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Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh

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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.

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Notes

  1. Union is the administrative unit of a sub-district.

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Acknowledgements

We would like to acknowledge all individuals and institutions in Bangladesh involved in the data collection process. We also express our sincere thanks to Dr. Shehlina Ahmed, health and population advisor, DFID Bangladesh, and Md. Helal Uddin, Joint Chief (planning), Ministry of Health and Family Welfare, Bangladesh, for providing funding for the study and for encouraging us to conduct a study on this important issue.

Authors’ contributions

MJI planned the study, conceptualised the aim of the study and finalized the study design, data collection, data analysis and the writing of the article. PM, LB and KB contributed to the analysis and interpretation of data and to critical revisions of the article. All authors read the final manuscript and approved it.

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Authors and Affiliations

  1. School of Criminology and Criminal Justice, Griffith University, Mt Gravatt Campus, 176 Messines Ridge Road, Brisbane, QLD, 4122, Australia

    Md. Jahirul Islam, Paul Mazerolle & Lisa Broidy

  2. Ministry of Planning, Bangladesh Planning Commission, Sher-e-Bangla Nagar, Dhaka, 1207, Bangladesh

    Md. Jahirul Islam

  3. School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia

    Kathleen Baird

  4. Department of Sociology, 1 University of New Mexico, Albuquerque, NM, 87131, USA

    Lisa Broidy

Authors
  1. Md. Jahirul Islam
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  2. Kathleen Baird
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  3. Paul Mazerolle
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  4. Lisa Broidy
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Corresponding author

Correspondence to Md. Jahirul Islam.

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Financial support

The lead author is a recipient of an IPRS scholarship through the School of Criminology and Criminal Justice, Griffith University, Brisbane, Australia. The study was partially funded by the Joint Donors Technical Assistance Fund (JDTAF) at the Ministry of Health and Family Welfare, Bangladesh [coordinated by the UK Department for International Development (DFID), Australian International Development Agency (AusAID), Canadian International Development Agency (CIDA) and Swedish International Development Cooperation (SIDA)]. The funding authority had no role in study design, data collection, data analysis, data interpretation or writing of the manuscript. The corresponding author had full access to all data in the study and had final responsibility for the decision to submit for publication.

Conflict of interest

The authors declare that they have no conflict of interest.

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Islam, M.J., Baird, K., Mazerolle, P. et al. Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh. Arch Womens Ment Health 20, 173–188 (2017). https://doi.org/10.1007/s00737-016-0692-7

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  • DOI: https://doi.org/10.1007/s00737-016-0692-7

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