Table 3.
Factors associated with early initiation of breastfeeding and exclusive breastfeeding in adolescent Indian mothers, 2015–2016 NFHS.
Early Initiation of Breastfeeding | Exclusive Breastfeeding | |||||||
---|---|---|---|---|---|---|---|---|
uOR (95% CI) | p | OR (95% CI) | p | uOR (95% CI) | p | OR (95% CI) | p | |
Individual-level factors | ||||||||
Mother’s religion | ||||||||
Hindu | 1.00 | 1.00 | ||||||
Muslim | 0.97 (0.78, 1.20) | 0.766 | 0.96 (0.68, 1.37) | 0.829 | ||||
Christian | 1.13 (0.73, 1.74) | 0.592 | 1.06 (0.46, 2.45) | 0.886 | ||||
Mother’s working status | ||||||||
Nonworking | 1.00 | 1.00 | ||||||
Working (past 12 months) | 0.81 (0.41, 1.58) | 0.533 | 6.49 (0.85, 49.81) | 0.072 | ||||
Mother’s education | ||||||||
No education | 1.00 | 1.00 | 1.00 | |||||
Primary | 0.99 (0.74, 1.32) | 0.929 | 0.53 (0.33, 0.86) | 0.011 | 0.55 (0.34, 0.88) | 0.013 | ||
Secondary and above | 1.16 (0.95, 1.43) | 0.150 | 0.65 (0.46, 0.94) | 0.022 | 0.60 (0.41, 0.89) | 0.010 | ||
Total Maternal BMI (Kg/m2) | ||||||||
<18.5 | 1.00 | 1.00 | ||||||
18.5–24.9 | 1.02 (0.85, 1.21) | 0.849 | 1.27 (0.92, 1.74) | 0.144 | ||||
25+ | 0.93 (0.59, 1.45) | 0.737 | 0.84 (0.41, 1.70) | 0.620 | ||||
Mother’s age (years) | ||||||||
15–17 | 1.00 | 1.00 | ||||||
18 | 0.77 (0.57, 1.02) | 0.070 | 1.24 (0.81, 1.89) | 0.326 | ||||
19 | 0.81 (0.62, 1.06) | 0.131 | 0.86 (0.58, 1.28) | 0.459 | ||||
Marital status | ||||||||
Currently married | 1.00 | 1.00 | ||||||
Formerly married # | 5.64 (2.69, 11.85) | <0.001 | 0.27 (0.06, 1.16) | 0.079 | ||||
Combined mode and place of delivery | ||||||||
Non-caesarean and Home | 1.00 | 1.00 | 1.00 | |||||
Non-caesarean and health facility | 1.48 (1.18, 1.86) | 0.001 | 1.36 (1.06, 1.73) | 0.013 | 0.86 (0.60, 1.25) | 0.444 | ||
Caesarean and health facility | 0.56 (0.41, 0.76) | <0.001 | 0.43 (0.30, 0.62) | <0.001 | 0.72 (0.45, 1.18) | 0.195 | ||
Type of delivery assistance | ||||||||
Health professional | 1.00 | 1.00 | ||||||
Traditional birth attendant | 0.69 (0.52, 0.92) | 0.010 | 0.90 (0.59, 1.38) | 0.641 | ||||
Others & | 0.68 (0.55, 0.85) | <0.001 | 0.74 (0.53, 1.05) | 0.096 | ||||
Number of antenatal clinic visits | ||||||||
8+ | 1.00 | 1.00 | 1.00 | |||||
4–7 | 0.75 (0.56, 1.01) | 0.056 | 0.82 (0.60, 1.11) | 0.209 | 1.33 (0.81, 2.18) | 0.265 | ||
1–3 | 0.64 (0.48, 0.85) | 0.002 | 0.75 (0.55, 1.01) | 0.066 | 0.98 (0.61, 1.58) | 0.938 | ||
None | 0.52 (0.37, 0.72) | <0.001 | 0.58 (0.41, 0.83) | 0.003 | 1.06 (0.62, 1.81) | 0.836 | ||
Timely postnatal check | ||||||||
0–2 days | 1.00 | 1.00 | 1.00 | |||||
After 2 days | 0.64 (0.35, 1.17) | 0.147 | 3.60 (1.25, 10.36) | 0.017 | 3.47 (1.19, 10.08) | 0.022 | ||
No postnatal check | 0.66 (0.42, 1.05) | 0.078 | 2.89 (1.35, 6.18) | 0.006 | 3.06 (1.44, 6.49) | 0.003 | ||
Mothers reading newspapers | ||||||||
Not at all | 1.00 | 1.00 | ||||||
Yes/some ^ | 1.01 (0.84, 1.21) | 0.894 | 0.89 (0.66, 1.18) | 0.411 | ||||
Mothers listening to radio | ||||||||
Not at all | 1.00 | 1.00 | ||||||
Yes/some ^ | 0.96 (0.75, 1.23) | 0.746 | 0.75 (0.51, 1.12) | 0.162 | ||||
Mothers watching television | ||||||||
Not at all | 1.00 | 1.00 | ||||||
Yes/some ^ | 1.17 (0.99, 1.38) | 0.068 | 1.07 (0.81, 1.41) | 0.623 | ||||
Power over household decision making | ||||||||
Husband | 1.00 | 1.00 | ||||||
Woman alone | 0.98 (0.76, 1.27) | 0.896 | 1.16 (0.73, 1.84) | 0.527 | ||||
Power over earning | ||||||||
Husband | 1.00 | 1.00 | ||||||
Woman alone | 1.05 (0.78, 1.41) | 0.754 | 1.35 (0.83, 2.18) | 0.221 | ||||
Father’s occupation | ||||||||
Nonagricultural | 1.00 | 1.00 | ||||||
Agricultural | 1.28 (0.84, 1.96) | 0.256 | 1.19 (0.53, 2.65) | 0.677 | ||||
Not working | 1.19 (0.89, 1.60) | 0.238 | 0.84 (0.48, 1.47) | 0.552 | ||||
Birth order | ||||||||
1st born | 1.00 | 1.00 | 1.00 | |||||
2nd–4th | 1.41 (1.12, 1.77) | 0.003 | 0.49 (0.34, 0.71) | <0.001 | 0.46 (0.31, 0.66) | <0.001 | ||
Preceding birth interval | ||||||||
No previous birth | 1.00 | 1.00 | ||||||
Yes | 1.36 (1.08, 1.71) | 0.008 | 0.5 (0.35, 0.71) | <0.001 | ||||
Sex of baby | ||||||||
Male | 1.00 | 1.00 | ||||||
Female | 1.15 (0.97, 1.36) | 0.097 | 0.88 (0.67, 1.16) | 0.375 | ||||
Child’s age (in <6 months) | 0.64 (0.59, 0.71) | <0.001 | ||||||
Child’s age in category | ||||||||
0–5 | 1.00 | |||||||
6–11 | 1.01 (0.82, 1.24) | 0.943 | ||||||
12–17 | 1.12 (0.90, 1.38) | 0.320 | ||||||
18–23 | 1.13 (0.85, 1.49) | 0.412 | ||||||
Low Birth Weight (<2500 g) | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 0.98 (0.79, 1.23) | 0.881 | 1.28 (0.89, 1.82) | 0.178 | ||||
Size of the baby | ||||||||
Small | 1.00 | 1.00 | ||||||
Average | 0.94 (0.74, 1.19) | 0.598 | 0.92 (0.63, 1.36) | 0.688 | ||||
Large | 0.85 (0.64, 1.13) | 0.259 | 0.84 (0.52, 1.35) | 0.469 | ||||
Children who had diarrhea recently | ||||||||
No | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Yes | 0.68 (0.54, 0.86) | 0.001 | 0.75 (0.57, 0.97) | 0.030 | 0.58 (0.38, 0.88) | 0.012 | 0.62 (0.40, 0.95) | 0.031 |
Children with acute respiratory infection treatment | ||||||||
No | 1.00 | 1.00 | ||||||
Yes | 0.74 (0.51, 1.06) | 0.102 | 0.42 (0.19, 0.95) | 0.037 | ||||
Children who had fever in last 2 weeks | ||||||||
No | 1.00 | 1.00 | 1.00 | |||||
Yes | 0.72 (0.57, 0.91) | 0.006 | 0.77 (0.61, 0.98) | 0.037 | 0.84 (0.57, 1.24) | 0.390 | ||
Household-level factors | ||||||||
Wealth index | ||||||||
Poor | 1.00 | 1.00 | ||||||
Middle | 0.90 (0.74, 1.11) | 0.332 | 0.94 (0.67, 1.32) | 0.724 | ||||
Rich | 0.89 (0.71, 1.12) | 0.309 | 0.86 (0.60, 1.25) | 0.435 | ||||
Number of living children | ||||||||
1 | 1.00 | |||||||
2 to 3 | 1.51 (1.19, 1.93) | 0.001 | 0.44 (0.30, 0.64) | <0.001 | ||||
Source of drinking water | ||||||||
Improved | 1.00 | 1.00 | ||||||
Unimproved | 0.96 (0.79, 1.16) | 0.687 | 1.36 (0.99, 1.86) | 0.055 | ||||
Type of toilet facility | ||||||||
Improved | 1.00 | 1.00 | ||||||
Unimproved | 1.00 (0.84, 1.20) | 0.944 | 1.3 (0.97, 1.74) | 0.085 | ||||
Community-level factors | ||||||||
Residence | ||||||||
Urban | 1.00 | 1.00 | ||||||
Rural | 0.87 (0.68, 1.11) | 0.264 | 0.98 (0.67, 1.45) | 0.952 | ||||
Geographical region | ||||||||
North | 1.00 | 1.00 | 1.00 | 1.00 | ||||
South | 1.84 (1.37, 2.49) | <0.001 | 2.19 (1.56, 3.06) | <0.001 | 1.15 (0.70, 1.88) | 0.575 | 1.28 (0.77, 2.11) | 0.326 |
East | 1.54 (1.20, 1.99) | 0.001 | 1.69 (1.31, 2.18) | <0.001 | 0.86 (0.56, 1.31) | 0.500 | 0.82 (0.54, 1.24) | 0.360 |
West | 2.55 (1.80, 3.61) | <0.001 | 2.66 (1.88, 3.75) | <0.001 | 0.90 (0.50, 1.59) | 0.720 | 0.89 (0.51, 1.57) | 0.704 |
Central | 0.90 (0.69, 1.16) | 0.430 | 0.99 (0.76, 1.30) | 0.992 | 0.63 (0.42, 0.96) | 0.034 | 0.63 (0.42, 0.95) | 0.031 |
Northeast | 3.92 (2.94, 5.23) | <0.001 | 4.26 (3.15, 5.75) | <0.001 | 1.40 (0.85, 2.31) | 0.174 | 1.33 (0.78, 2.25) | 0.288 |
Type of caste or tribe | ||||||||
Schedule caste | 1.00 | 1.00 | 1.00 | |||||
Schedule tribe | 0.95 (0.73, 1.23) | 0.684 | 1.98 (1.26, 3.09) | 0.003 | 2.00 (1.27, 3.16) | 0.003 | ||
Other backward caste | 0.87 (0.70, 1.07) | 0.183 | 1.05 (0.73, 1.49) | 0.781 | 1.02 (0.71, 1.45) | 0.900 | ||
Other * | 1.11 (0.85, 1.44) | 0.444 | 1.11 (0.72, 1.70) | 0.621 | 1.08 (0.69, 1.67) | 0.727 |
uOR: unadjusted odds ratio; OR: adjusted odds ratio; CI: confidence interval; p: p-value; & friend/relative and others; # divorced/separated/widowed. ^ less than once a week/at least once a week/almost every day; * includes Jews, Parsis/Zoroastrians, those following other religions, and those with no religion.