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dc.contributor.authorBirungi, Nancyen_US
dc.contributor.authorFadnes, Lars Thoreen_US
dc.contributor.authorOkullo, Isaacen_US
dc.contributor.authorKasangaki, Arabaten_US
dc.contributor.authorNankabirwa, Victoriaen_US
dc.contributor.authorNdeezi, Graceen_US
dc.contributor.authorTumwine, James Ken_US
dc.contributor.authorTylleskär, Thorkilden_US
dc.contributor.authorLie, Stein Atleen_US
dc.contributor.authorÅstrøm, Anne Nordrehaugen_US
dc.PublishedPLoS ONE 2015, 10(5):e0125352eng
dc.description.abstractBackground: Although 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 ( 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.relation.ispartof<a href="" target="_blank">Early life course factors, early childhood caries and oral health related quality of life among five-year-olds – a prospective and intergenerational study from eastern Uganda</a>
dc.rightsAttribution CC BYeng
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.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2015 The Authors

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