiopia. International breastfeeding journal. 2017;12(26).
Ogbo FA, Agho KE. Determinants of suboptimal breastfeeding practices in Nigeria: evidence from the 2008 demographic and health survey BMC Public health. 2015;15(259).
Kelaye T. Assessment of Prevalence of Exclusive Breast Feeding Practice and Associated Factors among Under Six-Month-Old Children Selected Woreda South Nation Nationality of People Regional State, Ethiopia, 2016. Journal of Nutritional Health & Food Science. 2016.
Buccini Gdos S, Benicio MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48(4):571-582.