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:: Volume 16, Issue 2 (summer 2025) ::
j.health 2025, 16(2): 149-160 Back to browse issues page
Predictors of Exclusive Breastfeeding Duration among Infants Attending Meshkinshahr Urban Health Centers
Yousef Hamidzadeh Arbabi* * , Taha Majidpour , Firouz Amani
Ardabil University of Medical Sciences, Iran
Abstract:   (12 Views)
Background & objectives: Infancy is a critical period for both physical growth and cognitive development, with nutrition playing an essential role. Exclusive breastfeeding is widely acknowledged as the best source of nourishment for infants. This study aimed to evaluate the duration of exclusive breastfeeding and identify key predictive factors among infants registered at health centers in Meshkinshahr in 2024.
Methods: This descriptive-analytical cross-sectional study was conducted in the first half of 2024. A total of 330 breastfeeding mothers with infants older than six months, who visited the Meshkinshahr health centers, were selected through simple random sampling. Data were analyzed using SPSS-18, with statistical significance set at p<0.05.
Results: The average duration of exclusive breastfeeding among participants was six months. A statistically significant positive correlation was found between maternal age and breastfeeding duration. In contrast, maternal education level, household income, urban residence, and maternal awareness were negatively associated with the duration of exclusive breastfeeding (p<0.05). No significant associations were observed with other variables.
Conclusion: The study identified that younger maternal age, higher education; greater awareness, lower household income, and residence in the city center are significant predictors of exclusive breastfeeding duration. These findings highlight the need for targeted educational initiatives and socioeconomic support programs to promote and extend exclusive breastfeeding practices.
 
Keywords: Exclusive Breastfeeding, Infant Nutrition, Maternal Factors, Predictors, Meshkinshahr
Full-Text [PDF 258 kb]   (6 Downloads)    
Type of Study: Research | Subject: General
Received: 2025/09/17 | Accepted: 2025/09/1 | Published: 2025/09/1
References
1. Santiago LTC, Freitas NA, Meira Junior JD, Corrente JE, Paula VG, Damasceno DC, de Souza Rugolo LMS. Oxidative status in colostrum and mature breast milk related to gestational age and fetal growth. J Matern Fetal Neonatal Med. 2023; 36(1):2183763. [DOI:10.1080/14767058.2023.2183763] [PMID]
2. Lyons KE, Ryan CA, Dempsey EM, Ross RP, Stanton C. Breast Milk. A source of beneficial microbes and associated benefits for infant health. Nutrients. 2020; 12(4):1039. [DOI:10.3390/nu12041039] [PMID] []
3. North, K, GAO M, Allen G, Lee ACJCt. Breastfeeding in a global context: epidemiology, impact, and future directions. Clinical therapeutics, 2022, 44.2: 228-244 [DOI:10.1016/j.clinthera.2021.11.017] [PMID]
4. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The lancet. 2020; 387(10017): 475-90. [DOI:10.1016/S0140-6736(15)01024-7] [PMID]
5. Schanler R J, Krebs N F, and Mass Sh B. Breastfeeding handbook for physicians. No. Ed. 2. 2013. ‏p.28 [DOI:10.1542/9781581108057] [PMID]
6. Wallenborn JT, Levine GA, Carreira dos Santos A, Grisi S, Brentani A, Fink G. Breastfeeding, physical growth, and cognitive development. Pediatrics. 2021; 147(5):10-6. [DOI:10.1542/peds.2020-008029] [PMID]
7. Binns CW, Lee MK. Exclusive breastfeeding for six months: the WHO six months recommendation in the Asia Pacific Region. Asia Pacific journal of clinical nutrition. 2014; 23(3):344-50.
8. Yi DY, Kim SY. Human breast milk composition and function in human health: from nutritional components to microbiome and micrornas. Nutrients. 2021; 13(9):3094. [DOI:10.3390/nu13093094] [PMID] []
9. Horta, B L, & Victora C G. Long-term effects of breastfeeding. Geneva: World Health Organization. 2013, 74.‏ p.65
10. Godfrey JR, Lawrence RA. Toward optimal health: the maternal benefits of breastfeeding. Journal of women's health. 2020; 19(9):1597-602. [DOI:10.1089/jwh.2010.2290] [PMID]
11. Schwarz EB, Nothnagle M. The maternal health benefits of breastfeeding. American family physician. 2015; 91(9):602-4.
12. Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia Pacific Journal of Public Health. 2016; 28(1):7-14. [DOI:10.1177/1010539515624964] [PMID]
13. Olang B, Heidarzadeh A, Strandvik B, Yngve A. Reasons given by mothers for discontinuing breastfeeding in Iran. International Breast Feeding Journal. 2012; 9 (7): 1-9. [DOI:10.1186/1746-4358-7-7] [PMID] []
14. Ranjbaran M, Nakhaei MR, Chizary M, Shamsi M. Prevalence of exclusive breastfeeding in Iran: Systematic review and meta-analysis. International Journal of Epidemiologic Research. 2016; 3(3):294-301.
15. Pakpour A, Alijanzadeh M, Pouresmaeil M, Taherkhani F, Mohammadgholiha R, Jozi N. Predictive Factors Associated with Breastfeeding Initiation and Duration Behaviors of 6-months Postpartum Mothers Referred to Health Centers in the City of Qazvin Based on Theory of Planned Behavior. Iran J Health Educ Health Promot 2016; 4(1):20-30. [DOI:10.18869/acadpub.ihepsaj.4.1.20]
16. Tomori C. Overcoming barriers to breastfeeding. Best Practice & Research Clinical Obstetrics & Gynaecology. 2022; 83, 60-71.‏ [DOI:10.1016/j.bpobgyn.2022.01.010] [PMID]
17. Sayres S, Visentin L. Breastfeeding: uncovering barriers and offering solutions. Current opinion in pediatrics. 2018; 30(4):591-6. [DOI:10.1097/MOP.0000000000000647] [PMID]
18. Shi H, Yang Y, Yin X, Li J, Fang J, Wang X. Determinants of exclusive breastfeeding for the first six months in China: a cross-sectional study. International Breastfeeding Journal. 2021; 16(1):1-12. [DOI:10.1186/s13006-021-00388-y] [PMID] []
19. Kronborg H, Foverskov E. Multifactorial influence on duration of exclusive breastfeeding; a Danish cohort study. Plos one. 2020; 15(9):e0238363. [DOI:10.1371/journal.pone.0238363] [PMID] []
20. Hendaus MA, Alhammadi AH, Khan S, Osman S, Hamad A. Breastfeeding rates and barriers: a report from the state of Qatar. International journal of women's health. 2018; 10:467. [DOI:10.2147/IJWH.S161003] [PMID] []
21. Krejcie RV, Morgan DW: Determining sample size for research activities. Educational and psychological measurement. 1970 Sep; 30 (3):607-10. [DOI:10.1177/001316447003000308]
22. Bazargan A, Sarmad Z, Hijazi E. Methodology in behavioral sciences. Tehran: Agah Publications; 2005. P: 20. [persian]
23. Nezamabadi pour N, khoshab H, Saesaey Z. Investigating the knowledge, attitude and performance of mothers regarding the use of supplemental drops in infants in the pediatric clinics of Bam city in 1401. Hakim 2022; 25 (1) :100-107
24. Esmaeili M. Barakati H. Abdollahi M. Ajami M. Salehi F. Kasaii S & Houshiarrad A. Exclusive breastfeeding in the first 6 months of life and its socio-demographic determinants in a nationwide survey in Iran. Koomesh. 2022; 24(6), 785-795.‏ [persian]
25. Marzban A, Mohammad Afkhami Aghda, Farokh-legha Servat, Maryam Dolatabadi, Payam Emami. Evaluation of Knowledge, Attitude and Performance. Tolooebehdasht Journal. 2022; 20(5):54-65. [Persian]
26. Qanaei M G. Kazemnezhad L. E, & Amin A. Mothers Knowledge and Attitude toward Exclusive Breastfeeding. J of Guilan Uni Med Sci. 2020; 29(114): 1-13.
27. Khabazkhoob M, Fotouhi A, Majdi M, Moradi A, Javaherforoshzadeh A, Haeri Kermani Z et al. Prevalence of Exclusive Breastfeeding in Health Center Mashhad, 2007. IRJE. 2008; 3 (3 and 4): 45-53.
28. Almasi H, Saberi H, Moravveji SA. The pattern of exclusive breast feeding in neonates under healthcares in health centers of Kashan city. Kaums Journal (FEYZ). 2010; 14(2):163-8.
29. Deputy Health Minister, Ministry of Health, Treatment and Medical Education. Study of Multiple Indicators of the Status of Women and Children in the Islamic Republic of Iran, March 1997.18
30. Mohammad Beygi A, Mohammad Salehy N, Bayati A. The pattern of exclusive breast feeding in referred neonatal to health centers of Arak. Journal of Medical Faculty Guilan University of Medical Sciences 2009; 70(18):17-25. [persian]
31. UNICEF. Progress for children: a child survival report card. Vol 1. New York: UNICEF. 2004: 4-22.
32. Xu F, Qiu L, Binns CW, Liu X. Breastfeeding in China: a review. International breastfeeding journal 2009; 4(1):6. [DOI:10.1186/1746-4358-4-6] [PMID] []
33. Morowati sharifabad M, Hajizadeh H, Akhavan Karbasi S. Study of the Status of 6-12 Months Children Exclusive Breast-fed up to Six Months and its Related Factors in the Urban Health Care Centers of Ardakan City. The Journal of Toloo-e-behdasht. 2013; 12(3):84-94. [persian]
34. Mirahmadizadeh A, Zare P, Moradi F, Sayadi M, Hesami E, Moghadami M. Exclusive breast-feeding weaning pattern and its determinant factors in Fars province in 2010.Daneshvar medicin 2012;19(99):11-22.
35. Poggensee G, Schulze K, Moneta I, Mbezi P, Baryomunsi C, Harms G. Infant feeding practices in western Tanzania and Uganda: implications for infant feeding recommendations for HIV‐infected mothers. Tropical Medicine & International Health 2004; 9(4):477-85. [DOI:10.1111/j.1365-3156.2004.01214.x] [PMID]
36. Brandão DS, Venancio SI, Giugliani ER. Association between the Brazilian Breastfeeding Network implementation and breastfeeding indicators. Jornal de Pediatria. 2014: 156-9.
37. Al-Kohji S, Said HA, Selim NA. Breastfeeding practice and determinants among Arab mothers in Qatar. Saudi medical journal. 2012; 33(4):436-43.
38. Eslami, Z, Fallah, R, Golestan, M, and Shajari, A. The relationship between the type of delivery and the success of breastfeeding. Iranian Journal of Pediatrics. 2018: 18(1) Winter Special Issue: 47-52.
39. State of the world's children; UNICEF; 2009 [cited 2014]. Available from: http://www.unicef.org/sowc09/report/report.php.
40. Masoumi SZ, Ahmadi SH, Parsa P, Roshanaei GH, Basiri B. Effects of counseling on adher - ence to exclusive breastfeeding in mothers of hospitalized late preterm infants in Fatemieh hospital, Hamadan, Iran, 2014. Scientific Jour - nal of Hamadan Nursing & Midwifery Facul - ty. 2015; 23(3):1-8. [Persian]
41. Dewan N, Wood L, Maxwell S, Cooper C, Brabin B. Breast-feeding knowledge and attitudes of teenage mothers in liverpool. Journal of human nutrition and dietetics: the Official Journal of the British Dietetic Association. 2002; 15(1):33-7. [DOI:10.1046/j.1365-277X.2002.00332.x] [PMID]
42. Scott JA, Binns CW, Oddy WH, Graham KI. Pre - dictors of breastfeeding duration: evidence from a cohort study. Pediatrics. 2006; 117(4):e646-e55. [DOI:10.1542/peds.2005-1991] [PMID]
43. Salehi M, Kimiagar SM, Shahbazi M, Mehrabi Y, Kolahi AA. Assessing the impact of nutri - tion education on growth indices of Iranian no - madic children: an application of a modified beliefs, attitudes, subjective-norms and enablingfactors model. British Journal of Nutrition. 2004; 91(05):779-87. [DOI:10.1079/BJN20041099] [PMID]
44. Keramat A, Masoumi S, Shobeiri F, Raei M, Andarzgoo M, Babazadeh R. Effectiveness of educational program related to persuade women for breast feeding based on theory of planned behavior (TPB). Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2013; 21(2):21- 31. [Persian]
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Hamidzadeh Arbabi* Y, Majidpour T, Amani F. Predictors of Exclusive Breastfeeding Duration among Infants Attending Meshkinshahr Urban Health Centers. j.health 2025; 16 (2) :149-160
URL: http://healthjournal.arums.ac.ir/article-1-3025-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 16, Issue 2 (summer 2025) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
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