Determinants of Early Child-Feeding Practices Among HIV-Infected and Noninfected Mothers in Rural Kenya

作者：Gewa Constance A^*; Oguttu Monica; Savaglio Lauren

来源：Journal of Human Lactation, 2011, 27(3): 239-249.

DOI：10.1177/0890334411403930

• breastfeeding
• HIV
• Kenya

Quantitative and qualitative data were collected from mothers with children aged 4 to 24 months to examine the determinants of child-feeding practices among HIV-infected and noninfected mothers in the rural parts of Kisumu District in Kenya. More than 40% of children had received other foods or drinks by 3 months of age. Home-based births, perceived small child size at birth, and larger household size were associated with significantly higher risks of premature cessation of exclusive breastfeeding. Maternal HIV infection, overweight/obesity, and having multiple "under-2's" were associated with higher risks of overall breastfeeding cessation. Higher socioeconomic status was associated with significantly lower risks of premature cessation of exclusive breastfeeding. Child-feeding decisions were often made postpartum. Mothers were more likely to discuss feeding methods with their partners only if they were HIV infected. Poverty was identified as a barrier to exclusive breastfeeding in the first 6 months.

• 出版日期2011-8