Effect of Breastfeeding Promotion on Early Childhood Caries and Breastfeeding Duration among 5 Year Old Children in Eastern Uganda: A Cluster Randomized Trial

Simple item page
dc.contributor.authorBirungi, Nancy
dc.contributor.authorFadnes, Lars T.
dc.contributor.authorOkullo, Isaac
dc.contributor.authorKasangaki, Arabat
dc.contributor.authorNankabirwa, Victoria
dc.contributor.authorNdeezi, Grace
dc.contributor.authorTumwine, James K.
dc.contributor.authorTylleskär, Thorkild
dc.contributor.authorAtle Lie, Stein
dc.contributor.authorNordrehaug Åstrøm, Anne
dc.date.accessioned2022-12-29T09:59:28Z
dc.date.available2022-12-29T09:59:28Z
dc.date.issued2015
dc.description.abstractAlthough several studies have shown short term health benefits of exclusive breastfeeding (EBF), its long term consequences have not been studied extensively in low-income contexts. This study assessed the impact of an EBF promotion initiative for 6 months on early childhood caries (ECC) and breastfeeding duration in children aged 5 years in Mbale, Eastern Uganda. Methods Participants were recruited from the Ugandan site of the PROMISE- EBF cluster randomised trial (ClinicalTrials.gov no: NCT00397150). A total of 765 pregnant women from 24 clusters were included in the ratio 1:1 to receive peer counselled promotion of EBF as the intervention or standard of care. At the 5 year follow-up, ECC was recorded under field conditions using the World Health Organization’s decayed missing filled tooth (dmft) index. Adjusted negative binomial and linear regression were used in the analysis. Results Mean breastfeeding duration in the intervention and control groups (n=417) were 21.8 (CI 20.7–22.9) and 21.3(CI 20.7–21.9) months, respectively. The mean dmft was 1.5 (standard deviation [SD] 2.9) and 1.7 (SD 2.9) in the intervention and control groups, respectively. Corresponding prevalence estimates of ECC were 38% and 41%. Negative binomial regression analysis adjusted for cluster effects and loss-to-follow-up by inverse probability weights (IPW) showed an incidence-rate ratio (IRR) of 0.91 (95% CI 0.65–1.2). Comparing the effect of the trial arm on breastfeeding duration showed a difference in months of 0.48 (-0.72 to 1.7). Conclusion PROMISE EBF trial did not impact on early childhood caries or breastfeeding duration at 5 years of age. This study contributes to the body of evidence that promotion of exclusive breastfeeding does not raise oral health concerns. However, the high burden of caries calls for efforts to improve the oral health condition in this setting.en_US
dc.identifier.citationBirungi N, Fadnes LT, Okullo I, Kasangaki A, Nankabirwa V, Ndeezi G, et al. (2015) Effect of Breastfeeding Promotion on Early Childhood Caries and Breastfeeding Duration among 5 Year Old Children in Eastern Uganda: A Cluster Randomized Trial. PLoS ONE 10(5): e0125352. doi:10.1371/ journal.pone.0125352en_US
dc.identifier.other10.1371/ journal.pone.0125352
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6719
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.subjectBreastfeeding Promotionen_US
dc.subjectChildhooden_US
dc.subjectBreastfeeding Durationen_US
dc.subjectChildrenen_US
dc.titleEffect of Breastfeeding Promotion on Early Childhood Caries and Breastfeeding Duration among 5 Year Old Children in Eastern Uganda: A Cluster Randomized Trialen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Effect of Breastfeeding Promotion on Early.pdf
Size:
795.55 KB
Format:
Adobe Portable Document Format
Description:
Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences