Social determinants of mixed feeding behavior among HIV-infected mothers in Jos, Nigeria

  • Maru S
  • Datong P
  • Selleng D
 et al. 
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Abstract

Mixed feeding confers excess risk of mother-to-child transmission (MTCT) of HIV compared with exclusive breastfeeding and exclusive formula feeding. We undertook a qualitative and quantitative cross-sectional survey to identify the social determinants of mixed feeding among a subset of the 469 HIV-infected women enrolled in a MTCT prevention program in Jos, Nigeria. Formula was provided free-of-cost. Of the 91 participants, 68 (75%) exclusively formula fed, 7 (8%) exclusively breastfed, and 16 (18%) practiced mixed feeding. Of the mixed feeding women, seven primarily formula fed and nine primarily breastfed. Women who primarily formula fed described family pressure as the reason for mixed feeding, while women who primarily breastfed reported insufficient breast milk. In a multivariate analysis, lack of partner support of the feeding decision predicted mixed feeding behavior (OR: 4.2; 95% CI: 1.2-14.9; p=0.03). Disclosure of HIV status was significantly correlated (p

Author-supplied keywords

  • Acquired immunodeficiency syndrome
  • Bottle feeding
  • Breastfeeding
  • HIV
  • Mixed feeding
  • PMTCT
  • Social determinants

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Authors

  • Sheela Maru

  • Pam Datong

  • Dilhatu Selleng

  • Edwina Mang

  • Buki Inyang

  • Anuli Ajene

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