Factors Associated with Breastfeeding Duration

Liu, Ping; Qiao, Lei; Xu, Fenglian; Zhang, Min; Wang, Yan; Binns, Colin

doi:10.1177/0890334413477240

Cited by 77 publications

(45 citation statements)

References 17 publications

(23 reference statements)

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“…Compared to previous studies in China, our study shows a high prevalence of exclusive breastfeeding in the first six months (44.9% vs. 2.6% [11], < 5% [9], 6.2 [23], 28.7% [10], and 35% [8]). The differences between this study and previous reports are likely due to many factors, such as inconsistent operational definitions for exclusive breastfeeding, geographic variations, national and local government efforts, and improved mothers’ awareness of the benefits of breastfeeding.…”

Section: Discussioncontrasting

confidence: 83%

“…Previous studies have shown a much lower prevalence of exclusive breastfeeding in infants—35% of infants under 4 months of age were exclusively breastfed in Jinan City, China (2000) [8]; less than 5% infants were exclusively breastfed in the first 6 months of life in Zhejiang province, China (2005) [9]; and 28.7% of infants younger than 6 months of age were exclusively breastfed in twelve central and western provinces (2009) [10]. China initiated the National Basic Public Health Service Program in 2009 to improve essential public health services (including promotion of breastfeeding) in both urban and rural areas [11,12,13]. Only three studies have updated the recent national or local data on the prevalence of breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China

Qin

Zhang

et al. 2017

IJERPH

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Background: With the development of economy and urbanization, methods of child-feeding have significantly changed in China over the past three decades. However, little is known about breastfeeding in China since 2009. This study aims to update information on the prevalence of breastfeeding in China. Methods: Data were obtained from the first Health Service Household Interview Survey of Hunan Province, China. Of 24,282 respondents, 1659 were aged five years or younger. We ran multivariable logistic regression to examine the impact of urban/rural setting, gender, age and household income per capita on the use of breastfeeding. Results: A total of 79.4% of children aged 5 years or younger had been breastfed at some point and 44.9% been breastfed exclusively in the first 6 months of life. After controlling for setting urban/rural setting, gender and child age, children from households with average family income were more likely to be breastfed than those from households with the lowest family income (adjusted odds ratio: 2.28). Children from households with higher and the highest family income were less likely to be exclusively breastfed in the first 6 months of life compared to those from households with the lowest family income (adjusted odds ratio: 0.51 and 0.68, respectively). Conclusions: It is encouraging that the prevalence of exclusive breastfeeding for infants in the first 6 months of life in Hunan Province, China is approaching the goal of 50% proposed by the World Health Organization (WHO). Nevertheless, more efforts are needed to further promote exclusive breastfeeding in the first 6 months after birth.

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Section: Discussioncontrasting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China

Qin

Zhang

et al. 2017

IJERPH

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“…On the other hand, in Malawi, another qualitative study found that grandmothers felt strongly about the inadequacy of breast milk and reported encouraging mothers to introduce complementary foods early in an infant’s life (Bezner Kerr, et al, 2008). In China, having a grandparent living in the same area as parents (and presumably responsible for caretaking) was associated with shorter duration of breastfeeding in a cohort study (Liu et al, 2013). …”

Section: Resultsmentioning

confidence: 99%

Grandparent involvement and children’s health outcomes: The current state of the literature.

Pulgarón¹,

Marchante²,

Agosto³

et al. 2016

Families, Systems, & Health

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Introduction Grandparents are often highly involved as secondary caregivers for their grandchildren and may influence children’s psychological and physical health outcomes. The purpose of the current review was to gather and synthesize research findings on the effects of grandparent involvement on children’s physical health outcomes. Methods PubMed, PsycInfo, and MedLine were searched by three independent reviewers for articles that reported on grandparent involvement and children’s health. Twenty-six articles were included for final review based on selection criteria. Results Relatively few studies have examined the effects of grandparent involvement on children’s health outcomes and therefore the degree of their influence remains unclear. Four categories of children’s health outcomes: disease/illness, weight, eating behaviors, and injury/safety emerged during this review. Results indicated that the majority of studies available reported a negative effect of grandparent involvement on child’s weight status. However, It is important to note that in most of these studies the effects of grandparent involvement were not a primary outcome and the amount of time grandparents spent with their grandchildren was not accounted for. Many studies in this review were qualitative studies, limiting the types of analyses that could be conducted. Additionally, few longitudinal studies have been conducted in this area. Discussion Based on this review, it is clear that grandparents are involved in caretaking for children across many cultures but in order to understand their role in children’s health outcomes, more systematic and longitudinal research needs to be conducted.

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“…[1][2][3][4] Extensive evidence exists to recommend exclusive breastfeeding to 6 months of age, 5 however few mothers reach this goal. 7 Despite positive breastfeeding initiation rates in Australia and other developed countries, many women discontinue breastfeeding in the early postnatal period [8][9][10][11] and recent evidence suggests that only 15.4% of Australian infants are exclusively breastfed up to 6 months of age. 7 Despite positive breastfeeding initiation rates in Australia and other developed countries, many women discontinue breastfeeding in the early postnatal period [8][9][10][11] and recent evidence suggests that only 15.4% of Australian infants are exclusively breastfed up to 6 months of age.…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding beyond the big smoke: Who provides support for mothers in rural Western Australia?

Cox

Giglia

Binns

2017

Australian J Rural Health

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Antenatal group education is effective in supporting breastfeeding duration for rural women and should be a key priority for rural health service providers. Health professionals are common sources of breastfeeding support postnatally, however creating and maintaining positive and supportive social networks for mothers might also contribute to increasing the proportion of rural infants who meet the World Health Organization guidelines for exclusive breastfeeding.

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Factors Associated with Breastfeeding Duration

Cited by 77 publications

References 17 publications

Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China

Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China

Grandparent involvement and children’s health outcomes: The current state of the literature.

Breastfeeding beyond the big smoke: Who provides support for mothers in rural Western Australia?

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