Tesfa Dejenie Habtewold1,2,3, Shimels Hussien Mohammed4, Aklilu Endalamaw5, Henok Mulugeta6, Getenet Dessie7, Derbew Fikadu Berhe8, Mulugeta Molla Birhanu9, Md Atiqul Islam10, Andreas A Teferra11, Nigus Gebremedhin Asefa2, Sisay Mulugeta Alemu12. 1. Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia. 2. Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands. 3. Department of Quantitative Economics, School of Business and Economics, Maastricht University, Maastricht, Netherlands. 4. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University, Tehran, Iran. 5. Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. 6. Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia. 7. Department of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia. 8. School of Pharmacy, College of Health Science, Mekelle University, Mekelle, Ethiopia. 9. School of Clinical Sciences, Department of Medicine, Epidemiology and Prevention Division, Monash University, Melbourne, Vic., Australia. 10. Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh. 11. Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA. 12. Global Health Unit, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Abstract
AIM: To investigate the association between initiation of breastfeeding within 1 hour after birth (TIBF) and maternal educational status, paternal educational status, household income, marital status, media exposure and parity in Ethiopia. METHODS: We searched PubMed, EMBASE, Web of Science, SCOPUS, CINAHL and WHO Global health library databases. All studies were conducted in Ethiopia and published from 2000 to 2019 were included. To obtain the pooled odds ratio (OR), data were fitted in random-effects meta-analysis model. Statistical heterogeneity was quantified using Cochran's Q test, τ2 and I2 statistics. This meta-analytic review was reported in compliance with the PRISMA statement. RESULTS: Out of 553 studies retrieved, 25 fulfilled our inclusion criteria. High maternal educational status (P < .001), paternal educational status (P = .001) and household income (P = .002), being married (P = .001) and multiparity (P = .01) were significantly associated with TIBF. There was no significant publication bias. CONCLUSIONS: Our meta-analysis showed that TIBF was associated with high educational and economic status, being married and multiparity. This suggests that the meta-analysis detected small associations that many previous studies in Ethiopia have not been able to show. Our findings can be useful for comparisons with other countries.
AIM: To investigate the association between initiation of breastfeeding within 1 hour after birth (TIBF) and maternal educational status, paternal educational status, household income, marital status, media exposure and parity in Ethiopia. METHODS: We searched PubMed, EMBASE, Web of Science, SCOPUS, CINAHL and WHO Global health library databases. All studies were conducted in Ethiopia and published from 2000 to 2019 were included. To obtain the pooled odds ratio (OR), data were fitted in random-effects meta-analysis model. Statistical heterogeneity was quantified using Cochran's Q test, τ2 and I2 statistics. This meta-analytic review was reported in compliance with the PRISMA statement. RESULTS: Out of 553 studies retrieved, 25 fulfilled our inclusion criteria. High maternal educational status (P < .001), paternal educational status (P = .001) and household income (P = .002), being married (P = .001) and multiparity (P = .01) were significantly associated with TIBF. There was no significant publication bias. CONCLUSIONS: Our meta-analysis showed that TIBF was associated with high educational and economic status, being married and multiparity. This suggests that the meta-analysis detected small associations that many previous studies in Ethiopia have not been able to show. Our findings can be useful for comparisons with other countries.