Prevalence and predictors of exclusive breastfeeding among immigrant and Canadian‐born Chinese women

Bibliographic Data

ID15536209
AuthorsCindy-Lee Dennis (0000-0002-0135-7242, St. Michael's Hospital, corresponding author), Cindy‐Lee Dennis (Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto Ontario Canada), Hilary K Brown (0000-0002-8690-5841, University of Toronto), Leinic Chung‐Lee (Toronto Public Health), Jennifer Abbass‐Dick (0000-0002-9680-0701, Ontario Tech University), Shefaly Shorey (0000-0001-5583-2814, National University of Singapore), Flavia C Marini (0000-0003-4158-9563, University of Toronto), Flavia Marini (Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto Ontario Canada), Sarah Brennenstuhl (0000-0002-2538-582X, University of Toronto)
Year2018
Volume15
Issue2
Pagese12687-e12687
Publication date2018-09-08
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12687
PMID30194811
OpenAlexW2890006126
LanguageEN
Citations received2
References cited47

Breastfeeding is the optimal method for infant feeding, yet migrant women may be at risk for suboptimal exclusivity rates. In a cohort of immigrant and Canadian-born Chinese women, our objectives were to (a) describe patterns and prevalence of exclusive breastfeeding at 1, 3, and 6 months postpartum; (b) identify risk and protective factors associated with exclusivity; and (c) examine potentially differential importance of these factors across this 6-month period. This was a prospective study of 565 immigrants and Canadian-born Chinese women (Toronto, Canada). Exclusive breastfeeding was measured at 1, 3, and 6 months postpartum. Predictors comprised fixed (demographics, history of depression, immigrant status, prenatal breastfeeding classes, in-hospital formula supplementation, baseline social support, and baseline acculturative stress) and time-dependent (depression, anxiety, fatigue, and breastfeeding problems) variables. Descriptive statistics, logistic regression, and generalized linear mixed models, respectively, were undertaken to address the objectives. Patterns of breastfeeding practices included exclusive breastfeeding in all time points (26.8%) or none (32.9%) and moving from exclusive to nonexclusive (20.3%) or nonexclusive to exclusive breastfeeding (15.2%). Women less likely to breastfeed exclusively at 1, 3, or 6 months were those whose infants received in-hospital formula supplementation. Exclusivity attrition was higher between 3 and 6 months than 1-3 months. Immigrant status and in-hospital formula supplementation had a significant impact on exclusivity earlier in the postpartum period while breastfeeding problems were associated with decreased exclusivity across time. Proactive preventive efforts are need to maintain breastfeeding exclusivity especially between 3 and 6 months if women are to meet international breastfeeding recommendations

Breastfeeding · Immigration · Logistic regression · Social support · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Pediatrics

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