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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Infant feeding modes and determinants among HIV-1-infected African women in the kesho bora study
Journal of Acquired Immune Deficiency Syndromes, Volume 62, No. 1, Year 2013
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Description
Objective: To assess breastfeeding modes and determinants in a prevention of mother-to-child transmission study. Design: HIV-1-infected pregnant women from 5 sites in Burkina Faso, Kenya, and South Africa were enrolled in the study that comprised 2 prospective cohorts and 1 randomized controlled trial. Women were counseled to either breastfeed exclusively up to 6 months or formula feed from birth. Methods: Determinants of breastfeeding initiation and continuation by 3 months postpartum were investigated using multiple logistic regression analysis. Neonatal morbidity was defined as mother-reported fever, diarrhea, or vomiting during the first month of life. Results: Among 1028, 781 women (76%) initiated breastfeeding and 565 of 995 (56%) were still breastfeeding at 3 months postpartum (30% exclusively, 18% predominantly, and 8% partially). Study site (Durban, Mombasa, and Nairobi compared with Bobo-Dioulasso), CD4 cell count (<200 cells/mm), secondary schooling (compared with none), and emergency cesarean delivery (compared with vaginal delivery) were independently associated with a lower probability of ever breastfeeding. The odds of still breastfeeding by 3 months postpartum (among those breastfeeding by 1 month) were lower in Mombasa, Nairobi, and Somkhele (compared with Bobo-Dioulasso) and among infants with neonatal morbidity [0.60 (0.37-0.976)]. The odds of exclusive breastfeeding (EBF) by 3 months (if EBF by 1 month) were lower in Mombasa and Nairobi, in ill neonates [0.54 (0.31-0.93)] and boys [0.51 (0.34-0.77)]. Conclusions: EBF was of short duration, particularly for boys. The importance of neonatal morbidity for breastfeeding cessation requires further investigation. Infant feeding counseling might need adaptation to better support mothers of boys and ill neonates. © 2012 Lippincott Williams & Wilkins.
Authors & Co-Authors
Bork, Kirsten A.
France, Montpellier
Ird Centre de Montpellier
Cames, Cécile
France, Montpellier
Ird Centre de Montpellier
Cournil, Amandine
France, Montpellier
Ird Centre de Montpellier
Musyoka, Faith
Kenya, Mombasa
International Centre for Reproductive Health Kenya
Ayassou, Kossiwavi A.
Burkina Faso, Ouagadougou
Centre Muraz
Naidu, Kevindra K.
South Africa, Durban
University of Kwazulu-natal
Mepham, Stephen O.
South Africa, Durban
University of Kwazulu-natal
Gichuhi, Christine M.
Kenya, Nairobi
Africa
Read, Jennifer Suzanne
United States, Bethesda
National Institute of Child Health and Human Development Nichd
Gaillard, Philippe
Switzerland, Geneva
Organisation Mondiale de la Santé
de Vincenzi, Isabelle
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 17
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1097/QAI.0b013e318277005e
ISSN:
15254135
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Burkina Faso
Kenya
South Africa
Participants Gender
Male
Female