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. 2020 Dec 12;17(24):9315.
doi: 10.3390/ijerph17249315.

Trends and Determinants of EBF among Adolescent Children Born to Adolescent Mothers in Rural Bangladesh

Aminur Rahman  1   2 , Dilruba Nomani  2 , Surasak Taneepanichskul  1
Affiliations

Trends and Determinants of EBF among Adolescent Children Born to Adolescent Mothers in Rural Bangladesh

Aminur Rahman et al. Int J Environ Res Public Health. .

Abstract

Exclusive breastfeeding (EBF) has proven benefits for both mothers and infants; however, adolescent mothers have poor EBF practices globally. In Bangladesh, the practice of EBF among adolescent mothers remains unexplored. The aim of our study was to understand the EBF practices among adolescent mothers and their determinants in both the Health and Demographic Surveillance (HDSS) system areas of the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) service area (ISA) and government service area (GSA) in rural Matlab, Bangladesh. For the purpose of our study, we collected relevant information from the database of the Health and Demographic Surveillance System (HDSS) of icddr,b and performed analysis to understand the trends and identify the determinants of EBF and identify the determinants of EBF among adolescent mothers living in two areas between 2007 and 2015. In total, 2947 children born to adolescent mothers were included in our final analysis. We used the Kaplan-Meier and the Cox-proportional hazards models to determine the differences in EBF practices in the two areas. We noted a lower trends of EBF in the ISA compared to the GSA in bivariate analysis. However, after adjusting for confounding variables, EBF status was 15% lower in the GSA than the ISA (HR: 0.85, 95% CI: 0.72-0.99). The father's education was significantly different among the two populations. In both study areas, the coverage of EBF among adolescent mothers was lower than the national average (42% vs. 65%). Ensuring that adolescent mothers receive optimal care may improve EBF behavior.

Keywords: Bangladesh; adolescent; exclusive breastfeeding.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
Map of the study area.
Figure 2
Figure 2
Trends of practicing exclusive breastfeeding (EBF) in the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) area and the government service area in rural Matlab, Bangladesh, among adolescent mothers from 2007 to 2015.
Figure 3
Figure 3
Kaplan–Meier survival estimates for time to EBF in icddr,b service area (ISA) and government service area (GSA).
See this image and copyright information in PMC

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