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Table 2 Factors associated with early initiation and exclusive breastfeeding in Malawi: results from unadjusted and adjusted logistic regression models

From: Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: a population-based cross-sectional study

Variable

Early initiation of breastfeeding (n = 6351)

Exclusive breastfeeding (n = 1619)

OR (95% CI)

p-value

aORb (95% CI)

p-value

OR (95% CI)

p-value

aORc (95% CI)

p-value

Child age (months)a

 0 ~  2

1.00

 

1.00

 

1.00

 

1.00

 

 3 ~  5

1.35 (1.02, 1.80)

0.038

1.28 (0.95, 1.73)

0.104

0.24 (0.18, 0.30)

< 0.001

0.24 (0.18, 0.30)

< 0.001

 6 ~  23

1.35 (1.08, 1.70)

0.008

1.32 (1.05, 1.66)

0.018

 

Child sex

 Male

1.00

 

1.00

 

1.00

 

1.00

 

 Female

0.89 (0.76, 1.05)

0.183

0.88 (0.74, 1.04)

0.144

1.21 (0.94, 1.55)

0.131

1.14 (0.86, 1.50)

0.367

Woman’s age

 15–24

1.00

   

1.00

 

1.00

 

 25–34

0.99 (0.84, 1.18)

0.962

  

1.16 (0.90, 1.50)

0.237

0.83 (0.55, 1.26)

0.382

 ≥35

1.14 (0.88, 1.47)

0.327

  

1.52 (1.08, 2.16)

0.017

0.99 (0.54, 1.79)

0.967

Marital status

 Unmarried

1.00

   

1.00

   

 Married

0.92 (0.76, 1.13)

0.443

  

1.10 (0.79, 1.54)

0.560

  

Education

 No formal Edu.

1.00

 

1.00

 

1.00

 

1.00

 

 Primary Edu

0.96 (0.73, 1.26)

0.757

1.02 (0.76, 1.35)

0.909

0.87 (0.61, 1.24)

0.431

0.91 (0.60, 1.38)

0.647

 Secondary +

0.69 (0.51, 0.94)

0.018

1.05 (0.75, 1.48)

0.769

1.46 (0.94, 2.26)

0.090

1.59 (0.92, 2.76)

0.099

Occupation

 Unemployed

1.00

   

1.00

   

 Employed

0.92 (0.76, 1.10)

0.346

  

0.98 (0.76, 1.25)

0.869

  

Wealth

 Poor

1.00

 

1.00

 

1.00

 

1.00

 

 Middle

1.02 (0.82, 1.27)

0.862

1.02 (0.81, 1.28)

0.896

1.22 (0.88, 1.69)

0.226

1.16 (0.81, 1.66)

0.405

 Rich

0.69 (0.57, 0.83)

< 0.001

0.91 (0.74, 1.12)

0.363

1.41 (1.04, 1.91)

0.026

1.02 (0.71, 1.47)

0.911

Region

 Northern

1.00

 

1.00

 

1.00

 

1.00

 

 Central

0.63 (0.50, 0.79)

< 0.001

0.59 (0.47, 0.76)

< 0.001

1.60 (1.09, 2.34)

0.015

1.74 (1.19, 2.53)

0.004

 Southern

0.98 (0.79, 1.21)

0.818

0.94 (0.75, 1.17)

0.578

1.27 (0.89, 1.78)

0.176

1.37 (0.97, 1.94)

0.077

Residence

 Urban

1.00

 

1.00

 

1.00

 

1.00

 

Rural

2.17 (1.71, 2.75)

< 0.001

1.98 (1.50, 2.60)

< 0.001

0.66 (0.42, 1.02)

0.061

0.69 (0.42, 1.12)

0.130

Number of children

 Primipara

1.00

 

1.00

 

1.00

 

1.00

 

 Secundipara

1.32 (1.05, 1.65)

0.015

1.34 (1.06, 1.67)

0.011

1.02 (0.73, 1.43)

0.910

0.94 (0.66, 1.38)

0.799

 Multipara

1.27 (1.05, 1.56)

0.014

1.21 (0.99, 1.51)

0.093

1.43 (1.08, 1.67)

0.021

1.54 (1.14, 3.00)

0.009

Media exposure

 No

1.00

   

1.00

 

1.00

 

 Yes

0.92 (0.78, 1.08)

0.316

  

1.31 (1.02, 1.69)

0.037

1.14 (0.85, 1.54)

0.379

Place of delivery

 Non-health facility

1.00

 

1.00

 

1.00

   

 Health facility

1.51 (1.14, 2.01)

0.004**

1.78 (1.10, 2.88)

0.018

0.96 (0.60, 1.54)

0.873

  

Number of ANC visits

 Inadequate

1.00

   

1.00

   

 Adequate

0.99 (0.83, 1.17)

0.909

  

1.05 (0.82, 1.33)

0.706

  

ANC attendant

 Unskilled

1.00

   

1.00

   

 Skilled

0.88 (0.64, 1.22)

0.444

  

1.07 (0.61, 1.87)

0.812

  

Birth attendant

 Unskilled

1.00

 

1.00

 

1.00

   

 Skilled

1.33 (1.02, 1.74)

0.035

1.05 (0.66, 1.67)

0.825

0.95 (0.64, 1.42)

0.815

  

Mode of delivery

 Caesarean section

1.00

 

1.00

 

1.00

 

100

 

 Vaginal delivery

3.52 (2.71, 4.59)

< 0.001

3.15 (2.40, 4.13)

< 0.001

0.64 (0.39, 1.07)

0.088

0.87 (0.50, 1.51)

0.624

Birth type

 Twin/multiple

1.00

 

1.00

 

1.00

   

 Singleton

2.33 (1.43, 3.79)

0.001

1.96 (1.19, 3.24)

0.007

1.52 (0.63, 3.67)

0.355

  

Size of child at birth

 Small

1.00

 

1.00

 

1.00

   

 Average

1.17 (0.93, 1.46)

0.175

1.19 (0.95, 1.49)

0.126

0.89 (0.62, 1.29)

0.532

  

 Large

0.88 (0.69, 1.12)

0.319

0.93 (0.73, 1.20)

0.588

0.79 (0.53, 1.19)

0.258

  
  1. Bold means p < 0.05
  2. secondary+ secondary or higher education, ANC Antenatal care, CI Confidence interval, OR Odds ratio, aOR Adjusted odds ratio, aage of exclusive breastfeeding sample = 0~5 months
  3. badjusted for child age, child sex, education, wealth, region, residence, number of children, place of delivery, birth attendant, mode of delivery, birth type, and size of child at birth
  4. cadjusted for child age, child sex, woman’s age, education, wealth, region, residence, number of children, media exposure, and mode of delivery