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Dyah Intan Puspitasari 1 Article
Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey
Siti Nurokhmah, Setyaningrum Rahmawaty, Dyah Intan Puspitasari
J Prev Med Public Health. 2022;55(2):182-192.   Published online February 23, 2022
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  • 3 Web of Science
  • 4 Crossref
AbstractAbstract PDFSupplementary Material
Understanding the factors influencing mothers’ decision to breastfeed their infants is essential to formulate effective breastfeeding interventions. This study explored the determinants of optimal breastfeeding indicators in Indonesia.
We used the 2017 Indonesia Demographic and Health Survey to analyze factors associated with early initiation of breastfeeding, exclusive breastfeeding (EBF), and continued breastfeeding at 1 year (CBF-1) and 2 years (CBF-2). Multivariate logistic regression models were used to examine bio-demographic, socio-cultural, and behavioral characteristics associated with breastfeeding after considering the survey design effect.
The risk of delayed breastfeeding initiation was higher among infants who were born smaller, first-born children, were delivered via cesarean delivery, and did not have immediate skin-to-skin contact (p<0.01). Infant’s age, birth pattern, household wealth index, and the mother’s occupation and smoking status were predictors of EBF (p<0.05). CBF-1 was less common among first-time mothers and those working in the non-agricultural sector, mothers from wealthier families, and mothers who had cesarean deliveries (p<0.01). Infant’s age was negatively associated with CBF-2 (adjusted odds ratio [aOR], 0.85; 95% confidence interval [CI], 0.74 to 0.99). Mothers attending college were less likely to practice CBF-2 than those with no education or primary education (aOR, 0.45; 95% CI, 0.26 to 0.77). The absence of postnatal visits was a risk factor for CBF-1 and CBF-2 (p<0.05).
Breastfeeding interventions in Indonesia should pay particular attention to at-risk groups such as women from wealthier families, working outside the agricultural sector, and with a higher education level. Nutrition-sensitive programs (e.g., postnatal care and smoking cessation) should also be encouraged.


Citations to this article as recorded by  
  • Duration and Sociodemographic Factors Associated with Exclusive Breastfeeding Among Mothers in Urban and Semi-Rural Areas of Libreville and Lambaréné in Gabon
    Steeve Minto'o, Fifi Claire Loembe, Midili Thècle Larissa, Mireille Mensan Pemba, Koumba Maniaga Raïssa, Mylène Mimbila-Mayi, Yolande Nzame, Essomo Murielle, Eliane Kuissi-Kamgaing, Jean Koko, Simon Ategbo
    Archives of Pediatric Gastroenterology, Hepatology, and Nutrition.2024; 3(1): 1.     CrossRef
  • Exclusive breastfeeding among Indonesian working mothers: does early initiation of breastfeeding matter?
    Isyatun Mardhiyah Syahri, Agung Dwi Laksono, Maya Fitria, Nikmatur Rohmah, Masruroh Masruroh, Mara Ipa
    BMC Public Health.2024;[Epub]     CrossRef
  • Trends and determinants of early initiation of breastfeeding in Indonesia: A multivariate decomposition analysis
    Siti Nurokhmah, Lucinda Middleton, Judhiastuty Februhartanty, Aryono Hendarto, Veincent Christian Pepito
    PLOS ONE.2023; 18(11): e0294900.     CrossRef
  • Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes
    Juan Juan, Xiaosong Zhang, Xueyin Wang, Jun Liu, Yinli Cao, Ling Tan, Yan Gao, Yinping Qiu, Huixia Yang
    Children.2022; 9(11): 1742.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health