PMID- 30522038
OWN - NLM
STAT- MEDLINE
DCOM- 20190401
LR  - 20190401
IS  - 1532-3099 (Electronic)
IS  - 0266-6138 (Linking)
VI  - 69
DP  - 2019 Feb
TI  - Does exclusive breastfeeding relate to the longer duration of breastfeeding? A 
      prospective cohort study.
PG  - 163-171
LID - S0266-6138(18)30339-5 [pii]
LID - 10.1016/j.midw.2018.11.008 [doi]
AB  - OBJECTIVES: Suboptimal breastfeeding contributes to morbidity and mortality in 
      children. Studies in high-income countries (HICs) show that 
      exclusive-breastfeeding (EBF) is associated with longer breastfeeding duration. 
      The aim of this study was to determine whether maternal reports of EBF at six 
      months are associated with longer duration of breastfeeding during the first two 
      years of life in a low and middle-income country (LMIC) setting, and to identify 
      determinants of breastfeeding duration. METHODS: This prospective cohort includes 
      data from an EBF promotion program in Demak District, Central Java Province, 
      Indonesia, with a non-randomized pretest-posttest control group. Mothers and 
      infants were followed through 26 months postnatal age. Data were analyzed using 
      Cox proportional hazard regression with time to cessation of EBF as the outcome. 
      RESULTS: A total of 147 families were included in the study. Longer EBF duration 
      was not associated with prolonged duration of breastfeeding. Longer breastfeeding 
      duration was associated with mothers who disagreed with a statement of being 
      ashamed to breastfeed (HR 0.035, 95%CI 0.003,0.44). Risk factors for shorter 
      breastfeeding duration included mothers' plan to breastfeed for less than 24 
      months (HR 4.28 95%CI 1.91,9.60), mothers' belief that breastfeeding less than 24 
      months was the norm (HR 2.98 95%CI 1.31,6.77) and exposure to EBF promotion 
      (HR:4.09 95%CI 2.14,7.82). CONCLUSIONS: In a LMIC community where long 
      breastfeeding duration is common, EBF is not associated with breastfeeding 
      duration. However, modifiable behavioral factors were significant predictors of 
      breastfeeding duration. We therefore recommend that prolonged breastfeeding 
      duration can be achieved through programs that improve breastfeeding behavior.
CI  - Copyright (c) 2018 Elsevier Ltd. All rights reserved.
FAU - Susiloretni, Kun A
AU  - Susiloretni KA
AD  - Department of Nutrition, Department of Applied Midwifery, Semarang Health 
      Polytechnic, Ministry of Health of the Republic of Indonesia, Poltekkes Kemenkes 
      Semarang, Jl. Wolter Monginsidi 115 Semarang 52192, Indonesia. Electronic 
      address: kun@poltekkes-smg.ac.id.
FAU - Hadi, Hamam
AU  - Hadi H
AD  - Alma Ata Center for Healthy Life and Food (ACHEAF), Alma Ata University, 
      Yogyakarta, Indonesia. Electronic address: hhadi@almaata.ac.id.
FAU - Blakstad, Mia M
AU  - Blakstad MM
AD  - Department of Global Health and Population, Harvard TH Chan School of Public 
      Health, Boston, MA, USA. Electronic address: mib273@mail.harvard.edu.
FAU - Smith, Emily R
AU  - Smith ER
AD  - Department of Global Health and Population, Harvard TH Chan School of Public 
      Health, Boston, MA, USA. Electronic address: ersmith@hasph.harvard.edu.
FAU - Shankar, Anuraj H
AU  - Shankar AH
AD  - Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, 
      USA. Electronic address: ashankar@hsph.harvard.edu.
LA  - eng
PT  - Journal Article
DEP - 20181119
PL  - Scotland
TA  - Midwifery
JT  - Midwifery
JID - 8510930
MH  - *Attitude to Health
MH  - Breast Feeding/methods/*statistics & numerical data
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Income/statistics & numerical data
MH  - Indonesia
MH  - Mothers/psychology/statistics & numerical data
MH  - Pregnancy
MH  - Prospective Studies
MH  - *Time Factors
OTO - NOTNLM
OT  - Breastfeeding duration
OT  - Determinants
OT  - Exclusive breastfeeding
OT  - Modifiable behavior
EDAT- 2018/12/07 06:00
MHDA- 2019/04/02 06:00
CRDT- 2018/12/07 06:00
PHST- 2018/06/14 00:00 [received]
PHST- 2018/10/24 00:00 [revised]
PHST- 2018/11/18 00:00 [accepted]
PHST- 2018/12/07 06:00 [pubmed]
PHST- 2019/04/02 06:00 [medline]
PHST- 2018/12/07 06:00 [entrez]
AID - S0266-6138(18)30339-5 [pii]
AID - 10.1016/j.midw.2018.11.008 [doi]
PST - ppublish
SO  - Midwifery. 2019 Feb;69:163-171. doi: 10.1016/j.midw.2018.11.008. Epub 2018 Nov 
      19.