A decade of change in breastfeeding in China's far north-west

Xu, Fenglian; Liu, Xiaoxian; Binns, Colin; Xiao, Cuiqin; Wu, Jing; Lee, Andy H.

doi:10.1186/1746-4358-1-22

Cited by 18 publications

(4 citation statements)

References 7 publications

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“…In Akesu, a medium-sized city from Xinjiang, 96% babies were exclusively breastfed before discharged from hospital for birth, but only 0.5% babies were still exclusively breastfed at six months after birth [21]. The low "exclusive breastfeeding" rate in Akesu was consistent with a report (based on a study in [2003][2004] from Shihezi, Xinjiang [31]. The average "exclusive breastfeeding" duration in Xinjiang was 1.8 months [32].…”

Section: Breastfeeding Rates In China From Cohort Studiessupporting

confidence: 79%

Breastfeeding in China: A Review of Changes in the Past Decade

Tian

et al. 2020

IJERPH

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This review summarizes breastfeeding rates in China reported during the decade 2007–2018, a decade on from our previous review published in 2007. Compared with the studies undertaken before 2007 in China, recent studies are more likely to report breastfeeding rates using longer periods of observation, enabling rates to be summarized to six and 12 months postpartum in this review. There appears to have been a modest increase in breastfeeding in China. The mean duration of “any breastfeeding” was 10 months (9 to 11 months in the majority of cities), an increase compared with the previous review in which the mean of “any breastfeeding” duration was 8 months (7 to 9 months in the majority of cities). Using data from cohort studies, the proportion of infants being breastfed at 4 months increased from 78% in the earlier decade to 83% more recently. A second baby is usually breastfed for longer than the first, considering both “any” and “exclusive breastfeeding”. China is a huge country and there is considerable diversity in culture, level of economic development, education and breastfeeding rates in different areas of China, but our review suggests that there has been some improvement in the “any breastfeeding” rate in the most recent decade.

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Section: Breastfeeding Rates In China From Cohort Studiessupporting

confidence: 79%

Breastfeeding in China: A Review of Changes in the Past Decade

Tian

et al. 2020

IJERPH

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“…Mothers who gave birth to a healthy singleton infant were invited to participate before discharge. These two studies used the same methodology based on same questionnaires, which had been used in Australia and China [29,30,31] previously, to interview all consented women face-to-face at discharge, and followed up the participants at one, three and six months postpartum by telephone interviews. The baseline interview collected detailed information on mothers and newborns, including socio-demographic, obstetric characteristics and dietary supplements during pregnancy.…”

Section: Methodsmentioning

confidence: 99%

Increased Calcium Supplementation Postpartum Is Associated with Breastfeeding among Chinese Mothers: Finding from Two Prospective Cohort Studies

Zhao

Binns

et al. 2016

Nutrients

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The calcium supplementation status during the postpartum period among Chinese lactating women is still unclear. The objective of this study is to utilize data from two population-based prospective cohort studies to examine the calcium supplementation status and to identify whether breastfeeding is associated with increased calcium supplementation among Chinese mothers after child birth. Information from 1540 mothers on breastfeeding and calcium supplementation measured at discharge, 1, 3, and 6 months postpartum were extracted to evaluate the association between breastfeeding and calcium supplementation postpartum. A generalized linear mixed model was applied to each study initially to account for the inherent correlation among repeated measurements, adjusting for socio-demographic, obstetric factors and calcium supplementation during pregnancy. In addition, breastfeeding status measured at different follow-up time points was treated as a time dependent variable in the longitudinal analysis. Furthermore, the effect sizes of the two cohort studies were pooled using fixed effect model. Based on the two cohort studies, the pooled likelihood of taking calcium supplementation postpartum among breastfeeding mothers was 4.02 times (95% confidence interval (2.30, 7.03)) higher than that of their non-breastfeeding counterparts. Dietary supplementation intervention programs targeting different subgroups should be promoted in Chinese women, given currently a wide shortage of dietary calcium intake and calcium supplementation postpartum.

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“…In addition mothers were asked to complete an initial and a follow-up questionnaire. The questionnaires used in the study were a shortened version of the initial and follow up questionnaires from the Xinjiang and Zhejiang Infant Feeding Studies [ 20 , 21 ]. Both questionnaires have been extensively used in previous studies.…”

Section: Methodsmentioning

confidence: 99%

Breastfeeding Rates and Growth Charts—the Zhejiang Infant Feeding Trial

Zhu

Zhang

Qiu

et al. 2015

IJERPH

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A randomised control trial was undertaken in Hangzhou, China, to study the influence of the growth chart used on breastfeeding rates. Mothers with infants who were being fully breastfed at 6 weeks after birth (n = 1602) were invited to participate in the trial; 1415 agreed to participate and 1295 completed the study. Two growth charts were used, one that was heavier for the first six months of life (Chart A, n = 686) and a lighter growth chart (Chart B, n = 609). Mothers were interviewed and infants measured at 6 weeks and 3, 4, 5 and 6 months after delivery. At 6 months the full breastfeeding rates were 18.1% in the group using the heavier growth chart compared to 22.8% in the lighter growth chart group. After adjusting for potential confounders this difference remained significant (aOR 1.41, 95% confidence intervals 1.02, 1.93). These results suggest that breastfeeding rates may be influenced by the type of growth chart used. Mothers who perceive that their infants are not growing adequately (i.e., using the heavier charts) may introduce other foods to their infants earlier than mothers using the lighter chart. While a larger trial is required to confirm the results, in the interim it is suggested that if heavier growth charts are used, a lower percentile line could be used to assess adequacy of growth.

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A decade of change in breastfeeding in China's far north-west

Cited by 18 publications

References 7 publications

Breastfeeding in China: A Review of Changes in the Past Decade

Breastfeeding in China: A Review of Changes in the Past Decade

Increased Calcium Supplementation Postpartum Is Associated with Breastfeeding among Chinese Mothers: Finding from Two Prospective Cohort Studies

Breastfeeding Rates and Growth Charts—the Zhejiang Infant Feeding Trial

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