ArticleBMC public health2025
Early nourishment, better survival: association between breastfeeding initiation and infant mortality in Indian tribes.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of early initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis.BMC pediatrics · 2026Pooled it
- The effects of mindfulness-based interventions on mothers' stress reduction and breastfeeding self-efficacy: A randomized controlled trial.Journal of education and health promotion · 2026Article
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2 authors.
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Abstract
backgroundTimely breastfeeding initiation within one hour of birth is recommended to reduce neonatal and early infant mortality. However, rates of early breastfeeding remain suboptimal in India, especially among marginalized tribal communities, which continue to experience disproportionately high infant mortality. The study investigated the association between the late breastfeeding initiation and infant mortality among the tribal population in India.
methodThe study utilized data from the fifth round if the National Family Health Survey, which provided a sample of 232,920 most recent live births in the past five years with data on breastfeeding initiation time and infant mortality. Associations between late initiation (> 1 hour) and mortality were analysed using Cox proportional hazards regression and Kaplan-Meier survival curves.
resultsThe results showed that infants breastfed after the first hour of life had a 30% higher risk of infant mortality compared to those breastfed within an hour of birth (aHR: 1.30, 95% CI: 1.06-1.60). The Kaplan-Meier curves further highlighted the lower chances of survival when breastfeeding was delayed.
conclusionThese findings underscore the need for promoting early breastfeeding initiation through culturally appropriate interventions in tribal areas as a strategy to reduce persistent child survival disparities in India.
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