Access to Workplace Supports is Positively Associated with Exclusive Breastfeeding among Formally Employed Mothers in Kenya.

Child Female Humans Pregnancy Infant Breast Feeding Kenya Cross-Sectional Studies Mothers Workplace
East Africa breastfeeding childcare lactation rooms maternal employment workplace breastfeeding supports

Journal

The Journal of nutrition
ISSN: 1541-6100
Titre abrégé: J Nutr
Pays: United States
ID NLM: 0404243

Informations de publication

Date de publication:
14 01 2023
Historique:
received: 23 03 2022
revised: 13 06 2022
accepted: 22 07 2022
pubmed: 31 8 2022
medline: 18 1 2023
entrez: 30 8 2022
Statut: ppublish

Résumé

Mothers in low-income settings who work in agricultural employment are challenged to meet breastfeeding (BF) recommendations. Recent legislation in Kenya mandates maternity leave and workplace supports, yet the relation of these benefits with BF practices is poorly understood. We evaluated the associations with workplace-provided BF supports and BF practices among formally employed mothers in Kenya. The availability of supports was hypothesized to be associated with a higher prevalence and greater odds of exclusive breastfeeding (EBF). We conducted repeated cross-sectional surveys among formally employed mothers at 1-4 d and 6, 14, and 36 wk (to estimate 24 wk) postpartum in Naivasha, Kenya. We used logistic regression adjusted for maternal age, education, physical burden of work, HIV status, and income to evaluate associations between workplace supports and EBF practices. Among formally employed mothers (n = 564), those who used onsite workplace childcare were more likely to practice EBF than those who used community- or home-based childcare at both 6 wk (95.7% compared with 82.4%, P = 0.030) and 14 wk (60.6% compared with 22.2%, P < 0.001; adjusted OR: 5.11; 95% CI: 2.3, 11.7). Likewise, at 14 wk among mothers who currently used daycare centers, a higher proportion of mothers who visited daycare centers at or near workplaces practiced EBF (70.0%) than of those not visiting daycare centers (34.7%, P = 0.005). EBF prevalence was higher among mothers with access to workplace private lactation spaces than among mothers without such spaces (84.6% compared with 55.6%, P = 0.037), and among mothers who lived in workplace housing than those without onsite housing (adjusted OR: 2.06, 95% CI: 1.25, 3.41). Formally employed mothers in Kenya who have access to and use workplace-provided BF supports were more likely to practice EBF than mothers who lacked these supports. As the Kenya Health Act is implemented, lactation rooms, onsite housing and daycare, and transportation to visit children can all support BF and EBF among employed mothers.

Sections du résumé

BACKGROUND
Mothers in low-income settings who work in agricultural employment are challenged to meet breastfeeding (BF) recommendations. Recent legislation in Kenya mandates maternity leave and workplace supports, yet the relation of these benefits with BF practices is poorly understood.
OBJECTIVES
We evaluated the associations with workplace-provided BF supports and BF practices among formally employed mothers in Kenya. The availability of supports was hypothesized to be associated with a higher prevalence and greater odds of exclusive breastfeeding (EBF).
METHODS
We conducted repeated cross-sectional surveys among formally employed mothers at 1-4 d and 6, 14, and 36 wk (to estimate 24 wk) postpartum in Naivasha, Kenya. We used logistic regression adjusted for maternal age, education, physical burden of work, HIV status, and income to evaluate associations between workplace supports and EBF practices.
RESULTS
Among formally employed mothers (n = 564), those who used onsite workplace childcare were more likely to practice EBF than those who used community- or home-based childcare at both 6 wk (95.7% compared with 82.4%, P = 0.030) and 14 wk (60.6% compared with 22.2%, P < 0.001; adjusted OR: 5.11; 95% CI: 2.3, 11.7). Likewise, at 14 wk among mothers who currently used daycare centers, a higher proportion of mothers who visited daycare centers at or near workplaces practiced EBF (70.0%) than of those not visiting daycare centers (34.7%, P = 0.005). EBF prevalence was higher among mothers with access to workplace private lactation spaces than among mothers without such spaces (84.6% compared with 55.6%, P = 0.037), and among mothers who lived in workplace housing than those without onsite housing (adjusted OR: 2.06, 95% CI: 1.25, 3.41).
CONCLUSIONS
Formally employed mothers in Kenya who have access to and use workplace-provided BF supports were more likely to practice EBF than mothers who lacked these supports. As the Kenya Health Act is implemented, lactation rooms, onsite housing and daycare, and transportation to visit children can all support BF and EBF among employed mothers.

Identifiants

DOI: 10.1093/jn/nxac160 PMID: 36040327 PMC: PMC9839982
pubmed: 36040327
pii: S0022-3166(23)08678-9
doi: 10.1093/jn/nxac160
pmc: PMC9839982
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2888-2897

Subventions

Organisme : NIH HHS
ID : K01TW010827
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.

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Auteurs

S B Ickes (SB)

Department of Biological and Health Sciences, Wheaton College, IL, USA.
Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA.
Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Medicine (Allergy and Infectious Disease), University of Washington, Seattle, WA, USA.
ORCID: 0000-0001-8140-5429

J N Adams (JN)

Department of Biological and Health Sciences, Wheaton College, IL, USA.

H K Sanders (HK)

Department of Biological and Health Sciences, Wheaton College, IL, USA.

J Kinyua (J)

Department of Medicine (Allergy and Infectious Disease), University of Washington, Seattle, WA, USA.

H S Lemein (HS)

Department of Medicine (Allergy and Infectious Disease), University of Washington, Seattle, WA, USA.

D M Denno (DM)

Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA.
Department of Global Health, University of Washington, Seattle, WA, USA.
Deparment of Pediatrics, University of Washington, Seattle, WA, USA.
Childhood Acute Illnesses Network (CHAIN), Nairobi, Kenya.

J A Myhre (JA)

Naivasha Sub-County Referral Hospital, Naivasha, Kenya.
Serge, East Africa, Bundibugyo, Uganda.

A Ithondeka (A)

Naivasha Sub-County Referral Hospital, Naivasha, Kenya.

C Farquhar (C)

Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Medicine (Allergy and Infectious Disease), University of Washington, Seattle, WA, USA.

B Singa (B)

Kenya Medical Research Institute, Nairobi, Kenya.

J L Walson (JL)

Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Medicine (Allergy and Infectious Disease), University of Washington, Seattle, WA, USA.
Deparment of Pediatrics, University of Washington, Seattle, WA, USA.
Childhood Acute Illnesses Network (CHAIN), Nairobi, Kenya.
Department of Epidemiology, University of Washington, Seattle, WA, USA.

R Nduati (R)

Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Access to Workplace Supports is Positively...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Access to Workplace Supports is Positively...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Access to Workplace Supports is Positively...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Access to Workplace Supports is Positively...
questionsmedicales.fr › Phénomènes physiologiques › Alimentation et nutrition › Phénomènes physiologiques nutritionnels › Comportement alimentaire › Allaitement naturel › Access to Workplace Supports is Positively...
questionsmedicales.fr › Régions géographiques › Afrique › Afrique subsaharienne › Afrique de l'Est › Kenya › Access to Workplace Supports is Positively...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Access to Workplace Supports is Positively...
questionsmedicales.fr › Personnes › Parents › Mères › Access to Workplace Supports is Positively...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Lieu de travail › Access to Workplace Supports is Positively...