ArticleBMC public health2018
Population attributable risk of key modifiable risk factors associated with non-exclusive breastfeeding in Nigeria.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Antenatal care and breastfeeding practices in Sub-Saharan Africa: an analysis of demographic and health surveys.BMC pregnancy and childbirth · 2025Article
- Population attributable fractions for modifiable risk factors of neonatal, infant, and under-five mortality in 48 low- and middle-income countries.Journal of global health · 2025Article
- Population attributable fractions of depression and anxiety among Aboriginal and Torres Strait Islander peoples: a population-based study.The Lancet regional health. Western Pacific · 2024Article
- Trends and social determinants of the obesity epidemic among reproductive-age women in ten Asian countries.Scientific reports · 2024Article
- Mothers' needs and wishes for breastfeeding support in workplaces in Thailand: a qualitative study.International breastfeeding journal · 2024Article
- Population modifiable risk factors associated with neonatal mortality in 35 sub-Saharan Africa countries: analysis of data from demographic and health surveys.EClinicalMedicine · 2024Article
- Population modifiable risk factors associated with under-5 acute respiratory tract infections and diarrhoea in 25 countries in sub-Saharan Africa (2014-2021): an analysis of data from demographic and health surveys.EClinicalMedicine · 2024Article
- Population-Modifiable Risk Factors Associated With Childhood Stunting in Sub-Saharan Africa.JAMA network open · 2023Article
- Spatial variation and attributable risk factors of anaemia among young children in Uganda: Evidence from a nationally representative survey.PLOS global public health · 2023Article
- Effect of baby food marketing exposure on infant and young child feeding regimes in Bangkok, Thailand.International breastfeeding journal · 2022Article
- Factors influencing exclusive breastfeeding duration in Pakistan: a population-based cross-sectional study.BMC public health · 2021Article
- Article
- Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa.International journal of environmental research and public health · 2020Article
- Determinants of early breastfeeding initiation and exclusive breastfeeding in Colombia.Public health nutrition · 2020Article
- Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018.International journal of environmental research and public health · 2020Article
- Exclusive Breastfeeding Rates and Associated Factors in 13 "Economic Community of West African States" (ECOWAS) Countries.Nutrients · 2019Article
- National and rural-urban prevalence and determinants of early initiation of breastfeeding in India.BMC public health · 2019Article
- Maternal Factors and the Utilization of Maternal Care Services Associated with Infant Feeding Practices among Mothers in Rural Southern Nepal.International journal of environmental research and public health · 2019Article
- Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data.International journal of environmental research and public health · 2019Article
- Diarrhoea deaths and disability-adjusted life years attributable to suboptimal breastfeeding practices in Nigeria: findings from the global burden of disease study 2016.International breastfeeding journal · 2019Article
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4 authors.
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Abstract
backgroundNon-exclusive breastfeeding (non-EBF) is a risk factor for many of the 2300 under-five deaths occurring daily in Nigeria - a developing country with approximately 40 million children. This study aimed to quantify and compare the attributable burden of key modifiable risk factors associated with non-EBF in Nigeria to inform strategic policy responses and initiatives.
methodsRelative risk and exposure prevalence for selected modifiable risk factors were used to calculate population attributable fractions based on Nigeria Demographic and Health Surveys data for the period (1999-2013). Scenarios based on feasible impact of community-based interventions in reducing exposure prevalence were also considered to calculate comparative potential impact fractions.
resultsIn Nigeria, an estimated 22.8% (95% Confidence Interval, CI: 9.2-37.0%) of non-EBF was attributable to primary and no maternal education; 24.7% (95% CI: 9.5-39.5%) to middle and poor household wealth, 9.7% (1.7-18.1%) to lower number (1-3) and no antenatal care visits; 18.8% (95% CI: 6.9-30.8%) to home delivery and 16.6% (95% CI: 3.0-31.3%) to delivery assisted by a non-health professional. In combination, more than half of all cases of non-EBF (64.5%; 95% CI: 50.0-76.4%) could be attributed to those modifiable risk factors. Scenarios based on feasible impacts of community-based approaches to improve health service access and human capacity suggest that an avoidable burden of non-EBF practice of approximately 11% (95% CI: -5.4; 24.7) is achievable.
conclusionKey modifiable risk factors contribute significantly to non-EBF in Nigerian women. Community-based initiatives and appropriate socio-economic government policies that specifically consider those modifiable risk factors could substantially reduce non-EBF practice in Nigeria.
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