No widening socioeconomic gap within a general decline in Swedish breastfeeding

Magnusson, Maria; Lagerberg, Dagmar; Wallby, Thomas

doi:10.1111/cch.12327

Cited by 13 publications

(14 citation statements)

References 25 publications

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“…An intervention study from Sweden revealed that professional breastfeeding support can affect the mothers`feelings for their infants and enjoyment of breastfeeding [29] which indicates the need of satisfactory professional support. e socioeconomic factors (age, education, perceived economy, and length of parental couple relationship) that are commonly reported to be associated with the duration of breastfeeding [48][49][50] were analysed within this study. Remarkably, in this study, none of the included socioeconomic factors were significantly correlated with neither the duration nor the enjoyment of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

“…In a Swedish study examining breastfeeding until six months of age in a sample of 51-415 children, born between 2004 and 2011, the researchers found that the socioeconomic gap between the mothers' duration of breastfeeding had been narrowed, though it still existed. In that study, they hypothesised that the narrowed gap could be explained by the fact that highly educated women, who once started the trend of longer breastfeeding in Sweden during the 1980s and 1990s, now might be the first to follow a new trend of breastfeeding for a shorter time [50]. While the present study has a much smaller sample and therefore might not find small correlations, the results still suggest that it is unlikely that socioeconomic factors can explain much of what affects the mothers' experience of and the duration of breastfeeding in Sweden.…”

Section: Discussionmentioning

confidence: 99%

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First-Time Mothers’ Enjoyment of Breastfeeding Correlates with Duration of Breastfeeding, Sense of Coherence, and Parental Couple and Child Relation: A Longitudinal Swedish Cohort Study

Granberg¹,

Ekström‐Bergström

Bäckström

2020

Nursing Research and Practice

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Objectives. Many women do not reach their own breastfeeding goals regarding duration of breastfeeding. Different factors influence breastfeeding, and to learn more about breastfeeding within a multidimensional and longitudinal perspective, further research is needed. Therefore, the aim of the present study was to investigate diverse factors correlated with first-time mothers’ enjoyment of breastfeeding and breastfeeding duration, between childbirth and two years after birth. Methods. In a prospective longitudinal cohort study, 324 newly become mothers were followed. The Spearman correlation test was used to investigate factors correlated with the degree to which mothers enjoy breastfeeding and the duration of breastfeeding. The Mann–Whitney test was conducted for comparisons of demographic characteristics between mothers who did or did not breastfeed. Results. Among the mothers, 99.2% initiated breastfeeding after birth. Frequencies of breastfeeding were 54.8% at six months, 9.1% at one year, and 1.0% at two years. The degree to which the mother enjoyed breastfeeding was correlated positively with (1) the duration of breastfeeding, (2) more positive feelings for and relation to the child, (3) the partner’s perceived relation to the child, (4) a higher sense of coherence, and (5) stronger perceived parental couple’s relationship. Longer breastfeeding duration was correlated positively with (1) a higher degree of enjoyment of breastfeeding, (2) more positive relation to the child, and (3) stronger perceived parental couple’s relationship. Additionally, breastfeeding during the first two hours after birth, more positive feelings for and relation to the child, and a higher degree of enjoyment of breastfeeding were more frequently reported among breastfeeding mothers, in comparison with not breastfeeding mothers. Conclusion. Mothers’ subjective experience from breastfeeding, sense of coherence, and couple relationship with partner and relationship with the child are valuable factors in regard to breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

First-Time Mothers’ Enjoyment of Breastfeeding Correlates with Duration of Breastfeeding, Sense of Coherence, and Parental Couple and Child Relation: A Longitudinal Swedish Cohort Study

Granberg¹,

Ekström‐Bergström

Bäckström

2020

Nursing Research and Practice

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“…In Sweden, breastfeeding rates were lower for mothers with disposable incomes in the first three quartiles than in the last quartile [17]. Nonetheless, even though the breastfeeding rates are influenced by socioeconomic status, the decline cannot be explained by the widening socioeconomic gap [18].…”

Section: Introductionmentioning

confidence: 91%

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

2020

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Background: Breastfeeding is associated with health benefits for both the mother and infant and is therefore important to support; moreover, parental leave is a beneficial factor for breastfeeding. The Swedish parental leave is generous, allowing each parent to take 90 days; additionally, a further 300 days can be taken by either parent. Generally, mothers take 70% of the parental leave days, mainly during the first year. However, breastfeeding duration has declined in the last decade, and it is not known how shared parental leave is associated with the duration of breastfeeding. Aim: To investigate how parental leave is associated with the duration of exclusive and partial breastfeeding of the infant during the first 12 months after birth. An additional aim was to describe infants' and parents' characteristics and mode of birth in association with the duration of exclusive and partial breastfeeding. Methods: This cross-sectional study was part of the Swedish Pregnancy Planning Study, conducted in Sweden in 2012-2015. The parents were recruited at 153 antenatal clinics in nine counties. In total, 813 couples completed a follow-up questionnaire 1 year after birth. Linear regression models were used to analyse the association between parental leave and the duration of breastfeeding. Results: Infants were exclusively breastfed for, on average, 2.5 months (range 0-12 months) and partially breastfed, on average, 7 months (range 0-12 months). Most of the parental leave was taken by the mother (mean = 10.9 months) during the infant's first 12 months, while the partner took 3 months, on average. The parental leave (used and planned) during the infant's first 24 months were, on average, 21 months. In the multivariate linear regression analysis, mothers' and partners' high level of education (p < 0.001, p = 0.044, respectively), mothers' higher age (p = 0.049), non-instrumental vaginal birth (p = 0.004) and longer parental leave for the first 24 months (p < 0.001) were associated with longer duration of partial breastfeeding. Conclusion: The duration of partial breastfeeding was associated with higher parental educational level, higher age, non-instrumental vaginal birth and longer parental leave.

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“…A recent Swedish study found that rates of breastfeeding declined among women of all SEP groups (measured using education, marital status, or disposable income) between 2004-2010, though the differences between groups did not increase. 270 This study did not find a significant association between level of disposable income and the odds of breastfeeding at one…”

Section: Conclusion 82mentioning

confidence: 57%

“…week, four months, or six months, although education was significantly inversely associated with breastfeeding at each time point. 270 These results suggest that other factors beyond financial stress may be driving social differences in breastfeeding; given that, even in Sweden -a country with a generous welfare state, that can minimise the financial stress experienced due to child-rearing -educational differences in breastfeeding remained.…”

Section: Conclusion 82mentioning

confidence: 92%

Social inequalities in body weight trajectory among young women: the role of reproductive events

Holowko¹

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Background and aims: In 2014-15, 63% of Australian adults (27% of children) were overweight or obese. Reproduction is often implicated in explaining weight gain among women, with pregnancy influencing the offspring's body weight in the short and long term. Among women in high-income countries, low socioeconomic position (SEP) is associated with increased weight in early to mid-adulthood, with SEP differences in weight reportedly increasing among younger female cohorts. This thesis reports on social differences in body weight among women while accounting for reproductive history.

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No widening socioeconomic gap within a general decline in Swedish breastfeeding

Abstract: No increase in socioeconomic gap was detected within the general decline in Swedish breastfeeding. However, there are reasons to maintain and strengthen the overall breastfeeding supportive measures including extended support for vulnerable groups.

Cited by 13 publications

References 25 publications

First-Time Mothers’ Enjoyment of Breastfeeding Correlates with Duration of Breastfeeding, Sense of Coherence, and Parental Couple and Child Relation: A Longitudinal Swedish Cohort Study

First-Time Mothers’ Enjoyment of Breastfeeding Correlates with Duration of Breastfeeding, Sense of Coherence, and Parental Couple and Child Relation: A Longitudinal Swedish Cohort Study

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

Social inequalities in body weight trajectory among young women: the role of reproductive events

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