This analysis aims to examine factors associated with delayed initiation and non-exclusive breastfeeding in Indonesia. Data were derived from the 2002/2003 and 2007 Indonesia Demographic and Health Survey. Information from 12,191 singleton live-born infants aged 0-23 months was used to examine factors associated with delayed initiation of breastfeeding. Furthermore, information from 3,187 singleton live-born infants aged 0-5 months was used to identify factors associated with non-exclusive breastfeeding. Associations between potential predictors and study outcomes were examined using logistic regression. Our study found that infants from high household wealth-index had significantly increased odds of both delayed initiation and non-exclusive breastfeeding. Other factors associated with an increased odds of delayed initiation of breastfeeding included infants from Sumatera region (OR=1.64, 95% CI: 1.38-1.95), Caesarean-section deliveries (OR=1.84, 95% CI: 1.39-2.44) and deliveries in government-owned (OR=1.38, 95% CI: 1.08-1.76) and non-health facility (OR=1.20, 95% CI: 1.00-1.43). Other factors associated with an increased odds for non-exclusive breastfeeding included parents who were in the workforce (OR=1.37, 95% CI: 1.06-1.78) and mothers with obstetric complication at childbirth (OR=1.35, 95% CI: 1.05-1.74). However, the odds reduced for infants from Eastern Indonesia (OR=0.64, 95% CI: 0.49-0.85). Poor breastfeeding practices are associated with environmental, socio-economic, pregnancy-birthing characteristics and maternal health services factors. Efforts to promote breastfeeding practices should be conducted comprehensively to target population at risk for poor breastfeeding practices.
本分析目的為評估印尼婦女延後開始哺餵母乳，以及非純母乳哺餵的相關因 子。資料源自於2002/2003 及2007 年印尼人口與健康調查。評估共12,191 名， 年齡介於0-23 個月的活產獨生子女，延後開始母乳哺餵的相關因子。此外，也 評估3,187 名，年齡介於0-5 個月的活產獨生子女，其非純母乳哺餵的相關因 子。使用羅吉斯迴歸，評估潛在預測因子與結果的相關性。我們的研究發現 來 自高家戶財富指標的嬰兒，其延後開始哺餵母乳，及非純母乳哺餵的機會均顯 著增加。延後開始母乳哺餵的相關因子， 包括： 嬰兒來自Sumatera 區 (OR=1.64，95% CI=1.38-1.95)、剖腹產(OR=1.84，95% CI=1.39-2.44)及出生於 公立醫院(OR=1.38 ， 95% CI=1.08-1.76) 或是非醫療機構(OR=1.20 ， 95% CI=1.00-1.43) 。與非純母乳哺餵相關的其他因子， 包括： 父母有工作 (OR=1.37，95% CI=1.06-1.78)及媽媽在小孩生產時有併發症(OR=1.35，95% CI=1.05-1.74) 。然而， 來自印尼東部的嬰兒， 非純母乳哺餵的機率較低 (OR=0.64，95% CI=0.49-0.85)。母乳哺育落實不佳與環境、社經狀況、懷孕生 產的特性及母親健康服務因子有關。要促進母乳哺育，應全面針對那些母乳哺 育落實不佳的危險族群。