Measurement and decomposition of education-related inequality in exclusive breastfeeding practice among Ethiopian mothers: applying Wagstaff decomposition analysis
2024

Education and Breastfeeding Inequality in Ethiopia

Sample size: 1504 publication Evidence: moderate

Author Information

Author(s): Dessie Anteneh Mengist, Zemene Melkamu Aderajew, Gebeyehu Asaye Alamneh, Anley Denekew Tenaw, Anteneh Rahel Mulatie, Moges Natnael, Chanie Ermias Sisay, Tsega Sintayehu Simie, Belete Melaku Ashagrie, Alemayehu Ermiyas, Kebede Natnael

Primary Institution: Debre Tabor University

Hypothesis

This study aims to quantify and decompose the education-related inequality in exclusive breastfeeding practice among Ethiopian mothers.

Conclusion

The study identified a small yet significant education-related inequality in exclusive breastfeeding, favoring less educated women.

Supporting Evidence

  • The overall prevalence of exclusive breastfeeding among Ethiopian women was 57.29%.
  • Education-related inequality in exclusive breastfeeding was quantified with a concentration index of -0.058.
  • Factors contributing to the inequality included residence, region, place of birth, and pregnancy wantedness status.

Takeaway

In Ethiopia, less educated women are more likely to exclusively breastfeed their babies, which is the opposite of what you might expect.

Methodology

The study used a longitudinal panel survey dataset and Wagstaff decomposition analysis to assess education-related inequality in exclusive breastfeeding practice.

Potential Biases

Potential social desirability bias in self-reported breastfeeding practices.

Limitations

The reliance on self-reported data may introduce recall bias, and the cross-sectional design limits causal inference.

Participant Demographics

The median age of participants was 26 years, with a majority being married and from rural areas.

Statistical Information

P-Value

0.039

Confidence Interval

95% CI: 54.79, 59.80%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1407210

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