Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People's Democratic Republic

Wallenborn, Jordyn T. and Valera, Camille B. and Kounnavong, Sengchanh and Sayasone, Somphou and Odermatt, Peter and Fink, Günther. (2021) Urban-Rural Gaps in Breastfeeding Practices: Evidence From Lao People's Democratic Republic. International journal of public health, 66. p. 1604062.

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Objectives: Breastfeeding rates are decreasing rapidly in many low and middle-income countries, disproportionately affecting urban residences. We use data from Lao People's Democratic Republic to identify primary mechanisms underlying the urban-rural gap in breastfeeding practices. Methods: We used data from the 2017 Lao Social Indicator Survey II. Residence was categorized as large-urban (>1 million), small-urban (<1 Million), and rural. Multivariable logistic regression provided odds ratios and 95% confidence intervals (CI) to identify factors attributing to the urban-rural differences in complying with World Health Organization's breastfeeding recommendations for children <24 months. Results: Mothers in large-urban residences had 3.78 (95% confidence intervals: 1.19, 11.95) and 4.67 (95% CI: 2.30, 9.46) higher odds of non-compliance with exclusive and complementary breastfeeding recommendations, respectively, than mothers living in rural areas in bivariate models. Breastfeeding differentials between small urban and rural residences were largely explained by differences in maternal education and household wealth. Conclusion: Results of our paper suggest large disparities in breastfeeding practices between large-urban, small-urban, and rural residences.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health
UniBasel Contributors:Wallenborn, Jordyn and Odermatt, Peter and Fink, Günther
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Frontiers Media
Note:Publication type according to Uni Basel Research Database: Journal article
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edoc DOI:
Last Modified:21 Sep 2021 09:15
Deposited On:21 Sep 2021 09:15

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