Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Institute of Biological Sciences, University of Rajshahi, Rajshahi, 6205, Bangladesh.
BMC Public Health. 2021 Sep 26;21(1):1758. doi: 10.1186/s12889-021-11804-7.
Breastfeeding for optimum duration is one of the most effective ways to reduce infant morbidity and mortality and confirms expected growth and development of children. The aim of this study was to determine the effect of socio-demographic and anthropometric determinants on duration of breastfeeding (DB) among mothers in Bangladesh.
The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non-pregnant and currently non-breastfeeding Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included in this study. Independent sample t-test and one-way analysis of variance (ANOVA) were used to find the significance difference in DB between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of socio-economic, demographic, anthropometric and health related variables on DB.
This study revealed that the mean and median of DB among Bangladeshi mothers were 18.91 (95% CI: 18.65-19.17) and 19.00 months respectively. Independent sample t-test and ANOVA showed that DB among Bangladeshi mothers was significantly influenced by (i) ANC visits, (ii) religion, (iii) mode of delivery, (iv) place of delivery, (v) parents' education, (vi) geographical location, (vii) mothers' occupation and (viii) household wealth quintile. Multiple regression analysis demonstrated that mothers' age, total number of children, mothers' age at first birth, ANC visits, mothers' occupation and geographical location were important predictors of DB.
Healthcare providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimum DB practice in first 2 years of baby's life.
母乳喂养至最佳时长是降低婴儿发病率和死亡率的最有效方法之一，可确保儿童实现预期的生长和发育。本研究旨在确定社会人口学和人体测量学决定因素对孟加拉国母乳喂养持续时间（DB）的影响。
本研究的数据来自 2014 年孟加拉国人口与健康调查（BDHS-2014）。共有 3541 名已婚、非孕妇且目前不母乳喂养、处于生育年龄且至少有一名 6-36 月龄儿童的孟加拉国母亲被纳入本研究。独立样本 t 检验和单因素方差分析（ANOVA）分别用于确定两组及两组以上 DB 之间的显著性差异。多元线性回归模型用于确定社会经济、人口统计学、人体测量学和健康相关变量对 DB 的影响。
本研究表明，孟加拉国母亲的 DB 平均值和中位数分别为 18.91（95%置信区间：18.65-19.17）和 19.00 个月。独立样本 t 检验和 ANOVA 表明，孟加拉国母亲的 DB 受到以下因素的显著影响：（i）ANC 就诊次数，（ii）宗教信仰，（iii）分娩方式，（iv）分娩地点，（v）父母教育程度，（vi）地理位置，（vii）母亲职业和（viii）家庭财富五分位。多元回归分析表明，母亲年龄、孩子总数、母亲首次生育年龄、ANC 就诊次数、母亲职业和地理位置是 DB 的重要预测因素。
医疗保健提供者和决策者可以考虑这些发现，为母亲和家庭成员提供咨询计划，以促进婴儿生命的前 2 年最佳 DB 实践。
