@article{fdi:010058242,
  title = {{I}nfant feeding modes and determinants among {HIV}-1-infected {A}frican women in the {K}esho {B}ora {S}tudy},
  author = {{B}ork, {K}irsten and {C}ames, {C}{\'e}cile and {C}ournil, {A}mandine and {M}usyoka, {F}. and {A}yassou, {K}. and {N}aidu, {K}. and {M}epham, {S}. and {G}ichuhi, {C}. and {R}ead, {J}. {S}. and {G}aillard, {P}. and de {V}incenzi, {I}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o assess breastfeeding modes and determinants in a prevention of mother-to-child transmission study. {D}esign: {HIV}-1-infected pregnant women from 5 sites in {B}urkina {F}aso, {K}enya, and {S}outh {A}frica were enrolled in the study that comprised 2 prospective cohorts and 1 randomized controlled trial. {W}omen were counseled to either breastfeed exclusively up to 6 months or formula feed from birth. {M}ethods: {D}eterminants of breastfeeding initiation and continuation by 3 months postpartum were investigated using multiple logistic regression analysis. {N}eonatal morbidity was defined as mother-reported fever, diarrhea, or vomiting during the first month of life. {R}esults: {A}mong 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). {S}tudy site ({D}urban, {M}ombasa, and {N}airobi compared with {B}obo-{D}ioulasso), {CD}4 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. {T}he odds of still breastfeeding by 3 months postpartum (among those breastfeeding by 1 month) were lower in {M}ombasa, {N}airobi, and {S}omkhele (compared with {B}obo-{D}ioulasso) and among infants with neonatal morbidity [0.60 (0.37-0.976)]. {T}he odds of exclusive breastfeeding ({EBF}) by 3 months (if {EBF} by 1 month) were lower in {M}ombasa and {N}airobi, in ill neonates [0.54 (0.31-0.93)] and boys [0.51 (0.34-0.77)]. {C}onclusions: {EBF} was of short duration, particularly for boys. {T}he importance of neonatal morbidity for breastfeeding cessation requires further investigation. {I}nfant feeding counseling might need adaptation to better support mothers of boys and ill neonates.},
  keywords = {infant feeding ; {HIV}/{AIDS} ; {A}frica ; prevention of mother-to-child ; transmission ; {AFRIQUE} {SUBSAHARIENNE} ; {BURKINA} {FASO} ; {KENYA} ; {AFRIQUE} {DU} {SUD}},
  booktitle = {},
  journal = {{J}aids.{J}ournal of {A}cquired {I}mmune {D}eficiency {S}yndromes},
  volume = {62},
  numero = {1},
  pages = {109--118},
  ISSN = {1525-4135},
  year = {2013},
  DOI = {10.1097/{QAI}.0b013e318277005e},
  URL = {https://www.documentation.ird.fr/hor/fdi:010058242},
}