Mizan Tepi University, Mizan, Ethiopia.
Jimma University, Jimma, Ethiopia.
Sci Rep. 2023 Apr 17;13(1):6259. doi: 10.1038/s41598-023-29729-z.
Early discontinuation of breastfeeding is known to be associated with avoidable childhood morbidity and mortality. The effect of maternal employment on the duration of exclusive breastfeeding and its determinants has not been addressed adequately in in Ethiopia in general and in the stud area in particular. Hence, this study was aimed to compare the time to stop exclusive breastfeeding and its determinants among employed and unemployed mothers of infants 6-12 months of age. A community-based comparative cross-sectional study was conducted from March 1 to 30, 2019. A total of 426 mothers were recruited using a simple random sampling technique. The Kaplan-Meier curve with log-rank test was used to compare the difference in cessation of exclusive breastfeeding before 6 months. Bivariate and Cox proportional hazards model were computed. Hazard ratios and their 95% confidence intervals were computed to determine the level of significance. Four hundred twenty-six (213 employed and 213 un-employed) mothers were included in the final analysis. The median duration of exclusive breastfeeding was 4 months and 6 months for infants of employed and unemployed mothers, respectively. The likelihood of ceasing of exclusive breastfeeding before 6 months of age was significantly associated with family support of exclusive breastfeeding [AHR = 3.99, 95% CI (1.9, 8.3)], and lack of exclusive breastfeeding counseling during postnatal care [AHR = 7.76, 95% CI (2.99, 20.1)], primipara mothers [AHR = 1.5, 95% CI (1.14, 2.04)], maternity leave of 4 months [AHR = 7, 95% CI 2.2, 22.2)] and employed mothers [AHR = 3.77, 95% CI (2.4, 5.9)]. The median duration of exclusive breastfeeding was shorter among employed mothers than un-employed mothers. It is clear from this study that cessation of exclusive breastfeeding was associated with the duration of paid maternity leave for employed mothers. Family support and perceived adequacy of breast milk were associated with cessation of exclusive breastfeeding before 6 months among unemployed mothers.
众所周知，早期停止母乳喂养与可避免的儿童发病率和死亡率有关。在埃塞俄比亚，一般来说，在研究地区，母亲就业对纯母乳喂养持续时间及其决定因素的影响尚未得到充分解决。因此，这项研究旨在比较 6-12 个月龄婴儿的就业和失业母亲停止纯母乳喂养的时间及其决定因素。这是一项 2019 年 3 月 1 日至 30 日进行的基于社区的比较性横断面研究。采用简单随机抽样技术，共招募了 426 名母亲。使用 Kaplan-Meier 曲线和对数秩检验来比较 6 个月前停止纯母乳喂养的差异。进行了双变量和 Cox 比例风险模型分析。计算了危险比及其 95%置信区间，以确定显著性水平。最终分析纳入了 426 名（213 名就业和 213 名未就业）母亲。纯母乳喂养的中位数持续时间为 4 个月和 6 个月，分别为就业和未就业母亲的婴儿。在 6 个月之前停止纯母乳喂养的可能性与纯母乳喂养的家庭支持显著相关 [AHR=3.99，95%CI（1.9，8.3)]，以及在产后护理期间缺乏纯母乳喂养咨询 [AHR=7.76，95%CI（2.99，20.1)]，初产妇母亲 [AHR=1.5，95%CI（1.14，2.04)]，4 个月产假 [AHR=7，95%CI 2.2，22.2)] 和就业母亲 [AHR=3.77，95%CI（2.4，5.9)]。与未就业母亲相比，就业母亲的纯母乳喂养中位数持续时间更短。这项研究清楚地表明，对于就业母亲来说，纯母乳喂养的停止与带薪产假的持续时间有关。家庭支持和对母乳充足性的认识与未就业母亲在 6 个月前停止纯母乳喂养有关。
