title: Exclusive Breastfeeding and Clinical Malaria Risk in 6-Month-Old Infants: A Cross-Sectional Study from Kinshasa, Democratic Republic of the Congo.
abstract: The World Health Organization recommends exclusive breastfeeding (EBF) for the first 6 months of life. However, the effect of EBF on malaria risk remains unclear. In the present study, 137 EBF infants and 358 non-EBF infants from the Democratic Republic of the Congo were assessed for fever and malaria infections by polymerase chain reaction, at 6 months of age. EBF was associated with a reduced risk of clinical malaria (odds ratio = 0.13; 95% confidence interval = 0.00-0.80), suggesting a protective effect of EBF against malaria.
authors.affiliation: Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina. nbrazeau@med.unc.edu.
authors.forename: Nicholas F
authors.initials: NF
authors.lastname: Brazeau
authors.affiliation: School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Martine
authors.initials: M
authors.lastname: Tabala
authors.affiliation: School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Landry
authors.initials: L
authors.lastname: Kiketa
authors.affiliation: School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Dyna
authors.initials: D
authors.lastname: Kayembe
authors.affiliation: School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Jean Lambert
authors.initials: JL
authors.lastname: Chalachala
authors.affiliation: School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Bienvenu
authors.initials: B
authors.lastname: Kawende
authors.affiliation: Department of Anthropology, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
authors.forename: Bruno
authors.initials: B
authors.lastname: Lapika
authors.affiliation: Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Steven R
authors.initials: SR
authors.lastname: Meshnick
authors.affiliation: College of Public Health, Ohio State University, Columbus, Ohio.
authors.forename: Marcel
authors.initials: M
authors.lastname: Yotebieng
mesh_terms: D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use; D001942:Breast Feeding; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D005260:Female; D005334:Fever; D006801:Humans; D007223:Infant; D008288:Malaria / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D008297:Male; D057147:Mosquito Nets; D018512:Parasitemia; D010961:Plasmodium / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D012306:Risk; D014944:World Health Organization; D055815:Young Adult
chemical_list: D000962:Antimalarials