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Predictors of breast-feeding in a developing country: results of a prospective cohort study

Ban Al-Sahab1, Hala Tamim, Ghina Mumtaz

  • 1School of Kinesiology and Health Science, York University, Toronto, Canada.

Public Health Nutrition
|August 16, 2008
PubMed

Insights

Breast-feeding rates in Lebanon are low. Female pediatricians positively influence breast-feeding continuation until four months, suggesting a role for physician gender in infant nutrition support.

Area of Science:

  • Public Health
  • Pediatrics
  • Maternal and Child Health

Background:

  • Breast-feeding prevalence and predictors are understudied in Lebanon.
  • The influence of pediatrician gender on breast-feeding outcomes is unexplored.

Purpose of the Study:

  • To determine breast-feeding prevalence and predictors at 1 and 4 months in Lebanese infants.
  • To investigate the impact of pediatrician sex on breast-feeding duration.

Main Methods:

  • Prospective cohort study of 1,320 healthy infants in Beirut.
  • Bivariate predictors were analyzed using stepwise regression models at 1 and 4 months.
  • Data collected from 117 pediatricians' clinics and dispensaries.

Main Results:

  • Breast-feeding rates were 56.3% at 1 month and 24.7% at 4 months.
  • Early discharge, high parity, and religion were associated with higher rates.
  • Female pediatricians showed a positive association with breast-feeding continuation until 4 months (OR=1.49).

Conclusions:

  • Low breast-feeding rates necessitate targeted interventions in Beirut.
  • The positive effect of female pediatricians on breast-feeding warrants further investigation in diverse populations.
  • Findings can inform policy makers, health professionals, and mothers on improving breast-feeding support.
Abstract

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