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Bork Kirsten, Cames Cécile, Cournil Amandine, Musyoka F., Ayassou K., Naidu K., Mepham S., Gichuhi C., Read J. S., Gaillard P., de Vincenzi I. (2013). Infant feeding modes and determinants among HIV-1-infected African women in the Kesho Bora Study. Jaids.Journal of Acquired Immune Deficiency Syndromes, 62 (1), 109-118. ISSN 1525-4135

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Titre
Infant feeding modes and determinants among HIV-1-infected African women in the Kesho Bora Study
Année de publication2013
Type de documentArticle référencé dans le Web of Science WOS:000312645400023
AuteursBork Kirsten, Cames Cécile, Cournil Amandine, Musyoka F., Ayassou K., Naidu K., Mepham S., Gichuhi C., Read J. S., Gaillard P., de Vincenzi I.
SourceJaids.Journal of Acquired Immune Deficiency Syndromes, 2013, 62 (1), p. 109-118. ISSN 1525-4135
RésuméObjective: To assess breastfeeding modes and determinants in a prevention of mother-to-child transmission study. Design: HIV-1-infected pregnant women from 5 sites in Burkina Faso, Kenya, and South Africa were enrolled in the study that comprised 2 prospective cohorts and 1 randomized controlled trial. Women were counseled to either breastfeed exclusively up to 6 months or formula feed from birth. Methods: Determinants of breastfeeding initiation and continuation by 3 months postpartum were investigated using multiple logistic regression analysis. Neonatal morbidity was defined as mother-reported fever, diarrhea, or vomiting during the first month of life. Results: Among 1028, 781 women (76%) initiated breastfeeding and 565 of 995 (56%) were still breastfeeding at 3 months postpartum (30% exclusively, 18% predominantly, and 8% partially). Study site (Durban, Mombasa, and Nairobi compared with Bobo-Dioulasso), CD4 cell count (<200 cells/mm(3)), secondary schooling (compared with none), and emergency cesarean delivery (compared with vaginal delivery) were independently associated with a lower probability of ever breastfeeding. The odds of still breastfeeding by 3 months postpartum (among those breastfeeding by 1 month) were lower in Mombasa, Nairobi, and Somkhele (compared with Bobo-Dioulasso) and among infants with neonatal morbidity [0.60 (0.37-0.976)]. The odds of exclusive breastfeeding (EBF) by 3 months (if EBF by 1 month) were lower in Mombasa and Nairobi, in ill neonates [0.54 (0.31-0.93)] and boys [0.51 (0.34-0.77)]. Conclusions: EBF was of short duration, particularly for boys. The importance of neonatal morbidity for breastfeeding cessation requires further investigation. Infant feeding counseling might need adaptation to better support mothers of boys and ill neonates.
Plan de classementEntomologie médicale / Parasitologie / Virologie [052] ; Nutrition, alimentation [054] ; Sciences fondamentales / Techniques d'analyse et de recherche [020]
Descr. géo.AFRIQUE SUBSAHARIENNE ; BURKINA FASO ; KENYA ; AFRIQUE DU SUD
LocalisationFonds IRD [F B010058242]
Identifiant IRDfdi:010058242
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010058242

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