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Predictors of exclusive breastfeeding among mothers attending rural health clinics in Hulu Langat district


Mohamad Pilus, Farahana and Ahmad, Norliza and Mohd Zulkefli, Nor Afiah (2019) Predictors of exclusive breastfeeding among mothers attending rural health clinics in Hulu Langat district. Malaysian Journal of Medicine and Health Sciences, 15 (SP3). pp. 15-21. ISSN 1675-8544; ESSN: 2636-9346


Introduction: Even though exclusive breastfeeding prevalence has increased from 19.3% in 2006 to 47.1% in 2016, this practice was slightly higher in urban areas (48.3%) compared to rural area (45.1%) in Malaysia. National Plan of Action for Nutrition of Malaysia III has set an indicator to achieve at least 70% exclusive breastfeeding by 2025. Therefore this study is to identify predictors that influenced exclusive breastfeeding practice in rural areas. Methods: This cross-sectional study was conducted in six rural health clinics in Hulu Langat District, Selangor among mothers with youngest child aged 6-48 months old. Respondents were selected through systematic random sampling. Validated self-administered questionnaire was used to assess sociodemographic factors, maternal factors, external factors and child’s factors. Mother’s height and weight was measured and body mass index was calculated. Data were analyzed using SPSS version 23. Multivariate logistic regression was used to determine the predictors for exclusive breastfeeding practice. Results: Response rate was 96% with a total of 311 mothers participated in this study. More than half of the mothers exclusively breastfed (52.4%). The predictors for exclusive breastfeeding were Malay ethnicity (AOR=3.951, 95% CI: 1.374-11.358), having tertiary education (AOR=2.401, 95% CI: 1.100-5.241) and positive attitude toward breastfeeding (AOR=7.755, 95% CI: 1.382-43.502). Conclusion: Prevalence of exclusive breastfeeding was higher in this study than the national level. Programme planners should pay special attention to Chinese and Indian ethnicities, mothers with lower level of education and negative attitude in order to improve breastfeeding practice among rural mothers.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
Notes: Special issue: Towards a Healthy and Prosperous Nation
Keywords: Exclusive breastfeeding; Ethnicity; Attitude; Sociodemographic factors; Rural
Depositing User: Nabilah Mustapa
Date Deposited: 04 Feb 2020 04:09
Last Modified: 04 Feb 2020 04:09
URI: http://psasir.upm.edu.my/id/eprint/76384
Statistic Details: View Download Statistic

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