Factors Associated with Breastfeeding Duration in Tunisia: A Cross-Sectional Analysis Highlighting the Role of Early Initiation.

▪ Breastfeeding continuation An analysis of breastfeeding duration in relation to the timing of breastfeeding initiation reveals a clear trend: the earlier the initiation, the higher the likelihood of sustained breastfeeding, particularly at 6 and 12 months ( Figure 2 ).

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Though the effect diminished over time, it remained substantial at later time points, highlighting the critical importance of prenatal intention formation for early breastfeeding success. Several factors demonstrated borderline significance that may warrant clinical attention: ▪ Low socioeconomic status showed a trend toward reducing breastfeeding odds by approximately 50% at 12 months, ▪ Knowledge of breastfeeding benefits approached significance with a 62% increase in odds at 12 months. ▪ Skin-to-skin contact demonstrated a borderline protective effect at 3 months, and feeding delay showed a trend toward reducing breastfeeding success at 6 months.

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