ArticlePloS one2022
Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Prevalence of Delayed Breastfeeding Initiation and Its Risk Factors Among Reproductive Aged Women in Somalia: A Cross-Sectional Study Using Somalia Health and Demographic Survey.Health science reports · 2026Article
- Mapping inequities in safe water access: a spatial and geographically weighted regression analysis of unimproved water source use in sub-Saharan Africa.Journal of health, population, and nutrition · 2026Article
- Malaria prevalence and its determinants across 19 sub-Saharan African countries: a spatial and geographically weighted regression analysis.Malaria journal · 2025Article
- Geographical equity in Ethiopian infant feeding practices: a secondary analysis of a birth cohort study.BMJ open · 2025Article
- Trends and determinants of exclusive and predominant breastfeeding practices for two decades (2000-2019) in Ethiopia.Frontiers in nutrition · 2025Article
- Article
- Trends and disparities in ever-breastfeeding practice and early breastfeeding initiation in Ethiopia: a 20-year trend analysis from EDHS datasets.BMC public health · 2024Article
- Geospatial determinants and spatio-temporal variation of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2011 to 2019, a multiscale geographically weighted regression analysis.BMC public health · 2024Article
- Article
- Spatial variation and determinants of delayed breastfeeding initiation in Ethiopia: spatial and multilevel analysis of recent evidence from EDHS 2019.International breastfeeding journal · 2024Article
- Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis.PloS one · 2024Article
- Spatial variation of short birth intervals and their determinant factors among reproductive women in Ethiopia using a geographically weighted regression model.Frontiers in medicine · 2024Article
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7 authors.
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Abstract
backgroundThe World Health Organization (WHO) encourages breastfeeding to begin within the first hour after birth in order to save children's lives. In Ethiopia, different studies are done on the prevalence and determinants of breastfeeding initiation, up to our knowledge, the spatial distribution and the spatial determinants of breast feeding initiation over time are not investigated. Therefore, the objectives of this study were to assess spatial variation and its spatial determinant of delayed initiation of breastfeeding in Ethiopia using Geographically Weighted Regression (GWR).
methodsA cross-sectional study was undertaken using the nationally representative 2016 Ethiopian Demographic and Health Survey (EDHS) dataset. Global Moran's I statistic was used to measure whether delayed breastfeeding initiation was dispersed, clustered, or randomly distributed in study area. Ordinary Least Squares (OLS) regression was used to identify factors explaining the geographic variation in delayed breastfeeding initiation. Besides, spatial variability of relationships between dependent and selected predictors was investigated using geographically weighted regression.
resultA total weighted sample of 4169 children of aged 0 to 23 months was included in this study. Delayed initiation of breastfeeding was spatially varies across the country with a global Moran's I value of 0.158 at (p-value<0.01). The hotspot (high risk) areas were identified in the Amhara, Afar, and Tigray regions. Orthodox religion, poor wealth index, caesarian section, baby postnatal checkup, and small size of a child at birth were spatially significant factors for delayed breastfeeding initiation in Ethiopia.
conclusionIn Ethiopia initiation of breastfeeding varies geographically across region. A significant hotspot was identified in the Amhara, Afar, and Tigray regions. The GWR analysis revealed that orthodox religion, poor wealth index, caesarian section, baby postnatal checkup, and small birth weight were spatially significant factors.
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