Reasons Why Infants Between the Ages of Seven and Twelve Months Do Not Receive Exclusive Breastfeeding
DOI:
https://doi.org/10.26630/jkmsw.v19i1.5512Keywords:
Exclusive breastfeeding, infants, Breastfeeding Risk Factors, Pesawaran Regency, Stunting and Wasting PreventionAbstract
Exclusive breastfeeding during the first six months of life is essential for infant growth, immunity, and neonatal health. However, exclusive breastfeeding coverage remains suboptimal and is influenced by maternal and environmental factors. This study aimed to analyze determinants associated with the failure of exclusive breastfeeding among infants aged 7–12 months in Pesawaran Regency, Lampung Province, Indonesia. A cross-sectional study was conducted from May to June 2025 in five subdistricts with low breastfeeding coverage. The sample consisted of 343 mothers selected using stratified random sampling. Data were analyzed using chi-square tests and multiple logistic regression at a significance level of p < 0.05. Bivariate analysis showed that age, occupation, education, parity, knowledge, attitude, family support, and health worker support were significantly associated with exclusive breastfeeding (p < 0.05). Multivariate analysis indicated that age (OR=1.937), occupation (OR=0.521), education (OR=0.530), knowledge (OR=1.755), attitude (OR=2.192), and family support (OR=0.575) significantly influenced exclusive breastfeeding. Maternal attitude was the strongest predictor. Strengthening breastfeeding education, workplace lactation support, and family involvement is recommended to improve exclusive breastfeeding coverage.
References
Ajah, E. E. et al. (2021) ‘Determinants of under-nutrition among under-five children in Enugu Metropolis, Southeast Nigeria’, Nigerian Journal of …. ajol.info. Available at: https://www.ajol.info/index.php/njp/article/view/235665.
Al-Taj, M. A. et al. (2023) ‘Concurrent wasting and stunting among marginalised children in Sana’a city, Yemen: a cross-sectional study’, Journal of Nutritional …. cambridge.org. Available at: https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/concurrent-wasting-and-stunting-among-marginalised-children-in-sanaa-city-yemen-a-crosssectional-study/2743774BBD29BB9C1141DE95B370E6C5.
Alissa, N. and Alshareef, M. (2024) ‘Factors Influencing Exclusive Breastfeeding in Saudi Arabia’, pp. 1–11.
Anayochukwu, G. I. (2022) ‘Teenage pregnancy and its consequences: Evidence from a South-eastern rural community of Nigeria’, Journal of Social, Humanity, and Education, 2(3), pp. 245–267. https://doi.org/10.35912/jshe.v2i3.977.
Bappenas (2023) ‘Laporan Pelaksanaan Pencapaian Tujuan Pembangunan Berkelanjutan Tahun 2023’, Bappenas, 01, p. 223. Available at: https://sdgs.bappenas.go.id/website/wp-content/uploads/2023/11/Laporan-tahunan-SDGs-2023.pdf?
Branco, J. et al. (2023) ‘Prevalence and Predictive Factors of Exclusive Breastfeeding in the First Six Months of Life Prevalência e Fatores Preditivos do Aleitamento Materno Exclusivo nos Primeiros Seis Meses de Vida’, pp. 416–423.
Chen, Y., Wang, W. and Wang, F. (2023) ‘Factors associated with exclusive breastfeeding during postpartum in Lanzhou city , China : a cross-sectional study’, (August), pp. 1–10. https://doi.org/10.3389/fpubh.2023.1089764.
Danso, F. and Appiah, M. A. (2023) ‘Prevalence and associated factors influencing stunting and wasting among children aged 1 to 5 years in Nkwanta South Municipality, Ghana’, Nutrition. Elsevier. Available at: https://www.sciencedirect.com/science/article/pii/S0899900723000266.
Dinas Kesehatan Pesawaran (2024) Data Dinas Kesehatan Kab. Pesawaran. Provinsi Lampung. Pesawaran.
Habtamu, E., Chilo, D. and Desalegn, D. (2022) ‘Determinants of wasting among children aged 6–59 months in Wonago woreda, south Ethiopia. A facility-based unmatched case-control study’, PloS One. journals.plos.org. Available at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269380.
Hasan, M. et al. (2021) ‘Prevalence , knowledge , attitudes and factors associated with exclusive breastfeeding among mothers in Dhaka , Bangladesh : A cross-sectional study’, (Who 2018), pp. 1–7.
Hermawan, N. S. A., Umar, M. Y. and Agustriyani, F. (2023) ‘Environmental And Family Approach on Stunting: A Literature Review’, Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(S1), pp. 303–308. https://doi.org/10.30604/jika.v8is1.1720.
Indrasari, N., Aliyanto, W. and Trianingsih, I. (2024) ‘Analysis of Demographic Factors Affecting Exclusive Breastfeeding Success among Breastfeeding Mothers’, 15(3).
Jalil, H., Chong, M. and Yazid, M. (2024) ‘Heliyon Knowledge , attitude , and practice among mothers toward breastfeeding and complementary feeding in community health setting , Malaysia’, Heliyon. Elsevier Ltd, 10(21), p. e39746. https://doi.org/10.1016/j.heliyon.2024.e39746.
Kalhor, M. et al. (2025) ‘Predictors of exclusive breastfeeding : a systematic review and meta ‑ analysis’. BioMed Central.
Kapti, R. E., Arief, Y. S. and Azizah, N. (2023) ‘Mother ’ s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia on om m er ci al us e on m er ci al’, 11.
Kementrian Kesehatan (2024) Profil Kesehatan Indonesia 2023. INdonesia.
Koya, S. et al. (2020) ‘Determinants of breastfeeding practices and its association with infant anthropometry: Results from a prospective cohort study in South India’, Frontiers in public …. frontiersin.org. https://doi.org/10.3389/fpubh.2020.492596.
Lampung Provincial Health Office (2024) ‘Health Profile 2023 Lampung Provincial Health Office’, (44), pp. 1–326.
Lathifah, Pamungkasari, E. P. and Dewi, Y. L. R. (2020) ‘Multiple Logistic Regression on the Factors Affecting Exclusive Breastfeeding Practice in Karanganyar, Central Java.’, The International Conference on Public Health Proceeding, 5(01), p. 269. doi: https://doi.org/10.26911/the7thicph.03.89.
Mekebo, G. G. et al. (2022) ‘Factors influencing exclusive breastfeeding practice among under ‑ six months infants in Ethiopia’, BMC Pregnancy and Childbirth. BioMed Central, pp. 1–10. https://doi.org/10.1186/s12884-022-04955-x.
Menalu, M. M. et al. (2021) ‘Assessment of prevalence and factors associated with malnutrition among under-five children in Debre Berhan town, Ethiopia’, International Journal of …. Taylor &Francis. https://doi.org/10.2147/IJGM.S307026.
Notoatmodjo, S. (2014) Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.
Puspita, L., Umar, M. Y. and Psiari, K. W. (2022) ‘Prevention of Stunting Through The First Thousand Days of Life’, HIV Nursing, 22(2), pp. 671–673.
Sabo, A. et al. (2023) ‘Knowledge, attitude, and practice of exclusive breastfeeding among mothers of childbearing age’, (December), pp. 1–9. https://doi.org/10.3389/fpubh.2023.1277813.
Shi, H. et al. (2021) ‘Determinants of exclusive breastfeeding for the first six months in China: a cross-sectional study’, International Breastfeeding …. Springer. https://doi.org/10.1186/s13006-021-00388-y.
Sugiyono, D. (2021) Metode Penelitian Kuantitatif, Kualitatif, dan Tindakan.
Sutisna, I. (2020) ‘Statistika penelitian’, Universitas Negeri Gorontalo. academia.edu. Available at: https://www.academia.edu/download/62615506/TEKNIK_ANALISIS_DATA_PENELITIAN_KUANTITATIF20200331-52854-1ovrwlw.pdf.
Syeda, B. et al. (2021) ‘Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan’, International Journal of …. Elsevier. Available at: https://www.sciencedirect.com/science/article/pii/S2352646720300065.
Telova, Y. and Simarmata, P. C. (2023) ‘FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA IBU PEKERJA FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING ON THE WORKER MOTHER .’, 5(2). https://doi.org/10.35451/jkk.v5i2.1582.
Thi, H. et al. (2023) ‘Prevalence of exclusive breastfeeding for the first six months of an infant ’ s life and associated factors in a low – middle income country’, pp. 1–11.
Umar, M. Y. et al. (2024) ‘Sosialisasi Pentingnya ASI Ekslusif untuk Mencegah Kejadian Wasting pada Balita ( Socialization of the Importance of Exclusive Breastfeeding to Prevent Wasting in Toddlers )’, 5(2), pp. 357–364.
Umar, M. Y., Ifayanti, H. and Puspita, L. (2020) ‘Dukungan Keluarga dengan perilaku ibu dalam pemberian ASI eksklusif’, Jurnal Maternitas Aisyah (JAMAN AISYAH), 1(2), pp. 109–113. Available at: http://journal.aisyahuniversity.ac.id/index.php/Jaman/article/view/dukungankeluargamare.
Umar, M. Y. and Puspita, L. (2020) ‘Pendidikan Dan Pekerjaan Dengan Perilaku Ibu Dalam Pemberian Asi Eksklusif Di Puskesmas Gading Rejo’, Jurnal Maternitas Aisyah (JAMAN AISYAH, pp. 55–60. Available at: http://journal.aisyahuniversity.ac.id/index.php?journal=Jaman.
UNICEF, WHO and WORLD BANK (2023) ‘Level and trend in child malnutrition’, World Health Organization, p. 4. Available at: https://www.who.int/publications/i/item/9789240073791.
WHO (2023) ‘UNICEF Expanded Global Databases Exclusive Breastfeeding’.
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