Is breastfeeding duration related to the health of migrant mother-child dyads experiencing homelessness? The ENFAMS cross-sectional survey.
Journal
European journal of public health
ISSN: 1464-360X
Titre abrégé: Eur J Public Health
Pays: England
ID NLM: 9204966
Informations de publication
Date de publication:
10 Oct 2023
10 Oct 2023
Historique:
pubmed:
20
6
2023
medline:
20
6
2023
entrez:
20
6
2023
Statut:
ppublish
Résumé
Literature from the general population shows a consensus about the health benefits associated with breastfeeding for both mothers and children. However, studies investigating these issues in the context of homelessness and migration are rare. This research aimed to examine the relations of any breastfeeding duration with health outcomes among migrant mother-child dyads experiencing homelessness. Data were collected among sheltered and mainly foreign-born mothers experiencing homelessness, and their children aged 6 months to 5 years, from the ENFAMS cross-sectional survey (n = 481, 2013-Great Paris area). Any breastfeeding duration, along with various health outcomes of both the mother and her child, was ascertained by face-to-face questionnaires administered by trained interviewers to mothers (perceived physical and emotional health and maternal depression) or by trained psychologists to children (adaptive behaviours). Nurses measured weight and height [thus allowing them to calculate body mass index (BMI)] and haemoglobin concentration (mother-child dyad) and maternal blood pressure. Multivariable linear and modified Poisson regression analyses were performed to examine outcome-wide associations between any breastfeeding duration ≥6 months and the various mother-child outcomes. Any breastfeeding ≥6 months was associated with lower systolic blood pressure in mothers (B = -0.40, 95% confidence interval = -0.68 to -0.12). No association was observed with the other outcomes. The relevance of supporting breastfeeding to improve mothers' physical health holds true in the context of migration and homelessness. It is therefore important to support breastfeeding in these settings. Moreover, given the documented social complexity of breastfeeding practices, interventions should take mothers' socio-cultural heritage and the structural barriers they face into account.
Sections du résumé
BACKGROUND
BACKGROUND
Literature from the general population shows a consensus about the health benefits associated with breastfeeding for both mothers and children. However, studies investigating these issues in the context of homelessness and migration are rare. This research aimed to examine the relations of any breastfeeding duration with health outcomes among migrant mother-child dyads experiencing homelessness.
METHODS
METHODS
Data were collected among sheltered and mainly foreign-born mothers experiencing homelessness, and their children aged 6 months to 5 years, from the ENFAMS cross-sectional survey (n = 481, 2013-Great Paris area). Any breastfeeding duration, along with various health outcomes of both the mother and her child, was ascertained by face-to-face questionnaires administered by trained interviewers to mothers (perceived physical and emotional health and maternal depression) or by trained psychologists to children (adaptive behaviours). Nurses measured weight and height [thus allowing them to calculate body mass index (BMI)] and haemoglobin concentration (mother-child dyad) and maternal blood pressure. Multivariable linear and modified Poisson regression analyses were performed to examine outcome-wide associations between any breastfeeding duration ≥6 months and the various mother-child outcomes.
RESULTS
RESULTS
Any breastfeeding ≥6 months was associated with lower systolic blood pressure in mothers (B = -0.40, 95% confidence interval = -0.68 to -0.12). No association was observed with the other outcomes.
CONCLUSIONS
CONCLUSIONS
The relevance of supporting breastfeeding to improve mothers' physical health holds true in the context of migration and homelessness. It is therefore important to support breastfeeding in these settings. Moreover, given the documented social complexity of breastfeeding practices, interventions should take mothers' socio-cultural heritage and the structural barriers they face into account.
Identifiants
pubmed: 37339520
pii: 7204105
doi: 10.1093/eurpub/ckad096
pmc: PMC10567129
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
796-802Subventions
Organisme : French National Research Agency
ID : ANR-19-CE36-0006
Organisme : Paris-NUS
ID : ANR-18-IDEX-0001
Organisme : Agence Régionale de Santé d'Ile-de-France
Organisme : Caisse Nationale des Allocations Familiales
Organisme : Cancéropôle Ile-de-France
Organisme : Fondation de France
Organisme : Fondation Sanofi Espoir
Organisme : Institut de Recherche en Santé Publique
Organisme : nstitut de Veille Sanitaire
Organisme : Institut National de Prévention et d'Education pour la Santé
Organisme : Ministère de l'Intérieur
Organisme : Observatoire National de l'Enfance en Danger
Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.
Références
Obstet Gynecol. 2011 Aug;118(2 Pt 1):214-221
pubmed: 21734617
Matern Child Nutr. 2021 Jul;17(3):e13167
pubmed: 33780138
BMJ Open. 2021 May 31;11(5):e046583
pubmed: 34059512
Eur J Public Health. 2018 Aug 1;28(4):616-624
pubmed: 29161380
Am J Obstet Gynecol. 2013 Jun;208(6):454.e1-7
pubmed: 23395924
J Womens Health (Larchmt). 2022 Jun;31(6):787-807
pubmed: 35442804
Public Health Nutr. 2002 Dec;5(6A):859-64
pubmed: 12633509
Am J Public Health. 2018 Apr;108(4):503-510
pubmed: 29470117
Int J Methods Psychiatr Res. 2004;13(2):93-121
pubmed: 15297906
Acta Paediatr. 2015 Dec;104(467):96-113
pubmed: 26172878
J Autism Dev Disord. 2007 Apr;37(4):748-59
pubmed: 17146708
PLoS One. 2022 May 25;17(5):e0267326
pubmed: 35613097
Nutr Rev. 2005 Apr;63(4):103-10
pubmed: 15869124
Lancet Child Adolesc Health. 2021 Sep;5(9):619-630
pubmed: 34245677
Matern Child Nutr. 2020 Jul;16(3):e12970
pubmed: 32141195
Cad Saude Publica. 2009 Apr;25(4):715-26
pubmed: 19347197
Breastfeed Med. 2015 May;10(4):186-96
pubmed: 25831234
Int J Public Health. 2009;54(2):55-60
pubmed: 19183846
J Glob Health. 2022 Sep 03;12:04071
pubmed: 36057881
J Am Heart Assoc. 2022 Jan 18;11(2):e022746
pubmed: 35014854
Matern Child Nutr. 2019 Jul;15(3):e12809
pubmed: 30884175
Circulation. 2018 Oct 23;138(17):e484-e594
pubmed: 30354654
Breastfeed Med. 2019 Nov;14(9):616-629
pubmed: 31424264
Eur J Public Health. 2016 Feb;26(1):71-6
pubmed: 26511600
J Child Poverty. 2017;23(1):41-55
pubmed: 30294200
Acta Paediatr. 2023 Jan;112(1):34-41
pubmed: 35727183
Am J Epidemiol. 2004 Apr 1;159(7):702-6
pubmed: 15033648
Bull World Health Organ. 2007 Sep;85(9):660-7
pubmed: 18026621
Lancet. 2016 Jan 30;387(10017):475-90
pubmed: 26869575
BMC Med. 2021 Apr 13;19(1):90
pubmed: 33845843
Int Breastfeed J. 2021 Jul 12;16(1):52
pubmed: 34247633
Am J Hypertens. 2018 Apr 13;31(5):615-621
pubmed: 29390101
Hypertension. 2011 Aug;58(2):161-6
pubmed: 21730296
BMJ Open. 2013 Aug 23;3(8):e003259
pubmed: 23975102