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Sociodemographic Factors Predicting Exclusive Breastfeeding in Ethiopia: Evidence From a Meta-Analysis of Studies Conducted in the Past 10 Years Publisher Pubmed



Habtewold TD1, 2, 3 ; Endalamaw A4 ; Mohammed SH5 ; Mulugeta H6 ; Dessie G7 ; Kassa GM6 ; Asmare Y1 ; Tadese M8 ; Alemu YM9 ; Sharew NT1 ; Tura AK10, 11 ; Tegegne BS3 ; Alemu SM12
Authors
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Authors Affiliations
  1. 1. Department of Nursing, Institute of Medicine and Health Science, Debre Berhan University, P.O. BOX 445, Debre Berhan, Ethiopia
  2. 2. Department of Quantitative Economics, School of Business and Economics, Maastricht University, Maastricht, Netherlands
  3. 3. Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands
  4. 4. Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
  5. 5. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
  7. 7. Department of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
  8. 8. Department of Midwifery, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia
  9. 9. Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
  10. 10. Department of Obstetrics and Gynaecology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands
  11. 11. School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
  12. 12. Global Health Unit, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands

Source: Maternal and Child Health Journal Published:2021


Abstract

Objectives: To investigate the association between EBF and educational status, household income, marital status, media exposure, and parity in Ethiopia. Methods: PubMed, EMBASE, Web of Science, SCOPUS, CINAHL and WHO Global health library databases were searched using key terms for all studies published in English between September 2009 and March 2019. The methodological quality of studies was examined using the Newcastle–Ottawa Scale (NOS) for cross-sectional studies. To obtain the pooled odds ratio (OR), extracted data were fitted in a random-effects meta-analysis model. Statistical heterogeneity was quantified using Cochran’s Q test, τ2, and I2 statistics. In addition, Jackknife sensitivity analysis, cumulative meta-analysis, and meta-regression analysis were conducted. Results: Out of 553 studies retrieved, 31 studies fulfilled our inclusion criteria. Almost all included studies were conducted among mothers with newborn less than 23 months old. Maternal primary school education (OR 1.39; 95% CI 1.03–1.89; I2 = 86.11%), medium household income (OR 1.27; 95% CI 1.05–1.55; I2 = 60.9%) and being married (OR 1.39; 95% CI 1.05–1.83; I2 = 76.96%) were found to be significantly associated with EBF. We also observed an inverse dose–response relationship of EBF with educational status and income. However, EBF was not significantly associated with parity, media exposure, and paternal educational status. Conclusions: In this meta-analysis, we showed the relevant effect of maternal education, income, and marital status on EBF. Therefore, multifaceted, effective, and evidence-based efforts are needed to increase the national level of exclusive breastfeeding in Ethiopia. © 2021, Springer Science+Business Media, LLC, part of Springer Nature.
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