Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh.

Islam, MJ; Baird, K; Mazerolle, P; Broidy, L

Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh.

Islam, MJ Baird, K

Mazerolle, P Broidy, L

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Publisher:: Springer
Publication Type:: Journal Article
Citation:: Archives of Women's Mental Health, 2017, 20, (1), pp. 173-188
Issue Date:: 2017-02

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Field	Value	Language
dc.contributor.author	Islam, MJ
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.contributor.author	Mazerolle, P
dc.contributor.author	Broidy, L
dc.date.accessioned	2022-09-01T01:54:34Z
dc.date.available	2016-11-01
dc.date.available	2022-09-01T01:54:34Z
dc.date.issued	2017-02
dc.identifier.citation	Archives of Women's Mental Health, 2017, 20, (1), pp. 173-188
dc.identifier.issn	1434-1816
dc.identifier.issn	1435-1102
dc.identifier.uri	http://hdl.handle.net/10453/161156
dc.description.abstract	Exclusive breastfeeding is a proven benefit for both mothers and infants and is, therefore, an important public health priority. Intimate partner violence (IPV) is regarded as one of the potential psychosocial risk factors that may negatively affect exclusive breastfeeding (EBF). This study aimed to explore the influence of psychosocial factors including IPV on EBF. Cross-sectional survey data was collected from October 2015 to January 2016 in Chandpur District of Bangladesh from 426 married women, aged 15-49 years, who had at least one child 6 months of age or younger. Multivariate logistic regression models were used in order to investigate whether women who experienced IPV after childbirth, as well as other risk factors such as postpartum depression (PPD) and childhood sexual abuse, were more likely to face difficulties with EBF compared with women who had not experienced these same risk factors. Whilst the initiation rate of breastfeeding was 99.3%, at the time of the woman's interview, the overall EBF rate had fallen to 43.7%. Based on the adjusted model, women who experienced physical IPV (AOR 0.17, 95% CI [0.07, 0.40]) and psychological IPV (AOR 0.51, 95% CI [0.26, 1.00]) after childbirth and women who reported childhood sexual abuse (AOR 0.32, 95% CI [0.13, 0.80]) and PPD (AOR 0.20, 95% CI [0.09, 0.44]) were significantly less likely to exclusively breastfeed their infants than those who had not reported these experiences. Moreover, women with an intended pregnancy and high social support exhibited a higher likelihood of EBF. Our results suggest that preventing or reducing the occurrence of physical IPV, PPD and childhood sexual abuse may improve the EBF duration. Support from family members can assist in this process.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer
dc.relation.ispartof	Archives of Women's Mental Health
dc.relation.isbasedon	10.1007/s00737-016-0692-7
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Bangladesh
dc.subject.mesh	Breast Feeding
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Intimate Partner Violence
dc.subject.mesh	Logistic Models
dc.subject.mesh	Middle Aged
dc.subject.mesh	Mothers
dc.subject.mesh	Pregnancy
dc.subject.mesh	Residence Characteristics
dc.subject.mesh	Sexual Partners
dc.subject.mesh	Social Support
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Spouse Abuse
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Young Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Bangladesh
dc.subject.mesh	Breast Feeding
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Intimate Partner Violence
dc.subject.mesh	Logistic Models
dc.subject.mesh	Middle Aged
dc.subject.mesh	Mothers
dc.subject.mesh	Pregnancy
dc.subject.mesh	Residence Characteristics
dc.subject.mesh	Sexual Partners
dc.subject.mesh	Social Support
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Spouse Abuse
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Logistic Models
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Mothers
dc.subject.mesh	Residence Characteristics
dc.subject.mesh	Breast Feeding
dc.subject.mesh	Pregnancy
dc.subject.mesh	Spouse Abuse
dc.subject.mesh	Social Support
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Sexual Partners
dc.subject.mesh	Bangladesh
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Intimate Partner Violence
dc.title	Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	Austria
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-01T01:54:33Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	1

Abstract:

Exclusive breastfeeding is a proven benefit for both mothers and infants and is, therefore, an important public health priority. Intimate partner violence (IPV) is regarded as one of the potential psychosocial risk factors that may negatively affect exclusive breastfeeding (EBF). This study aimed to explore the influence of psychosocial factors including IPV on EBF. Cross-sectional survey data was collected from October 2015 to January 2016 in Chandpur District of Bangladesh from 426 married women, aged 15-49 years, who had at least one child 6 months of age or younger. Multivariate logistic regression models were used in order to investigate whether women who experienced IPV after childbirth, as well as other risk factors such as postpartum depression (PPD) and childhood sexual abuse, were more likely to face difficulties with EBF compared with women who had not experienced these same risk factors. Whilst the initiation rate of breastfeeding was 99.3%, at the time of the woman's interview, the overall EBF rate had fallen to 43.7%. Based on the adjusted model, women who experienced physical IPV (AOR 0.17, 95% CI [0.07, 0.40]) and psychological IPV (AOR 0.51, 95% CI [0.26, 1.00]) after childbirth and women who reported childhood sexual abuse (AOR 0.32, 95% CI [0.13, 0.80]) and PPD (AOR 0.20, 95% CI [0.09, 0.44]) were significantly less likely to exclusively breastfeed their infants than those who had not reported these experiences. Moreover, women with an intended pregnancy and high social support exhibited a higher likelihood of EBF. Our results suggest that preventing or reducing the occurrence of physical IPV, PPD and childhood sexual abuse may improve the EBF duration. Support from family members can assist in this process.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/161156