ArticlePloS one2014
Predictors of breastfeeding cessation among HIV infected mothers in Southern Ethiopia: a survival analysis.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Survival prediction models for people living with HIV based on four machine learning models.Scientific reports · 2025Article
- Time to breastfeeding cessation and its predictors among mothers of index children aged 2-3 years in Bedele Town, Southwest Ethiopia: a community-based retrospective follow-up study.BMJ public health · 2025Article
- Early cessation of breastfeeding and the associated factors among mothers with children aged 2 to 3 years in rural Southern Ethiopia: a community-based cross-sectional study.BMC nutrition · 2023Article
- Physical activity status among adolescents in Southern Ethiopia: A mixed methods study.PloS one · 2023Article
- Article
- Cessation of breastfeeding and associated factors in the era of elimination of mother to child transmission of HIV at Ndejje health center, Uganda: a retrospective cohort study.International breastfeeding journal · 2020Article
- Early Cessation of Breastfeeding and Determinants: Time to Event Analysis.Journal of nutrition and metabolism · 2020Article
- Article
- Mental health predictors of breastfeeding initiation and continuation among HIV infected and uninfected women in a South African birth cohort study.Preventive medicine · 2017Article
- Predictors of early breastfeeding cessation among HIV-infected women in Botswana.Tropical medicine & international health : TM & IH · 2016Article
- Breastfeeding counseling and support are associated with continuous exclusive breastfeeding from one week to six months of age among HIV exposed infants in north Gondar zone, Ethiopia: a cross-sectional study.International breastfeeding journal · 2016Article
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5 authors.
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Abstract
backgroundMother-to-child transmission (MTCT) of Human immunodeficiency virus (HIV) through breastfeeding remains the most significant route infection among children. Although the current guideline is recommending continued breastfeeding for HIV exposed infants, significant proportion of infants have been subjected to early weaning to prevent HIV transmission. However the predictors of breastfeeding cessation among HIV positive mothers were not documented in Ethiopia. Therefore the objective of this study was to determine the predictors of breastfeeding cessation among HIV-infected women in Southern Ethiopia.
methodsA facility based cross sectional study was conducted in Southern Ethiopia. The samples were selected by cluster sampling technique. The Kaplan-Meier curve was used to describe the survival time of breastfeeding and a step-wise multivariable Cox-proportional hazards regression model were used to identify the predictors of breastfeeding cessation. Both crude and adjusted hazard ratio were determined and p<0.05 was considered as statistically significant.
resultThe mean duration of breastfeeding among HIV positive mothers was 13.79 [95% CI: (12.97-14.59)] months. The Kaplan-Meier estimate showed that proportions of women who were breastfeeding at 6, 9, 12 and 17 months were 89.3%, 75.3%, 66% and 17%, respectively. Those mothers having a monthly income of ≤ 500 ETB [AHR = 0.16, 95% CI :(0.03-0.76)], having a family size of three and below [AHR = 0.12, 95%CI: (0.02-0.68), four and above [AHR = 0.07, 95%CI: (0.01-0.35)] and bottle feeding [AHR = 3.95, 95%CI: (1.64-9.51)] were also independent factors associated with breastfeeding cessation.
conclusionAbove one third of HIV positive mothers stopped breastfeeding before 12 months. Monthly income, bottle feeding and family size were the independent predictors of breastfeeding cessations. Strengthening the current counseling and promotion modality on avoidance of bottle feeding and continued breastfeeding is recommended for improved HIV free survival.
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