ArticlePloS one2019
Effect of exclusive breastfeeding cessation time on childhood morbidity and adverse nutritional outcomes in Ethiopia: Analysis of the demographic and health surveys.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Early cessation of exclusive breastfeeding and associated factors in Ethiopia: a systematic review and meta-analysis.Frontiers in nutrition · 2025Pooled it
- Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations.Revista brasileira de enfermagem · 2023Trial
- Prevalence, Trends, and Associated Factors of Malnutrition Among Under Six-Month-Old Infants in Bangladesh: A Pooled Analysis of DHS Data (2011-2022).Maternal & child nutrition · 2026Article
- Concurrent child undernutrition indicators in Malawi: application of trivariate logistic regression.Frontiers in nutrition · 2026Article
- Development and validation of an educational comic book on healthy eating in early childhood.Journal of nutritional science · 2026Article
- Article
- Are There Benefits to Breastfeeding for Long Durations That Continue after Breastfeeding Has Stopped? An Analysis of Acute Respiratory Illness in Nigerian Children.Children (Basel, Switzerland) · 2024Article
- Effect of exclusive breastfeeding and other infant and young child feeding practices on childhood morbidity outcomes: associations for infants 0-6 months in 5 South Asian countries using Demographic and Health Survey data.International breastfeeding journal · 2024Article
- Epidemiology of stunting in children aged 6-59 months, an unresolved chronic nutritional problem in Ethiopia: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Article
- Socioecological predictors of breastfeeding practices in rural eastern Ethiopia.International breastfeeding journal · 2022Article
- Exclusive Breastfeeding and Childhood Morbidity: A Narrative Review.International journal of environmental research and public health · 2022Review
- Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study.Korean journal of family medicine · 2021Article
- Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines.International breastfeeding journal · 2021Article
- Breastfeeding and employed mothers in Ethiopia: legal protection, arrangement, and support.International breastfeeding journal · 2021Article
- A Multilevel Analysis of Factors Associated with Childhood Diarrhea in Ethiopia.Environmental health insights · 2021Article
- Exploring how and why Care Groups work to improve infant feeding practices in low- and middle-income countries: a realist review protocol.Systematic reviews · 2020Article
- Comparison of incidence of acute respiratory infection in exclusively breastfed infants and not exclusively breastfed infants from 61 to 180 days of age: A prospective cohort study.Journal of family medicine and primary care · 2020Article
- Iranian Women's Experiences of Breastfeeding Support during the COVID-19 Pandemic: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThough exclusive breastfeeding (EBF) for the first six months is recommended, it remains a debatable issue in both developed and developing countries. Thus, this study investigated the effect of EBF cessation time on childhood morbidity and adverse nutritional outcome in Ethiopia.
methodsWe used the 2011 and 2016 Ethiopian Demographic and Health Surveys. The study involved 2,433 children under six months of age. Logistic regression model was applied to determine the effect of EBF cessation time on outcome variables. Population Attributable Fraction was calculated to evaluate the public health impacts of EBF termination in the population.
resultsDiscontinuing EBF at 0-3 months (adjusted odds ratio (AOR): 1.95, 95% confidence interval (CI): 1.08, 3.53)) and 4-6 months (AOR: 3.57, 95% CI: 2.19, 5.83) increased diarrhea occurrence compared to children who continued EBF up to 6 months. Children who had terminated EBF at 4-6 months had increased odds of fever (AOR: 1.73, 95% CI: 1.11, 2.68) and acute respiratory illnesses (ARIs) (AOR: 2.74, 95% CI: 1.61, 4.65). Cessation of EBF earlier than 4 months or between 4-6 months was associated with increased odds of having at least one childhood morbidity. Termination of EBF at 0-3 months and at 4-6 months were associated with increased occurrence of wasting (AOR: 2.32, 95% CI: 1.45, 3.74) and underweight (AOR: 2.30, 95% CI: 1.36, 3.91), respectively. Exclusive breastfeeding can avert 42% of diarrhea, 27% of ARI, 21% of fever, 26% of wasting and 23% of underweight burden among children under six months of age.
conclusionsTermination of EBF before six months was associated with increased occurrence of diarrhea, fever and ARIs. It was also linked with increased occurrence of childhood wasting and underweight. The finding emphasized EBF for the first six months to reduce childhood morbidity and adverse nutritional outcomes.
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