Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study
Background Breastfeeding ensures the survival and health of a child. The WHO recommends exclusive breastfeeding for the first 6 months and continuing for up to 2 years. However, the duration of breastfeeding is below what is recommended globally. In Ethiopia, more than a quarter of mothers stop brea...
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Public Health |
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| author | Gebiso Roba Debele Fedasa Tesfa Dereje Tsegaye |
| author_facet | Gebiso Roba Debele Fedasa Tesfa Dereje Tsegaye |
| author_sort | Gebiso Roba Debele |
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| description | Background Breastfeeding ensures the survival and health of a child. The WHO recommends exclusive breastfeeding for the first 6 months and continuing for up to 2 years. However, the duration of breastfeeding is below what is recommended globally. In Ethiopia, more than a quarter of mothers stop breastfeeding before the second birth date. Information on time to breastfeeding cessation and its predictors is needed to address this issue.Objective To assess the time to the cessation of breastfeeding and its predictors among mothers who have children aged two to 2–3 years in southwest Ethiopia, 2022.Methods: A community-based retrospective follow-up study was conducted among 471 randomly selected mothers with children aged 2–3 years in Southwest Ethiopia from 1 April 2019 to 31 March 2022. An interviewer-administered pre-questionnaire was used to collect the data. The collected data were entered into Epidata version 4.6 and exported to STATA version 14.1 for analysis. Both bivariate and multivariable survival models were fitted. The Weibull proportional hazard model was used to identify predictors for time to breastfeeding cessation.Result The overall incidence of early cessation of breastfeeding was found to be 11.05 per 1000 person-months of the follow-up period. Nearly a quarter (23.38%) of mothers ceased breastfeeding early. Educational status (diploma and above) (AHR=2.49: 95% CI (1.27, 4.90)), not bottle feeding (AHR=0.32, 95% CI(0.13, 0.76)), complementary feeding before 6 months (AHR=1.82, 95% CI(1.40, 2.37), ≥4 ANC follow-up (AHR=0.60; 95% CI (0.37, 0.96)), number of children (2–4) (AHR=2.82, CI (1.73, 4.61)) and (>4) (AHR=3.66, CI (1.36, 9.87)) were independent predictors of early cessation of breastfeeding.Conclusion The time to breastfeeding cessation was higher than that reported in previous studies. Therefore, strengthening maternal health education and breastfeeding counselling at both the health facility and community levels is recommended. |
| format | Article |
| id | doaj-art-38ebe331b9104febb696ae15be2538d3 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Public Health |
| spelling | doaj-art-38ebe331b9104febb696ae15be2538d32025-02-06T12:10:25ZengBMJ Publishing GroupBMJ Public Health2753-42942025-02-013110.1136/bmjph-2023-000573Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up studyGebiso Roba Debele0Fedasa Tesfa1Dereje Tsegaye2Public Health, Mettu University, Mettu, Ethiopia1 College of Health Sciences, Department of Public Health, Mattu University, Mattu, Oromia, Ethiopia2 College of Health Sciences, Department of Public Health, Mattu University, Mettu, Oromia, EthiopiaBackground Breastfeeding ensures the survival and health of a child. The WHO recommends exclusive breastfeeding for the first 6 months and continuing for up to 2 years. However, the duration of breastfeeding is below what is recommended globally. In Ethiopia, more than a quarter of mothers stop breastfeeding before the second birth date. Information on time to breastfeeding cessation and its predictors is needed to address this issue.Objective To assess the time to the cessation of breastfeeding and its predictors among mothers who have children aged two to 2–3 years in southwest Ethiopia, 2022.Methods: A community-based retrospective follow-up study was conducted among 471 randomly selected mothers with children aged 2–3 years in Southwest Ethiopia from 1 April 2019 to 31 March 2022. An interviewer-administered pre-questionnaire was used to collect the data. The collected data were entered into Epidata version 4.6 and exported to STATA version 14.1 for analysis. Both bivariate and multivariable survival models were fitted. The Weibull proportional hazard model was used to identify predictors for time to breastfeeding cessation.Result The overall incidence of early cessation of breastfeeding was found to be 11.05 per 1000 person-months of the follow-up period. Nearly a quarter (23.38%) of mothers ceased breastfeeding early. Educational status (diploma and above) (AHR=2.49: 95% CI (1.27, 4.90)), not bottle feeding (AHR=0.32, 95% CI(0.13, 0.76)), complementary feeding before 6 months (AHR=1.82, 95% CI(1.40, 2.37), ≥4 ANC follow-up (AHR=0.60; 95% CI (0.37, 0.96)), number of children (2–4) (AHR=2.82, CI (1.73, 4.61)) and (>4) (AHR=3.66, CI (1.36, 9.87)) were independent predictors of early cessation of breastfeeding.Conclusion The time to breastfeeding cessation was higher than that reported in previous studies. Therefore, strengthening maternal health education and breastfeeding counselling at both the health facility and community levels is recommended.https://bmjpublichealth.bmj.com/content/3/1/e000573.full |
| spellingShingle | Gebiso Roba Debele Fedasa Tesfa Dereje Tsegaye Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study BMJ Public Health |
| title | Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study |
| title_full | Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study |
| title_fullStr | Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study |
| title_full_unstemmed | Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study |
| title_short | Time to breastfeeding cessation and its predictors among mothers of index children aged 2–3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study |
| title_sort | time to breastfeeding cessation and its predictors among mothers of index children aged 2 3 years in bedele town southwest ethiopia a community based retrospective follow up study |
| url | https://bmjpublichealth.bmj.com/content/3/1/e000573.full |
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