Faculty of Public Health, Sriwijaya University, Indralaya, Ogan Ilir, South Sumatera 30662, Indonesia.
Faculty of Public Health, Sriwijaya University, Indralaya, Ogan Ilir, South Sumatera 30662, Indonesia.
Public Health. 2023 Apr;217:181-189. doi: 10.1016/j.puhe.2023.02.002. Epub 2023 Mar 8.
Exclusive breastfeeding has important benefits for both children and mothers. However, the proportion of exclusive breastfeeding is still not evenly distributed among regions, including in Indonesia. The purpose of this study was to analyze the practice of exclusive breastfeeding by region in Indonesia and its influencing factors.
This study was cross-sectional study.
This study used secondary data from the Indonesia Demographic and Health Survey 2017. The total sample was 1621 respondents, which consisted of mothers whose last child was under six months old and was still alive; the mothers did not have twins and lived with their child. Data were analyzed by using Quantum GIS and binary logistic regression statistical tests.
This study shows that 51.6% of respondents gave exclusive breastfeeding in Indonesia. The highest proportion was in the Nusa Tenggara region (72.3%), whereas the lowest was in Kalimantan province (37.5%). Mothers who lived in the regions of Nusa Tenggara, Sulawesi, Java-Bali, and Sumatra had a higher chance of exclusive breastfeeding compared to those in the Kalimantan region. The factors associated with the exclusive breastfeeding vary widely across all regions, and the child's age is the only common factor associated with the exclusive breastfeeding in all regions, except Kalimantan.
This study shows wide variation in regional proportions and determinants of exclusive breastfeeding in Indonesia. Therefore, appropriate policies and strategies are needed to increase equitable exclusive breastfeeding practices across all regions in Indonesia.
纯母乳喂养对儿童和母亲都有重要益处。然而，纯母乳喂养的比例在各地区分布不均，印度尼西亚也不例外。本研究旨在分析印度尼西亚各地区纯母乳喂养的实践情况及其影响因素。
这是一项横断面研究。
本研究使用了 2017 年印度尼西亚人口与健康调查的二级数据。总样本量为 1621 名受访者，包括其最后一个孩子未满 6 个月且仍存活的母亲；母亲没有双胞胎，且与孩子同住。采用 Quantum GIS 进行数据分析，并进行二项逻辑回归统计检验。
本研究表明，印度尼西亚有 51.6%的受访者进行了纯母乳喂养。其中，比例最高的地区是努沙登加拉（72.3%），而最低的是加里曼丹省（37.5%）。与加里曼丹地区的母亲相比，居住在努沙登加拉、苏拉威西、爪哇-巴厘和苏门答腊地区的母亲更有可能进行纯母乳喂养。与纯母乳喂养相关的因素在各地区差异很大，除加里曼丹地区外，儿童年龄是与所有地区纯母乳喂养相关的唯一共同因素。
本研究表明，印度尼西亚各地区纯母乳喂养的比例和决定因素存在广泛差异。因此，需要制定适当的政策和策略，以增加印度尼西亚所有地区公平的纯母乳喂养实践。
