Association between wasting and inadequate breastfeeding practices among infants under six months in SNNPR and Somali regions of Ethiopia: A multilevel cross-sectional study

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cg.authorship.typesCGIAR and developing country institute
cg.contributor.affiliationAddis Continental Institute of Public Health
cg.contributor.affiliationHaramaya University
cg.contributor.affiliationInternational Food Policy Research Institute
cg.contributor.donorGates Foundation
cg.contributor.initiativeSustainable Healthy Diets
cg.coverage.countryEthiopia
cg.coverage.iso3166-alpha2ET
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierSunny S. Kim: 0000-0003-3960-3354
cg.howPublishedFormally Published
cg.identifier.doihttps://doi.org/10.1371/journal.pone.0318323
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Unit
cg.identifier.publicationRankB
cg.isijournalISI Journal
cg.issn1932-6203
cg.issue2
cg.journalPLOS One
cg.numbere0318323
cg.reviewStatusPeer Review
cg.subject.actionAreaSystems Transformation
cg.subject.impactAreaNutrition, health and food security
cg.volume20
dc.contributor.authorGetachew, Bethel
dc.contributor.authorBerhane, Yemane
dc.contributor.authorDessie, Yadeta
dc.contributor.authorYallew, Walelegn W.
dc.contributor.authorBerhane, Hanna Y.
dc.contributor.authorKim, Sunny S.
dc.date.accessioned2025-02-20T22:29:03Zen
dc.date.available2025-02-20T22:29:03Zen
dc.identifier.urihttps://hdl.handle.net/10568/173310
dc.titleAssociation between wasting and inadequate breastfeeding practices among infants under six months in SNNPR and Somali regions of Ethiopia: A multilevel cross-sectional studyen
dcterms.abstractBackground Wasting is a severe threat to children’s survival and development. Attaining optimal breastfeeding practices for infants under six months of age remains a significant challenge in low-income countries. This study assessed the association between wasting and breastfeeding practices among infants under six months of age in the SNNPR and Somali regions of Ethiopia. Methods The study used data from a large feasibility study conducted in the SNNPR and Somali regions of Ethiopia, from August-September 2021. This study involved 895 infants under six months of age with their mothers. The Poisson regression model with robust variance estimation was used to produce adjusted prevalence ratios (APRs) with 95% confidence intervals (CIs). Results The prevalence of wasting was 16.5% (95% CI: 14.2, 19.2) among infants under six months of age. Non-exclusive breastfeeding (APR = 1.50; 95% CI:1.02, 2.21), delayed initiation of breastfeeding (APR = 1.52; CI:1.00, 2.30), being male infants (APR = 1.50; 95% CI:1.09, 2.07), and mothers who attained primary level (APR = 0.62; 95% CI: 0.40, 0.95) or secondary level education (APR = 0.30; 95% CI: 0.09, 0.99) were independently associated with wasting in the multivariable analysis. Conclusion This study indicates a high prevalence of wasting among infants under six months of age. Non-exclusive breastfeeding and delayed initiation of breastfeeding were the modifiable factors significantly linked to infant wasting. Strengthening breastfeeding promotion and support may help reduce wasting in infants under six months.en
dcterms.accessRightsOpen Access
dcterms.audienceScientists
dcterms.available2025-02-07
dcterms.bibliographicCitationDessie, Yadeta; Berhane, Yemane; Dessie, Yadeta; Yallew, Walelegn W.; Berhane, Hanna Y.; and Kim, Sunny S. 2025. Association between wasting and inadequate breastfeeding practices among infants under six months in SNNPR and Somali regions of Ethiopia: A multilevel cross-sectional study. PLoS ONE 20(2): e0318323. https://doi.org/10.1371/journal.pone.0318323en
dcterms.issued2025-02
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherPublic Library of Science
dcterms.subjectbreastfeedingen
dcterms.subjectchild developmenten
dcterms.subjectinfantsen
dcterms.subjectwasting disease (nutritional disorder)en
dcterms.subjectcross-sectional analysisen
dcterms.typeJournal Article

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