Factors Associated with the Initiation and Duration of Breastfeeding by Chinese Mothers in Perth,Western Australia

Abstract

To identify determinants of the initiation and duration of breastfeeding by Chinese Australian mothers, a cross-sectional survey of 506 Mandarin-speaking women in Perth, Western Australia, was conducted. Doctors’ support of breastfeeding was positively associated with the initiation of breastfeeding both in the mothers’ home countries (odds ratio [OR], 9.94; 95% confidence interval [CI], 3.17-31.18) and in Australia (OR, 16.78; 95% CI, 7.12-39.55) and with duration. Mother’s level of education was positively associated with the initiation of breastfeeding in the mother’s home country (OR, 3.04; 95% CI, 1.36-6.80) and positively associated with the duration of breastfeeding both in the mother’s home country and Australia. Father’s preference for breastfeeding was positively associated with the initiation of breast-feeding of the mother giving birth in Australia (OR, 4.96; 95% CI, 1.93-12.66). Health professionals can provide invaluable support for mothers initiating and continuing breastfeeding in this population. Prenatal education also needs to emphasize the ways in which fathers can support and contribute to breastfeeding.

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References

1. Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Aust J Nutr Diet. 1998;55: 51-61.

2. Howard C, Howard F, Lawrence R, Andresen E, De Blieck E, Weitzman M. Office prenatal formula advertising and its effect on breast-feeding patterns. Obstet Gynecol. 2000;95:296-303.

3. Kannan S, Carruth BR, Skinner J. Cultural influences on infant feeding beliefs of mothers. J Am Diet Assoc. 1999;99:88-90.

4. Donath S, Amir LH. Rates of breastfeeding in Australia by state and socio-economic status: evidence from the 1995 National Health Survey. J Pediatr Child Health. 2000;36:164-168.

5. Scott JA, Landers MCG, Hughes RM, Binns CW. Factors associated with breastfeeding at discharge and duration of breastfeeding. J Pediatr Child Health. 2001;37:254-261.

6. Scott JA. Determinants of the Initiation and Duration of Breastfeeding. Australia, Perth: Curtin University of Technology; 1997.

7. Scott JA, Aitkin I, Binns CW, Aroni RA. Factors associated with the duration of breastfeeding amongst women in Perth, Australia. Acta Paediatrica. 1999;88:416-421.

8. Australian Bureau of Statistics. Population Census 2001. Analyzed using Health-WIZ, version 6.2. Canberra: Commonwealth of Australia; 2001.

9. Ryan AS, Zhou W, Acosta A. Breastfeeding continues to increase into the new millennium. Pediatrics. 2002;110:1103-1109.

10.

10. Balcazar H, Trier C, Cobas J. What predicts breastfeeding intention in Mexican-American and non-Hispanic white women? Evidence from a national survey. Birth. 1995;22:74-80.

11.

11. Taveras EM, Capra AM, Braveman PA, Jensvold NG. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics. 2003;112:108-113.

12.

12. Jain SK. Demographic, Socio-economic and Health Correlates of Breastfeeding in Australia: Evidence From the 1989-90 National Health Survey. Canberra: Australian Government Publishing Service; 1996.

13.

13. Ryan A. The resurgence of breastfeeding in the United States. Pediatrics. 1997;99:E12.

14.

14. Webb K, Marks GC, Lund-Adams M, Rutishauser IH, Abraham B. Towards a National System for Monitoring Breastfeeding in Australia: Recommendations for Population Indicators, Definitions and Next Steps. Canberra: Commonwealth of Australia; 2001.

15.

15. Li R, Ogden C, Ballew C, Gillespie C, Grummer-Strawn L. Prevalence of exclusive breastfeeding among US infants: the Third National Health and Nutrition Examination Survey (Phase II, 1991-1994). Am J Public Health. 2002;92:1107-1110.

16.

16. Dubois L, Girard M. Social determinants of initiation, duration and exclusivity of breastfeeding at the population level: the results of the Longitudinal Study of Child Development in Quebec (ELDEQ 1998-2002). Can J Public Health. 2003;94:300-305.

17.

17. Prentice A. Extended breast-feeding and growth in rural China. Nutr Rev. 1994;52:144-148.

18.

18. Rogers I, Emmett P, Golding J. The incidence and duration of breast-feeding. Early Hum Devel. 1997;49(suppl):S45-S74.

19.

19. Hesketh T, Zhu WX. The one child family policy: the good, the bad, and the ugly. BMJ. 1997;314:1685-1687.

20.

20. Lakati A, Binns C, Stevenson M. Breast-feeding and the working mother in Nairobi. Public Health Nutr. 2002;5:349-351.

21.

21. Blomquist HK, Jonsbo E, Serenium S, Persson LA. Supplementary feeding in the maternity ward shortens the duration of breast feeding. Acta Paediatr Scand. 1994;83:1122-1126.

22.

22. Riordan J, Auerbach KG. Breastfeeding and Human Lactation. 2nd ed. Boston, MA: Jones and Bartlett; 1999.

23.

23. Giugliani E, Bronner Y, Caiaffa W, Vogelhut J, Witter F, Perman J. Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatr. 1994; 83:1127-1131.

24.

24. Bentley ME, Dee DL, Jensen JL. Breastfeeding among low income, African-American women: power, beliefs and decision making. JNutr. 2003;133:S305-S309.

25.

25. DiMatteo M, Morton S, Lepper H, et al. Cesarean childbirth and psychosocial outcomes: a meta-analysis. Health Psychol. 1996;15: 303-314.

26.

26. Perez-Escamilla R, Maulen-Radovan I, Dewey KG. The association between cesarean delivery and breast-feeding outcomes among Mexican women. Am J Public Health. 1996;86:832-826.

27.

27. Dennis CL. Breastfeeding initiation and duration: a 1990-2000 literature review. J Obstet Gynecol Neonatal Nurs. 2002;31:12-32.

28.

28. Tienboon P, Rutishauser IHE, Wahlqvist M. Maternal recall of infant feeding practices after an interval of 14-15 years. Aus J Nutr Diet. 1994;51:25-27.

29.

29. Eaton-Evans J, Dugdale AE. Recall by mothers of the birth weights and feeding of their children. Hum Nutr Appl Nutr. 1986;40A:171-175.