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Temporal changes in the determinants of breastfeeding initiation.
Birth 2006; 33(1):37-45B

Abstract

BACKGROUND

Regular identification of factors that predict a woman's infant feeding choice is important so that breastfeeding promotion interventions can be targeted at those women least likely to breastfeed. The objective of this study was to compare determinants of breastfeeding at discharge from hospital in 2002/2003 with those reported for 1992/1993.

METHODS

Women participating in two longitudinal infant feeding studies in Perth, Australia, completed a baseline questionnaire just before, or shortly after, discharge from hospital. Data collected included infant feeding method and socio-demographic, biomedical, and psychosocial factors known, or suspected, to be related to the initiation of breastfeeding. Multivariate logistic regression was used to identify independent predictors of "any" and "exclusive" breastfeeding at hospital discharge in both studies.

RESULTS

Although maternal age, level of education, and family income were independent predictors of breastfeeding at hospital discharge in the first study, no association was found between these factors and breastfeeding at hospital discharge in the second study. In both studies, a woman who perceived her husband to prefer breastfeeding was significantly more likely to leave hospital breastfeeding, and to be exclusively breastfeeding, than a woman who perceived her husband to prefer formula feeding. The strongest predictor in both studies for a woman to not be exclusively breastfeeding at hospital discharge was having an infant who had been admitted to the special care nursery after delivery.

CONCLUSIONS

Given the importance of psychosocial factors to breastfeeding initiation, interventions that aim to increase breastfeeding initiation rates should be targeted on the basis of parental attitudes to breastfeeding rather than on sociodemographic factors. Similarly, interventions that aim to increase exclusive breastfeeding should address biomedical factors that hinder a woman's ability to establish exclusive breastfeeding.

Authors+Show Affiliations

Division of Developmental Medicine, Human Nutrition Section, University of Glasgow, Scotland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16499530

Citation

Scott, Jane A., et al. "Temporal Changes in the Determinants of Breastfeeding Initiation." Birth (Berkeley, Calif.), vol. 33, no. 1, 2006, pp. 37-45.
Scott JA, Binns CW, Graham KI, et al. Temporal changes in the determinants of breastfeeding initiation. Birth. 2006;33(1):37-45.
Scott, J. A., Binns, C. W., Graham, K. I., & Oddy, W. H. (2006). Temporal changes in the determinants of breastfeeding initiation. Birth (Berkeley, Calif.), 33(1), pp. 37-45.
Scott JA, et al. Temporal Changes in the Determinants of Breastfeeding Initiation. Birth. 2006;33(1):37-45. PubMed PMID: 16499530.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Temporal changes in the determinants of breastfeeding initiation. AU - Scott,Jane A, AU - Binns,Colin W, AU - Graham,Kathleen I, AU - Oddy,Wendy H, PY - 2006/2/28/pubmed PY - 2006/7/4/medline PY - 2006/2/28/entrez SP - 37 EP - 45 JF - Birth (Berkeley, Calif.) JO - Birth VL - 33 IS - 1 N2 - BACKGROUND: Regular identification of factors that predict a woman's infant feeding choice is important so that breastfeeding promotion interventions can be targeted at those women least likely to breastfeed. The objective of this study was to compare determinants of breastfeeding at discharge from hospital in 2002/2003 with those reported for 1992/1993. METHODS: Women participating in two longitudinal infant feeding studies in Perth, Australia, completed a baseline questionnaire just before, or shortly after, discharge from hospital. Data collected included infant feeding method and socio-demographic, biomedical, and psychosocial factors known, or suspected, to be related to the initiation of breastfeeding. Multivariate logistic regression was used to identify independent predictors of "any" and "exclusive" breastfeeding at hospital discharge in both studies. RESULTS: Although maternal age, level of education, and family income were independent predictors of breastfeeding at hospital discharge in the first study, no association was found between these factors and breastfeeding at hospital discharge in the second study. In both studies, a woman who perceived her husband to prefer breastfeeding was significantly more likely to leave hospital breastfeeding, and to be exclusively breastfeeding, than a woman who perceived her husband to prefer formula feeding. The strongest predictor in both studies for a woman to not be exclusively breastfeeding at hospital discharge was having an infant who had been admitted to the special care nursery after delivery. CONCLUSIONS: Given the importance of psychosocial factors to breastfeeding initiation, interventions that aim to increase breastfeeding initiation rates should be targeted on the basis of parental attitudes to breastfeeding rather than on sociodemographic factors. Similarly, interventions that aim to increase exclusive breastfeeding should address biomedical factors that hinder a woman's ability to establish exclusive breastfeeding. SN - 0730-7659 UR - https://www.unboundmedicine.com/medline/citation/16499530/Temporal_changes_in_the_determinants_of_breastfeeding_initiation_ L2 - https://doi.org/10.1111/j.0730-7659.2006.00072.x DB - PRIME DP - Unbound Medicine ER -