دورية أكاديمية
أعرض في EDS

Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis.

التفاصيل البيبلوغرافية
العنوان: Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis.
المؤلفون: Hailegebreal S; Department of Health Informatics, College of Medicine and Health Science, School of Public Health, Arba Minch University, Arba Minch, Ethiopia., Haile Y; School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Seboka BT; Department of Health Informatics, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia., Enyew EB; Department of Health Informatics, Institute of Public Health, Mettu University, Mettu, Ethiopia., Shibiru T; School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Mekonnen ZA; Health System Directorate, Ministry of Health, Addis Ababa, Ethiopia., Mengiste SA; University of South-Eastern Norway, Kongsberg, Norway.
المصدر: PloS one [PLoS One] 2022 Sep 15; Vol. 17 (9), pp. e0273793. Date of Electronic Publication: 2022 Sep 15 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Breast Feeding* , Spatial Regression*, Child ; Cross-Sectional Studies ; Ethiopia/epidemiology ; Female ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Prevalence
مستخلص: Background: The 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).
Methods: A 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.
Result: A 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.
Conclusion: In 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.
Competing Interests: The authors declare that they have no competing interests.
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تواريخ الأحداث: Date Created: 20220915 Date Completed: 20220919 Latest Revision: 20220922
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9477376
DOI: 10.1371/journal.pone.0273793
PMID: 36107834
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0273793