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    Maryam, AL Mujtaba Nadia, Sam Agudu and Rosemary, Khatri 2016. Barriers to the practice of exclusive breastfeeding among HIV-positive mothers in sub-Saharan Africa: A Scoping Review of counselling, socioeconomic and cultural factors. Journal of AIDS and HIV Research, Vol. 8, Issue. 6, p. 70.


    Zash, Rebecca M. Shapiro, Roger L. Leidner, Jean Wester, Carolyn McAdam, Alexander J. Hodinka, Richard L. Thior, Ibou Moffat, Claire Makhema, Joseph McIntosh, Kenneth Essex, Max and Lockman, Shahin 2016. The aetiology of diarrhoea, pneumonia and respiratory colonization of HIV-exposed infants randomized to breast- or formula-feeding. Paediatrics and International Child Health, p. 1.


    Sharma, Dolly Hanson, Lars Å. Korotkova, Marina Telemo, Esbjörn and Ogra, Pearay 2015. Mucosal Immunology.


    Ásbjörnsdóttir, Kristjana H. Slyker, Jennifer A. Weiss, Noel S. Mbori-Ngacha, Dorothy Maleche-Obimbo, Elizabeth Wamalwa, Dalton and John-Stewart, Grace 2013. Breastfeeding is associated with decreased pneumonia incidence among HIV-exposed, uninfected Kenyan infants. AIDS, Vol. 27, Issue. 17, p. 2809.


    Schlaudecker, Elizabeth P. Steinhoff, Mark C. and Moore, Sean R. 2011. Interactions of diarrhea, pneumonia, and malnutrition in childhood. Current Opinion in Infectious Diseases, Vol. 24, Issue. 5, p. 496.


    Yngve, Agneta Haapala, Irja Hodge, Allison McNeill, Geraldine and Tseng, Marilyn 2011. Children in public health nutrition. Public Health Nutrition, Vol. 14, Issue. 07, p. 1131.


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Relationship of exclusive breast-feeding to infections and growth of Tanzanian children born to HIV-infected women

  • Ramadhani S Mwiru (a1), Donna Spiegelman (a2) (a3), Christopher Duggan (a1) (a4), Karen Peterson (a1) (a5) (a6), Enju Liu (a1), Gernard Msamanga (a7), Said Aboud (a8) and Wafaie W Fawzi (a1) (a2) (a9)
  • DOI: http://dx.doi.org/10.1017/S136898001000306X
  • Published online: 16 February 2011
Abstract
AbstractObjective

We examined the relationships between exclusive breast-feeding and the risks of respiratory, diarrhoea and nutritional morbidities during the first 2 years of life among children born to women infected with HIV-1.

Design

We prospectively determined the incidence of respiratory illnesses, diarrhoea, fever, hospitalizations, outpatient visits and nutritional morbidities. Generalized estimating equations were used to estimate the relative risks for morbidity episodes and Cox proportional hazards models to estimate the incidence rate ratios of nutritional morbidities.

Setting

Dar es Salaam, Tanzania.

Subjects

The sample consisted of 666 children born to HIV-infected women.

Results

The 666 children were followed for 2 years. Exclusive breast-feeding was associated with lower risk for cough (rate ratio (RR) = 0·49, 95 % CI 0·41, 0·60, P < 0·0001), cough and fever (RR = 0·44, 95 % CI 0·32, 0·60, P < 0·0001) and cough and difficulty breathing or refusal to feed (RR = 0·31, 95 % CI 0·18, 0·55, P < 0·0001). Exclusive breast-feeding was also associated with lower risk of acute diarrhoea, watery diarrhoea, dysentery, fever and outpatient visits during the first 6 months of life, but showed no effect at 6–24 months of life. Exclusive breast-feeding did not significantly reduce the risks of nutritional morbidities during the first 2 years of life.

Conclusions

Exclusive breast-feeding is strongly associated with reductions in the risk of respiratory and diarrhoea morbidities during the first 6 months of life among children born to HIV-infected women.

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*Corresponding author: Email rmwiru@hsph.harvard.edu
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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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