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Paid maternity leave extension and exclusive breastfeeding practice: evidence from Brunei


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Figure 1

Study data flowchart. Gov’t MCH Clinics, government mother and child health clinics.
Study data flowchart. Gov’t MCH Clinics, government mother and child health clinics.

Sociodemographic variables associated with exclusive breastfeeding at 6 months of infant age

Variable20102013
nEBF, n (%)PnEBF, n (%)P
Parity
Primiparous1641393 (23.9)<0.0011721640 (37.2)<0.001
Multiparous38431178 (30.7)38431654 (43.0)
Infant’s sex
Male2804789 (28.1)0.3928291109 (39.2)0.002
Female2680782 (29.2)27351185 (43.3)
Mother’s ethnicity
Malay47101388 (29.5)<0.00150242092 (41.6)0.012
Chinese33764 (19.0)26586 (32.5)
Others437119 (27.2)275116 (42.2)
District of residence
Brunei-Muara39471093 (27.7)0.06339231594 (40.6)0.50
Tutong648210 (32.4)630273 (43.3)
Kuala Belait749227 (30.4)882370 (42.0)
Temburong14041 (29.3)12957 (44.2)

Comparing exclusive breastfeeding practice between mothers employed by the government and nonworking mothers, with consideration of paid maternity leave duration

2010 (%)2013 (%)
Infant age (months)PML statusAGovernment (n = 2066) BNonworking (n = 2362)Percentage point difference (B–A)PML statusGovernment (n = 2182) ANonworking (n = 2581) BPercentage point difference (BA)
1Active72.072.50.5Active81.079.1–1.9
2½Active51.355.44.1Active67.766.3–1.4
3Inactive39.347.27.9Active57.856.9–0.9
4Inactive31.241.510.3Inactive48.951.5+2.6
5Inactive24.938.313.4Inactive42.347.0+4.7
6Inactive24.936.711.8Inactive40.445.5+5.1

Demographic profile of new mothers and infants

Variablen (%)
20102013
Maternal employment
Government2066 (37.7)2182 (38.1)
Private sector1056 (19.3)962 (16.8)
Nonworking2362 (43.0)2581 (45.1)
Maternal citizenship
Bruneian4899 (89.3)5270 (92.1)
Non-Bruneian585 (10.7)455 (7.9)
Parity
Primiparous1641 (29.9)1794 (31.3)
Multiparous3843 (70.1)3931 (68.7)
Infant’s sex
Male2804 (51.1)2917 (51.0)
Female2680 (48.9)2808 (49.0)
Maternal ethnicity
Malay4710 (85.9)5058 (88.3)
Chinese337 (6.1)309 (5.4)
Others437 (8.0)358 (6.3)
Maternal district of residence
Brunei-Muara3947 (71.9)4070 (71.1)
Tutong648 (11.8)630 (11.0)
Kuala Belait749 (13.7)895 (15.6)
Temburong140 (2.6)130 (2.3)

Variables associated with exclusive breastfeeding at 6 months of infant age in 2010 and 2013†

Variable20102013
AoR(95% CI)PAoR(95% CI)P
Parity
Primiparous0.74(0.64 to 0.84)<0.0010.80(0.71 to 0.90)<0.001
Multiparous1.001.00
Mother’s ethnicity0.002
Malay1.17(0.94 to 1.47)0.17§
Chinese0.73(0.33 to 0.47)0.082§
Others1.00
Infant’s sex
Male0.85(0.77 to 0.95)0.04
Female1.00
Maternal employment<0.001<0.001
Government0.55(0.48 to 0.63)<0.001§0.81(0.72 to 0.91)<0.001§
Private sector0.40(0.33 to 0.47)<0.001§0.48(0.41 to 0.58)<0.001§
Nonworking1.001.00

Change in the trend for exclusive breastfeeding according to employment sector in 2010 and 2013

Government sector (%)Nonworking (full-time housewives) (%)Private sector (%)
Infant age
(months)20102013Percentage20102013% increase20102013Percentage
(n = 2066)(n = 2182)point increase(n = 2362)(n = 2581)(n = 1056)(n = 801)point increase
172.081.09.072.579.16.667.072.45.4
251.367.716.455.466.310.942.053.711.7
339.357.818.547.256.99.730.143.613.5
431.248.917.741.551.510.024.035.311.3
524.942.317.438.347.08.720.530.39.8
624.940.415.536.745.58.817.928.710.8

The prevalence of exclusive breastfeeding from 1 month to 6 months of infant age in 2010 and 2013

Infant age% (95% CI)Percentage
(months)20102013Ppoint increase
171 (70 to 72)78 (77 to 79)<0.0017
251 (50 to 53)64 (63 to 66)<0.00113
341 (40 to 42)55 (53 to 56)<0.00114
434 (33 to 35)48 (46 to 49)<0.00114
529 (27 to 30)42 (41 to 43)<0.00112
629 (27 to 30)41 (39 to 42)<0.00112
eISSN:
1875-855X
Język:
Angielski
Częstotliwość wydawania:
6 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine