Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis
Objective This study aimed to determine the prevalence, spatial variation and associated factors of mixed milk feeding practice among mothers with infants aged 0–6 months in Ethiopia.Study design A cross-sectional study design was used.Setting The study was conducted in Ethiopia.Population and parti...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
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| author | Desale Bihonegn Asmamaw Abel Endawkie Yawkal Tsega |
| author_facet | Desale Bihonegn Asmamaw Abel Endawkie Yawkal Tsega |
| author_sort | Desale Bihonegn Asmamaw |
| collection | DOAJ |
| description | Objective This study aimed to determine the prevalence, spatial variation and associated factors of mixed milk feeding practice among mothers with infants aged 0–6 months in Ethiopia.Study design A cross-sectional study design was used.Setting The study was conducted in Ethiopia.Population and participant The study populations were mothers with infants aged 0–6 months and 550 weighted sampled mothers with infants aged 0–6 months were included in the analysis.Outcome variable The primary outcome was mixed milk feeding practice measured by 24-hour recall assessment and the secondary outcome was factors of mixed milk feeding practice.Result The prevalence of mixed milk feeding practice among mothers with infants 0–6 months in Ethiopia was 55.5% with a 95% CI (51, 59). Spatial analysis revealed that mixed milk feeding practice was concentrated in Addis Ababa, Amhara, Oromia and the Southern regions of Ethiopia. Mothers with education had 1.2 times higher odds of engaging in mixed milk feeding compared with those who had no education (AOR=1.2, 95% CI 1.01, 2.3). Mothers from higher wealth index categories exhibited 1.7 times greater odds of mixed milk feeding than those from lower wealth index categories (AOR=1.69, 95% CI 1.3, 1.8). Mothers who delivered in health facilities had a 50% reduced risk of mixed milk feeding compared with those who delivered at home (AOR=0.5, 95% CI 0.3, 0.92). Lastly, the likelihood of mixed milk feeding was 2.6 times higher among mothers in urban administrative regions, while there was a 63% lower risk in less-developed regions compared with developed regions in Ethiopia.Conclusion The study highlights the significant prevalence of mixed milk feeding practice among mothers with infants aged 0–6 months in Ethiopia. Spatial analysis revealed distinct geographical clusters of these practices, particularly in urban areas such as Addis Ababa, Amhara and Oromia. Maternal education, wealth status, place of delivery and regional differences were associated factors of mixed milk feeding. Specifically, mothers who have education and those from wealthier backgrounds were more likely to engage in mixed milk feeding, while those delivering in health facilities had a lower risk. |
| format | Article |
| id | doaj-art-c7452245937644558520d56eb039e487 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c7452245937644558520d56eb039e4872025-01-14T10:40:11ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2023-083005Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysisDesale Bihonegn Asmamaw0Abel Endawkie1Yawkal Tsega23 Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia1 Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia2 Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaObjective This study aimed to determine the prevalence, spatial variation and associated factors of mixed milk feeding practice among mothers with infants aged 0–6 months in Ethiopia.Study design A cross-sectional study design was used.Setting The study was conducted in Ethiopia.Population and participant The study populations were mothers with infants aged 0–6 months and 550 weighted sampled mothers with infants aged 0–6 months were included in the analysis.Outcome variable The primary outcome was mixed milk feeding practice measured by 24-hour recall assessment and the secondary outcome was factors of mixed milk feeding practice.Result The prevalence of mixed milk feeding practice among mothers with infants 0–6 months in Ethiopia was 55.5% with a 95% CI (51, 59). Spatial analysis revealed that mixed milk feeding practice was concentrated in Addis Ababa, Amhara, Oromia and the Southern regions of Ethiopia. Mothers with education had 1.2 times higher odds of engaging in mixed milk feeding compared with those who had no education (AOR=1.2, 95% CI 1.01, 2.3). Mothers from higher wealth index categories exhibited 1.7 times greater odds of mixed milk feeding than those from lower wealth index categories (AOR=1.69, 95% CI 1.3, 1.8). Mothers who delivered in health facilities had a 50% reduced risk of mixed milk feeding compared with those who delivered at home (AOR=0.5, 95% CI 0.3, 0.92). Lastly, the likelihood of mixed milk feeding was 2.6 times higher among mothers in urban administrative regions, while there was a 63% lower risk in less-developed regions compared with developed regions in Ethiopia.Conclusion The study highlights the significant prevalence of mixed milk feeding practice among mothers with infants aged 0–6 months in Ethiopia. Spatial analysis revealed distinct geographical clusters of these practices, particularly in urban areas such as Addis Ababa, Amhara and Oromia. Maternal education, wealth status, place of delivery and regional differences were associated factors of mixed milk feeding. Specifically, mothers who have education and those from wealthier backgrounds were more likely to engage in mixed milk feeding, while those delivering in health facilities had a lower risk.https://bmjopen.bmj.com/content/14/12/e083005.full |
| spellingShingle | Desale Bihonegn Asmamaw Abel Endawkie Yawkal Tsega Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis BMJ Open |
| title | Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis |
| title_full | Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis |
| title_fullStr | Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis |
| title_full_unstemmed | Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis |
| title_short | Prevalence, spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0–6 months in Ethiopia: a spatial and multilevel analysis |
| title_sort | prevalence spatial variation and associated factors of mixed milk feeding among mothers with infants aged 0 6 months in ethiopia a spatial and multilevel analysis |
| url | https://bmjopen.bmj.com/content/14/12/e083005.full |
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