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Higher Educational and Economic Status Are Key Factors for the Timely Initiation of Breastfeeding in Ethiopia: A Review and Meta-Analysis Publisher Pubmed



Habtewold TD1, 2, 3 ; Mohammed SH4 ; Endalamaw A5 ; Mulugeta H6 ; Dessie G7 ; Berhe DF8 ; Birhanu MM9 ; Islam MA10 ; Teferra AA11 ; Asefa NG2 ; Alemu SM12
Authors
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Authors Affiliations
  1. 1. Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia
  2. 2. Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands
  3. 3. Department of Quantitative Economics, School of Business and Economics, Maastricht University, Maastricht, Netherlands
  4. 4. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University, Tehran, Iran
  5. 5. Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
  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. School of Pharmacy, College of Health Science, Mekelle University, Mekelle, Ethiopia
  9. 9. School of Clinical Sciences, Department of Medicine, Epidemiology and Prevention Division, Monash University, Melbourne, VIC, Australia
  10. 10. Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh
  11. 11. Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, United States
  12. 12. Global Health Unit, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands

Source: Acta Paediatrica# International Journal of Paediatrics Published:2020


Abstract

Aim: To investigate the association between initiation of breastfeeding within 1 hour after birth (TIBF) and maternal educational status, paternal educational status, household income, marital status, media exposure and parity in Ethiopia. Methods: We searched PubMed, EMBASE, Web of Science, SCOPUS, CINAHL and WHO Global health library databases. All studies were conducted in Ethiopia and published from 2000 to 2019 were included. To obtain the pooled odds ratio (OR), data were fitted in random-effects meta-analysis model. Statistical heterogeneity was quantified using Cochran's Q test, τ2 and I2 statistics. This meta-analytic review was reported in compliance with the PRISMA statement. Results: Out of 553 studies retrieved, 25 fulfilled our inclusion criteria. High maternal educational status (P <.001), paternal educational status (P =.001) and household income (P =.002), being married (P =.001) and multiparity (P =.01) were significantly associated with TIBF. There was no significant publication bias. Conclusions: Our meta-analysis showed that TIBF was associated with high educational and economic status, being married and multiparity. This suggests that the meta-analysis detected small associations that many previous studies in Ethiopia have not been able to show. Our findings can be useful for comparisons with other countries. © 2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd
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