How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.

<h4>Background</h4>In the last three decades, the increasing trend in female employment in Bangladesh has been critically analyzed from a socioeconomic point of view; however, its impact on infant and young child feeding (IYCF) practices has yet to be systematically reviewed. The aim of...

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Main Authors: M A Rifat, Plabon Sarkar, Israth Jahan Rimu, Syeda Saima Alam, Tasnu Ara, Tobias Lindström Battle, Manzur Kader, Sanjib Saha
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316436
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author M A Rifat
Plabon Sarkar
Israth Jahan Rimu
Syeda Saima Alam
Tasnu Ara
Tobias Lindström Battle
Manzur Kader
Sanjib Saha
author_facet M A Rifat
Plabon Sarkar
Israth Jahan Rimu
Syeda Saima Alam
Tasnu Ara
Tobias Lindström Battle
Manzur Kader
Sanjib Saha
author_sort M A Rifat
collection DOAJ
description <h4>Background</h4>In the last three decades, the increasing trend in female employment in Bangladesh has been critically analyzed from a socioeconomic point of view; however, its impact on infant and young child feeding (IYCF) practices has yet to be systematically reviewed. The aim of this systematic review and meta-analysis is to investigate the association between these variables.<h4>Methods</h4>A systematic literature search was conducted in PubMed, Medline, Web of Science, Embase, CINAHL, and Google Scholar to retrieve relevant records with no restriction of publication period. The Covidence tool was used for screening and data extraction. Meta-analysis was carried out using random effect models. The Newcastle-Ottawa scale was used for the quality assessment of the included articles.<h4>Results</h4>A total of 24 articles were included. Of these, 16 focused on breastfeeding-related indicators, 6 focused on complementary feeding-related indicators, and 2 focused on both. Maternal employment was found to have both positive (protective) and negative (detrimental) associations with exclusive breastfeeding, whereas it was mainly positively associated with complementary feeding practices. Meta-analysis showed the pooled odds ratio of recommended early initiation of breastfeeding, exclusive breastfeeding, and complementary feeding among employed mothers were 0.79 (95% CI: 0.49, 1.27; p = 0.33), 0.32 (95% CI:0.16, 0.67; p = 0.002), and 1.07 (95% CI: 0.81, 1.42; p = 0.63) compared to their counterparts, respectively.<h4>Conclusions</h4>Maternal employment appears not to be a protective factor for some important breastfeeding indicators in Bangladesh. For example, there was a statistically significant lower likelihood of exclusive breastfeeding practice among employed mothers as compared to those who were not employed. Therefore, these issues should be taken into consideration when formulating relevant policies and interventions, e.g., breastfeeding-friendly workplace.
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spelling doaj-art-1bf8600e17b8441593118a7beba1a4832025-02-05T05:32:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031643610.1371/journal.pone.0316436How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.M A RifatPlabon SarkarIsrath Jahan RimuSyeda Saima AlamTasnu AraTobias Lindström BattleManzur KaderSanjib Saha<h4>Background</h4>In the last three decades, the increasing trend in female employment in Bangladesh has been critically analyzed from a socioeconomic point of view; however, its impact on infant and young child feeding (IYCF) practices has yet to be systematically reviewed. The aim of this systematic review and meta-analysis is to investigate the association between these variables.<h4>Methods</h4>A systematic literature search was conducted in PubMed, Medline, Web of Science, Embase, CINAHL, and Google Scholar to retrieve relevant records with no restriction of publication period. The Covidence tool was used for screening and data extraction. Meta-analysis was carried out using random effect models. The Newcastle-Ottawa scale was used for the quality assessment of the included articles.<h4>Results</h4>A total of 24 articles were included. Of these, 16 focused on breastfeeding-related indicators, 6 focused on complementary feeding-related indicators, and 2 focused on both. Maternal employment was found to have both positive (protective) and negative (detrimental) associations with exclusive breastfeeding, whereas it was mainly positively associated with complementary feeding practices. Meta-analysis showed the pooled odds ratio of recommended early initiation of breastfeeding, exclusive breastfeeding, and complementary feeding among employed mothers were 0.79 (95% CI: 0.49, 1.27; p = 0.33), 0.32 (95% CI:0.16, 0.67; p = 0.002), and 1.07 (95% CI: 0.81, 1.42; p = 0.63) compared to their counterparts, respectively.<h4>Conclusions</h4>Maternal employment appears not to be a protective factor for some important breastfeeding indicators in Bangladesh. For example, there was a statistically significant lower likelihood of exclusive breastfeeding practice among employed mothers as compared to those who were not employed. Therefore, these issues should be taken into consideration when formulating relevant policies and interventions, e.g., breastfeeding-friendly workplace.https://doi.org/10.1371/journal.pone.0316436
spellingShingle M A Rifat
Plabon Sarkar
Israth Jahan Rimu
Syeda Saima Alam
Tasnu Ara
Tobias Lindström Battle
Manzur Kader
Sanjib Saha
How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
PLoS ONE
title How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
title_full How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
title_fullStr How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
title_full_unstemmed How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
title_short How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis.
title_sort how is maternal employment associated with infant and young child feeding in bangladesh a systematic literature review and meta analysis
url https://doi.org/10.1371/journal.pone.0316436
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