Prevalence and predictors of exclusive breastfeeding among immigrant and Canadian-born Chinese women.
breast feeding
emigrants and immigrants
postpartum period
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
11
04
2018
revised:
26
06
2018
accepted:
23
08
2018
pubmed:
9
9
2018
medline:
7
1
2020
entrez:
9
9
2018
Statut:
ppublish
Résumé
Breastfeeding is the optimal method for infant feeding, yet migrant women may be at risk for suboptimal exclusivity rates. In a cohort of immigrant and Canadian-born Chinese women, our objectives were to (a) describe patterns and prevalence of exclusive breastfeeding at 1, 3, and 6 months postpartum; (b) identify risk and protective factors associated with exclusivity; and (c) examine potentially differential importance of these factors across this 6-month period. This was a prospective study of 565 immigrants and Canadian-born Chinese women (Toronto, Canada). Exclusive breastfeeding was measured at 1, 3, and 6 months postpartum. Predictors comprised fixed (demographics, history of depression, immigrant status, prenatal breastfeeding classes, in-hospital formula supplementation, baseline social support, and baseline acculturative stress) and time-dependent (depression, anxiety, fatigue, and breastfeeding problems) variables. Descriptive statistics, logistic regression, and generalized linear mixed models, respectively, were undertaken to address the objectives. Patterns of breastfeeding practices included exclusive breastfeeding in all time points (26.8%) or none (32.9%) and moving from exclusive to nonexclusive (20.3%) or nonexclusive to exclusive breastfeeding (15.2%). Women less likely to breastfeed exclusively at 1, 3, or 6 months were those whose infants received in-hospital formula supplementation. Exclusivity attrition was higher between 3 and 6 months than 1-3 months. Immigrant status and in-hospital formula supplementation had a significant impact on exclusivity earlier in the postpartum period while breastfeeding problems were associated with decreased exclusivity across time. Proactive preventive efforts are need to maintain breastfeeding exclusivity especially between 3 and 6 months if women are to meet international breastfeeding recommendations.
Identifiants
pubmed: 30194811
doi: 10.1111/mcn.12687
pmc: PMC7198958
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12687Subventions
Organisme : CIHR
Pays : Canada
Informations de copyright
© 2018 John Wiley & Sons Ltd.
Références
J Hum Lact. 2001 Aug;17(3):211-9
pubmed: 11847986
J Matern Fetal Neonatal Med. 2010 Jul;23(7):627-32
pubmed: 20540656
Curr Opin Pediatr. 2016 Aug;28(4):559-66
pubmed: 27386975
Health Place. 2006 Dec;12(4):516-26
pubmed: 16157504
Pediatrics. 2007 Feb;119 Suppl 1:S38-46
pubmed: 17272583
J Biosoc Sci. 2008 Sep;40(5):673-96
pubmed: 18045509
J Am Diet Assoc. 1994 Mar;94(3):282-6
pubmed: 8120292
Women Birth. 2010 Dec;23(4):135-45
pubmed: 20299299
Matern Child Nutr. 2019 Apr;15(2):e12687
pubmed: 30194811
Asia Pac J Public Health. 2016 Jan;28(1):7-14
pubmed: 26792873
J Hum Lact. 2012 May;28(2):167-73
pubmed: 22526345
Matern Child Health J. 2014 Jul;18(5):1224-32
pubmed: 24057991
Can J Psychiatry. 2018 Jan;63(1):44-53
pubmed: 28748744
J Abnorm Psychol. 1984 Nov;93(4):378-90
pubmed: 6512084
Pediatrics. 2012 Mar;129(3):e827-41
pubmed: 22371471
Matern Child Health J. 2014 Dec;18(10):2479-88
pubmed: 24748214
J Obstet Gynecol Neonatal Nurs. 2009 May-Jun;38(3):259-68
pubmed: 19538614
J Hum Lact. 2011 Feb;27(1):41-8
pubmed: 20858846
Matern Child Health J. 2017 Feb;21(2):234-241
pubmed: 27443655
Stud Fam Plann. 1990 Jul-Aug;21(4):226-30
pubmed: 2219227
Can J Public Health. 2009 Sep-Oct;100(5):376-80
pubmed: 19994742
Acta Paediatr. 1994 Jun;83(6):565-71
pubmed: 7919750
J Immigr Minor Health. 2015 Apr;17(2):319-24
pubmed: 25007888
Am J Clin Nutr. 2003 Aug;78(2):291-5
pubmed: 12885711
Indian J Pediatr. 1991 May-Jun;58(3):349-56
pubmed: 1937647
Public Health Nutr. 2010 Dec;13(12):2087-96
pubmed: 20707948
Scand J Caring Sci. 2018 Jun;32(2):451-465
pubmed: 28569436
Eur J Public Health. 2015 Aug;25(4):626-31
pubmed: 25422364
Int Breastfeed J. 2009 Jun 16;4:6
pubmed: 19531253
Soc Sci Q. 2009 Dec 1;90(5):1251-1271
pubmed: 20160902
Lancet Glob Health. 2015 Apr;3(4):e199-205
pubmed: 25794674
Acta Paediatr. 1994 Nov;83(11):1122-6
pubmed: 7841722
J Hum Lact. 2014 Nov;30(4):480-7
pubmed: 24938527
Cochrane Database Syst Rev. 2002;(1):CD003517
pubmed: 11869667
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
J Obstet Gynecol Neonatal Nurs. 2002 Jan-Feb;31(1):12-32
pubmed: 11843016
J Hum Lact. 2015 Feb;31(1):129-37; quiz 189-90
pubmed: 25158829
J Hum Lact. 2006 Nov;22(4):398-408
pubmed: 17062785
Psychol Assess. 2008 Jun;20(2):150-8
pubmed: 18557692
Cent Eur J Public Health. 2015 Mar;23(1):39-44
pubmed: 26036097
Br J Psychiatry. 1998 May;172:433-7
pubmed: 9747407
Am J Public Health. 2003 Feb;93(2):232-8
pubmed: 12554575
Appetite. 2016 Oct 1;105:375-84
pubmed: 27298085
Pediatrics. 2005 Sep;116(3):628-34
pubmed: 16140702