The influence of fathers’ socioeconomic status and paternity leave on breastfeeding duration: A population-based cohort study

Abstract

Aim: The propensity to breastfeed is a matter of public concern because of the favourable effects for infants. However, very few studies have described the influence of paternal variables upon duration of breastfeeding. The aim of this study was to describe the effects of fathers’ socioeconomic status and their use of paternity leave on breastfeeding duration for infants up to 1 year of age. Methods: A prospective population-based cohort study was undertaken. Data on breastfeeding, registered in databases in two Swedish counties for 1993—2001, were matched with data on socioeconomic status and paternity leave obtained from Statistics Sweden. Fathers of 51,671 infants were identified and included. Results: Infants whose fathers had a lower level of education, were receiving unemployment benefit and/or had a lower equivalent disposable household income were significantly less likely to be breastfed at 2, 4, 6, 9, and 12 months of age. Infants whose fathers did not take paternity leave during the infant’s first year were significantly less likely to be breastfed at 2 (p < 0.001), 4 (p < 0.001), and 6 months (p < 0.001). Conclusions: This paper shows that an enabling of an increased involvement from fathers during the infants’ first year of life, such as by paid paternity leave, may have beneficial effects on breastfeeding up to 6 months of age. A more systematic approach to supporting fathers’ involvement may be particularly valuable to those infants whose fathers have a lower socioeconomic status.

Keywords

Breastfeeding father infant parental leave socioeconomic status

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References

Hoddinott P. , Tappin D. , Wright C. Breast feeding. BMJ 2008;336(7649):881-7.

The National Board of Health and Welfare. Breastfeeding, children born 2005. Stockholm: Centre for Epidemiology; 2007.

Flacking R. , Ewald U. , Starrin B. ‘I wanted to do a good job’: Experiences of becoming a mother and breastfeeding in mothers of very preterm infants after discharge from a neonatal unit. Soc Sci Med 2007;64(12):2405-16.

Galtry J. The impact on breastfeeding of labour market policy and practice in Ireland, Sweden, and the USA. Soc Sci Med 2003;57(1):167-77.

Ray R. A detailed look at parental leave policies in 21 OECD countries. Washington, DC: Center for Economic and Policy Research; 2008.

Tanaka S. Parental leave and child health across OECD countries. The Economic Journal 2005;115(501):F7-28. [7] Kawachi I. , Kennedy BP

The relationship of income inequality to mortality: does the choice of indicator matter?

Soc Sci Med 1997;45(7):1121-7.

Organisation for Economic Co-operation and Development. OECD Factbook 2006 - Economic, Environmental and Social Statistics. Available at: www.oecd.org .

Dennis CL Breastfeeding initiation and duration: a 1990-2000 literature review . J Obstet Gynecol Neonatal Nurs 2002;31(1):12-32.

Bradley RH , Corwyn RF Socioeconomic status and child development . Annu Rev Psychol 2002;53:371-99.

10.

Flacking R. , Nyqvist KH , Ewald U. Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. Eur J Public Health 2007;17(6):579-84.

11.

Pisacane A. , Continisio GI , Aldinucci M. , D’Amora S. , Continisio P. A controlled trial of the father’s role in breastfeeding promotion. Pediatrics 2005 ;116(4):e494-8.

12.

Scott JA , Binns CW Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeeding Review 1999 ;7(1):5-16.

13.

Lande B. , Andersen LF , Baerug A. , Trygg KU , Lund-Larsen K. , Veierod MB , Bjorneboe GE Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta Paediatr 2003;92(2):152-61.

14.

Guendelman S. , Kosa JL , Pearl M. , Graham S. , Goodman J. , Kharrazi M. Juggling work and breastfeeding: effects of maternity leave and occupational characteristics . Pediatrics 2009;123(1):e38-46.

15.

Baker M. , Milligan K. Maternal employment, breastfeeding, and health: evidence from maternity leave mandates. J Health Econ 2008;27(4):871-87.

16.

Jansson K. , Karlsson Å. , Lundberg P. Distribution of income 1975-2001. In: Statistics Sweden , editor. Good times and hard times in Sweden during the 1990s. Örebro: Statistics Sweden; 2003.

17.

Swedish Social Insurance Agency. Statistik 2005:1 Föräldrapenning - att mäta hälften var [in Swedish]. Stockholm: Swedish Social Insurance Agency; 2005.

18.

Batljan I. , Tillander S. , Örnhall Ljung S. , Sjöström M. Föräldrapenning, pappornas uttag av dagar, fakta och analys [in Swedish]. Stockholm: The Ministry of Social Health and Welfare; 2004.

19.

WHO. Global Strategy for Infant and Young Child Feeding. Geneva: World Health Organization; 2003.

20.

Sarkadi A. , Kristiansson R. , Oberklaid F. , Bremberg S. Fathers’ involvement and children’s developmental outcomes: a systematic review of longitudinal studies. Acta Paediatr 2008 ;97(2):153-8.

21.

Jordan PL , Wall VR Breastfeeding and fathers: illuminating the darker side. Birth 1990;17(4):210-3.

22.

Bar-Yam NB , Darby L. Fathers and breastfeeding: a review of the literature. J Hum Lact 1997;13(1):45-50.

23.

Visness CM , Kennedy KI Maternal employment and breast-feeding: findings from the 1988 National Maternal and Infant Health Survey. Am J Public Health 1997; 87(6):945-50.

24.

Wilkinson RG

Socioeconomic determinants of health. Health inequalities: relative or absolute material standards?

BMJ 1997;314(7080):591-5.

25.

Marmot M. Status Syndrome. London: Bloomsbury Publishing; 2004.

26.

Fuller R. , Gerloff P. Dignity for all: How to create a world without rankism. San Fransisco: Berrett-Koehler Publishers; 2008.

27.

Gallo LC , Matthews KA

Understanding the association between socioeconomic status and physical health: do negative emotions play a role?

Psychol Bull 2003;129(1): 10-51.

28.

Flacking R. , Wallin L. , Ewald U. Perinatal and socioeconomic determinants of breastfeeding duration in very preterm infants. Acta Paediatr 2007;96(8):1126-30.