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Open AccessArticle

Trends and Predictors of Prelacteal Feeding Practices in Nigeria (2003–2013)

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School of Science and Health, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith 2571, NSW, Australia
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Department of Public Health, College of Science, School of Public Health, Health and Engineering La Trobe University, Bundoora 3083, VIC, Australia
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Centre for Health Research, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith 2571, NSW, Australia
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Ingham Institute for Applied Medical Research, 1 Campbell Street, Liverpool 2170, NSW, Australia
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Department of Community Paediatrics, Community Paediatrics, Sydney Local Health District 24 Liverpool Road, Croydon 2132, NSW, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2016, 8(8), 462; https://doi.org/10.3390/nu8080462
Received: 6 June 2016 / Revised: 11 July 2016 / Accepted: 19 July 2016 / Published: 29 July 2016
Prelacteal feeding practices are associated with an increased risk of diarrhoea and many early-life diseases. This paper examined trends and predictors of prelacteal feeding practices in Nigeria. A sample of 6416 infants aged 0–6 months from the Nigeria Demographic and Health Survey data for the period (2003–2013) was used. Trends and multilevel logistic regression analyses were used to determine the predictors. The trends of prelacteal feeding rates fluctuated between 55% and 66% over the study period and were significantly lower among mothers with secondary or higher levels of education (13.1%, 95% confidence interval (CI): 0.54–25.9, p-value = 0.041), delivered at the health facility (13.7%, CI: 1.39–25.9, p-value = 0.029), from more affluent households (18.7%, CI: 1.53–35.9, p-value = 0.033), and lived in urban areas (26.9%, CI: 18.3–35.5, p-value < 0.001). Multivariable analyses revealed that mothers with no schooling, younger mothers (aged 15–24 years), mothers who delivered at home, and delivered by caesarean section were more likely to introduce prelacteal feeds. Many mothers still engage in prelacteal feeding practices in Nigeria, with prelacteal feeding more prevalent in young mothers, mothers with no schooling, and mothers who delivered at home. Interventions involving community health volunteers are needed to improve feeding practices in Nigeria. View Full-Text
Keywords: prelacteal; feeding practices; Nigeria; exclusive breastfeeding prelacteal; feeding practices; Nigeria; exclusive breastfeeding
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Agho, K.E.; Ogeleka, P.; Ogbo, F.A.; Ezeh, O.K.; Eastwood, J.; Page, A. Trends and Predictors of Prelacteal Feeding Practices in Nigeria (2003–2013). Nutrients 2016, 8, 462.

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