ArticlePloS one2023
Trends and determinants of early initiation of breastfeeding in Indonesia: A multivariate decomposition analysis.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Do the effects of type and place of birth on early initiation of breastfeeding differ by place of residence? Evidence from the Indonesian Demographic and Health Survey 2017.Journal of health, population, and nutrition · 2025Article
- Inequalities in large-scale breastfeeding programmes in Bangladesh, Burkina Faso and Vietnam.Maternal & child nutrition · 2024Article
- Attitudes and Barriers of Polish Women towards Breastfeeding-Descriptive Cross-Sectional On-Line Survey.Healthcare (Basel, Switzerland) · 2024Article
- Examining the factors contributing to a reduction in hardship financing among inpatient households in India.Scientific reports · 2024Article
- Intimate Partner Violence and Early Initiation of Breastfeeding: Evidence from the Peruvian Demographic and Family Health Survey.Women's health (London, England)Article
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4 authors.
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Abstract
backgroundEarly initiation of breastfeeding (EIBF) is key to reducing neonatal morbidity and mortality, however, little is known about the determinants of the trends of EIBF prevalence in Indonesia. This study aims to assess the contributing factors to the changes in the prevalence of EIBF between 2007 and 2017.
methodsWe analysed data from the 2007, 2012, and 2017 Indonesia Demographic and Health Surveys to estimate the trends in EIBF. A multivariate logistic decomposition model was fitted to examine variables associated with changes in the percentage of EIBF from 2007 to 2017. The contributing factors to changes in EIBF prevalence were categorized into either compositional or behavioural changes, with each of them divided into portions or percentages of contribution (pct) of the independent variables. The former refers to the changes in the distribution of samples, while the latter refers to the changes in the behavioural responses toward EIBF in both surveys. All analyses accounted for the complex study design and potential confounding factors.
resultsAn increase in the prevalence of EIBF from 49.9% to 56.5% was recorded between 2012 and 2017, with an overall increase of 16.9 percentage points from 2007 to 2017. At the aggregate level, the compositional differences did not significantly contribute to the changes in the percentage of EIBF, while 98.3pct (p < 0.001) was associated with changes in mothers' behavioural response towards EIBF. The composition changes in the geographical region of Sumatra, and caesarean delivery negatively contributed to the changes in EIBF prevalence with -0.6pct and -14.2pct, respectively. However, the compositional differences in those living in Kalimantan & Sulawesi, first-time mothers, and small-born infants positively contributed to the change. Behaviour changes in mothers with higher education (8.8pct), from higher income households (-17.5pct), and those residing in Sumatra (-8.2pct) and Kalimantan & Sulawesi (-10.2pct) significantly contributed to the upward trend in EIBF prevalence.
conclusionsAlmost half of the newborns experienced delayed breastfeeding initiation despite the improvement in the prevalence of EIBF. Therefore, further research and interventions on behaviour change in mother's attitudes towards EIBF, especially among those undergoing caesarean delivery, living in Kalimantan or Sulawesi, and from wealthier households, are recommended to close this gap.
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