Social Determinant of Health on Exclusive Breastfeeding Practice in South Sumatra, Indonesia.

Introduction: Breastfeeding rates in Indonesia remain low, lagging behind global standards. Many factors affect this condition before and after birth. They include social, demographic, biological, and psychological factors. Many studies have shown that breastfeeding is very healthy for the baby and mother, but it's not as expected. Modern development causes shifts that are social, cultural, and economic. They erode support for breastfeeding mothers. This research aims to analyze the association between social determinants of health and exclusive breastfeeding in Palembang city, South Sumatra, Indonesia. These factors include jobs, education, parity, family, ethnicity, knowledge, attitudes, and sources of information. Materials and methods: This research used a cross-sectional approach. It studied eight tribes: Ogan, Bugis, Arab, Chinese, Javanese, Sundanese, Padang, and Batak. The sample for this research was 220 breastfeeding mothers . We collected samples using the cluster random sampling technique. Results: Around 70% of respondents provided exclusive breastfeeding. Multivariate analysis showed that mothers with some children ≤ 2 (aOR=2.050; CI 95%=1.019-4.126; p=0.044), partner support during delivery (aOR=2.280; CI 95%=1.019-4.126; p=0.013), and maternal in-law support (aOR=3.200; 95% CI= 1.725-5.936; p<0.001) have a significant association with exclusive breastfeeding. Conclusion: This research shows that, apart from parity, the relatively low level of exclusive breastfeeding is influenced by social determinants of health perspectives such as maternal and partner support. [ABSTRACT FROM AUTHOR]