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Modifiable Individual Factors Associated with Breastfeeding: A Cohort Study in China

Author

Listed:
  • Xialing Wu

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Xiao Gao

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Tingting Sha

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Guangyu Zeng

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Shiping Liu

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Ling Li

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Cheng Chen

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

  • Yan Yan

    (Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, No. 110 Xiangya Road, Kaifu District, Changsha 410078, China)

Abstract

Breast milk is an ideal first food for infants in the initial months of life. This study aimed to identify modifiable individual factors in breastfeeding during the first six months of life in Hunan. This birth cohort study was conducted in three communities in Changsha, Hunan province. Data were collected through maternal health manuals and self-administered questionnaires during the follow-up period. To find risk factors and calculate odds ratios, generalized estimating equation models were applied. The final study included 951 mother-infant pairs. The prevalence of exclusive breastfeeding and any breastfeeding in this study was below the World Health Organization’s breastfeeding goals. Infant age, passive smoking after delivery, minor postnatal depression, and feeding-bottles were shown to act negatively on both exclusive breastfeeding and any breastfeeding. In addition, cesarean delivery and delayed breastfeeding initiation had adverse effects on exclusive breastfeeding. Multiparas were less likely to continue any breastfeeding during the first few months. This study highlights the importance of screening probable maternal depression during primary care service and reducing secondhand smoke and feeding-bottle use. The results also suggest that healthcare professionals should provide more assistance and education to multiparas and mothers with cesarean delivery or delayed breastfeeding initiation.

Suggested Citation

  • Xialing Wu & Xiao Gao & Tingting Sha & Guangyu Zeng & Shiping Liu & Ling Li & Cheng Chen & Yan Yan, 2019. "Modifiable Individual Factors Associated with Breastfeeding: A Cohort Study in China," IJERPH, MDPI, vol. 16(5), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:820-:d:211554
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    References listed on IDEAS

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    1. Hong Qin & Lin Zhang & Lingling Zhang & Wei Zhang & Li Li & Xin Deng & Danping Tian & Jing Deng & Guoqing Hu, 2017. "Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China," IJERPH, MDPI, vol. 14(2), pages 1-8, February.
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    Cited by:

    1. Gang Cheng & Tingting Sha & Xiao Gao & Xialing Wu & Qianling Tian & Fan Yang & Yan Yan, 2019. "Effects of Maternal Prenatal Multi-Micronutrient Supplementation on Growth and Development until 3 Years of Age," IJERPH, MDPI, vol. 16(15), pages 1-16, August.
    2. Carolina Lechosa Muñiz & María Paz-Zulueta & Elsa Cornejo del Río & Sonia Mateo Sota & María Sáez de Adana & María Madrazo Pérez & María Jesús Cabero Pérez, 2019. "Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(24), pages 1-11, December.

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