[TimorLesteStudies] Publication: Breast-feeding Performance Index

Jennifer Drysdale jenster at cres10.anu.edu.au
Fri Sep 28 09:58:22 EST 2007


>From: ETAN <fbp at igc.org>
>Subject: Breast-feeding Performance Index
>Health Nutrition (2007), 10: 996-1004 Cambridge University Press
>Published online by Cambridge University Press 27Feb2007
>Research Paper
>Breast-feeding Performance Index: a composite 
>index to describe overall breast-feeding 
>performance among infants under 6 months of age
>Upul Senaratha1, Michael J Dibleya2 
>and Kingsley E Aghoa3
>a1 Department of Community Medicine, Faculty of 
>Medicine, University of Colombo, Colombo, Sri 
>Lanka and Visiting Fellow, University of 
>Newcastle, Callaghan, New South Wales, Australia
>a2 Centre for Clinical Epidemiology and 
>Biostatistics, Faculty of Health, University of 
>Newcastle, Callaghan, New South Wales, Australia
>a3 School of Public Health, University of 
>Sydney, Sydney, New South Wales, Australia
>Article author query
>Senarath U 
>Dibley MJ 
>Agho KE 
>Objectives To develop a composite index to 
>describe the overall breast-feeding performance 
>of infants < 6 months of age; and, using this 
>index, to identify the factors associated with 
>poor breast-feeding practices and the 
>association between breast-feeding and infant morbidity.
>Design, setting and subjects The 2003 
>Demographic and Health Survey was a multi-stage 
>cluster sample survey of 4320 households in 
>Timor-Leste which covered 573 infants aged < 6 
>months. Breast-feeding Performance Index (BPI) 
>was constructed by allocating one point for each 
>of seven infant feeding practices: first 
>suckling within an hour of birth; absence of 
>prelacteals; non-use of feeding bottles; current 
>breast-feeding; not receiving liquids; not 
>receiving formula or other milk; and not 
>receiving solids in the last 24 hours. BPI was 
>treated as the dependent variable in univariate 
>and multivariate analyses to identify the 
>factors associated with poor breast-feeding.
>Results Exclusive breast-feeding rate was 29.9%. 
>The BPI (mean 4.4, standard deviation 1.77) was 
>categorised as low, average and high according 
>to tertiles. Multivariate analysis indicated 
>that infants from the richest households were 
>1.70 (95% confidence interval (CI) 1.04–2.77) 
>times more likely to have ‘low BPI’ than the 
>poorest. Maternal BMI < 18.5 kg m  2 was 
>predictive of poor breast-feeding (odds ratio = 
>1.79; 95% CI 1.27–2.52). In the ‘low’ BPI group, 
>the incidence of diarrhoea (13.4%) and acute 
>respiratory infections (20.7%) during the 
>previous two weeks was significantly higher than 
>in ‘average’ (4.3 and 9.3%) and ‘high’ BPI groups (4.6 and 5.5%).
>Conclusions Creating a composite index to assess 
>the overall breast-feeding performance among 
>infants < 6 months of age is feasible. BPI can 
>be effectively used to identify target groups 
>for breast-feeding promotion interventions.
>(Received December 14 2005)
>(Accepted October 19 2006)
>(Online publication February 27 2007)
>Key Words: 
>nutritional status; 
>c1 Corresponding author: Email 
><mailto:michael.dibley at newcastle.edu.au>michael.dibley at newcastle.edu.au
>p1 Correspondence address: Centre for Clinical 
>Epidemiology & Biostatistics, Room 353, David 
>Maddison Clinical Sciences Building, Royal 
>Newcastle Hospital, Newcastle, New South Wales 2300, Australia.
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