Influence of Maternal Exposure to IPV on Child Feeding Practices in India 公开

Lavilla, Kayla Marie (2012)

Permanent URL: https://etd.library.emory.edu/concern/etds/sf268555q?locale=zh
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Abstract





Abstract

Influence of Maternal Exposure to IPV on Child Feeding Practices in India
Background: Intimate partner violence (IPV) is a global public health problem that has
implications for child health. Previous studies have examined the associations between
IPV and maternal and child health; yet, research is lacking on the effects of maternal
exposure to IPV on infant feeding practices, especially in poor settings.
Project goal: This study will investigate the compensatory and deficit response theories of
the effects of maternal exposure to IPV on breastfeeding. The hypothesis is that maternal
exposure to IPV will have a deficit effect on infant feeding practices.
Methods: A secondary analysis was performed on data of 5,765 mother-child dyads
from the 2005-2006 Indian National Family Health Survey. The sample included mothers
who were linked to children six months of life or younger. Exposures of interest were
maternal report of ever experiencing any IPV and ever experiencing only physical
and/or sexual IPV. Logistic regression was used to assess the associations of these
exposures with various feeding practice outcomes.
Results: Compared to mothers unexposed to IPV, those who were exposed to either any
IPV or physical and/or sexual IPV only had a higher adjusted odds of feeding infants
liquids (aOR = 1.47, 95%CI = 1.2 - 1.8 and aOR = 1.53, 95%CI = 1.2 - 1.9, respectively),
solids (aOR = 1.55, 95%CI = 1.2 - 2.1 and aOR = 1.72, 95%CI = 1.3 - 2.3), and any foods
other than breast milk (aOR = 1.45, 95%CI = 1.2 - 1.8 and aOR = 1.51, 95%CI = 1.2 - 1.9).
Mothers exposed only to physical and/or sexual IPV were also more likely to report
their infant having drank from a bottle with a nipple (aOR = 1.46, 95%CI = 1.1 - 2.0).
Both exposure groups had lower adjusted odds of reporting exclusively breastfeeding
their infants (aOR = 0.70, 95%CI = 0.6 - 0.9 for any IPV; aOR = 0.68, 95%CI = 0.5 - 0.8 for
physical and/or sexual IPV only).
Conclusion: Results of the study support the hypothesis that maternal exposure to IPV
elicits a deficit response to breastfeeding. Improvements can be made to maternal and
child health through IPV prevention and the promotion of proper child feeding
practices.

Table of Contents



TABLE OF CONTENTS

CHAPTER 1: INTRODUCTION ................................................................................................. 1
CHAPTER 2: COMPREHENSIVE REVIEW OF THE LITERATURE ........................................................ 3
Defining intimate partner violence (IPV) ................................................................................. 3
Recommended feeding practices .......................................................................................... 4
IPV and consequences on young children ............................................................................... 8
IPV and feeding practices .................................................................................................... 9
IPV and birth outcomes ...................................................................................................... 12
IPV and poor maternal health .............................................................................................. 13
IPV and confounding factors ................................................................................................ 14
CHAPTER 3: MANUSCRIPT ................................................................................................... 17
Contribution of Student ...................................................................................................... 18
Summary ......................................................................................................................... 19
Introduction ..................................................................................................................... 20
Methods .......................................................................................................................... 22
Study setting ................................................................................................................... 22
Data and sample .............................................................................................................. 25
Outcome measures .......................................................................................................... 27
Exposure variables ............................................................................................................ 27
Covariates ...................................................................................................................... 27
Analyses ......................................................................................................................... 28
Results ........................................................................................................................... 29
Descriptive analyses .......................................................................................................... 29
Logistic regression results .................................................................................................. 30
Summary ........................................................................................................................ 31
Conclusions ...................................................................................................................... 32
References ....................................................................................................................... 36
Tables and Figures ............................................................................................................. 46
CHAPTER 4: CONCLUSION AND RECOMMENDATIONS ................................................................. 49
Introduction ..................................................................................................................... 49
Discussion ....................................................................................................................... 49
Strengths and limitations .................................................................................................... 51
Conclusion and recommendations ......................................................................................... 52
REFERENCES ..................................................................................................................... 54


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