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

doi:10.1111/mcn.12687

. 2019 Apr;15(2):e12687.

doi: 10.1111/mcn.12687. Epub 2018 Oct 4.

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

Cindy-Lee Dennis^{1

2

3}, Hilary K Brown^{2

4

5

6}, Leinic Chung-Lee⁷, Jennifer Abbass-Dick⁸, Shefaly Shorey⁹, Flavia Marini¹, Sarah Brennenstuhl¹

Affiliations

¹ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
² Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
³ Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
⁴ Interdiscipinary Centre for Health and Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
⁵ Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
⁶ Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
⁷ Toronto Public Health, Toronto, Ontario, Canada.
⁸ Faculty of Health Sciences, University of Ontario Institute of Technology, Toronto, Ontario, Canada.
⁹ Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.

PMID: 30194811
PMCID: PMC7198958
DOI: 10.1111/mcn.12687

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

Cindy-Lee Dennis et al. Matern Child Nutr. 2019 Apr.

. 2019 Apr;15(2):e12687.

doi: 10.1111/mcn.12687. Epub 2018 Oct 4.

Authors

Cindy-Lee Dennis^{1

2

3}, Hilary K Brown^{2

4

5

6}, Leinic Chung-Lee⁷, Jennifer Abbass-Dick⁸, Shefaly Shorey⁹, Flavia Marini¹, Sarah Brennenstuhl¹

Affiliations

¹ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
² Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
³ Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
⁴ Interdiscipinary Centre for Health and Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
⁵ Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
⁶ Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
⁷ Toronto Public Health, Toronto, Ontario, Canada.
⁸ Faculty of Health Sciences, University of Ontario Institute of Technology, Toronto, Ontario, Canada.
⁹ Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.

PMID: 30194811
PMCID: PMC7198958
DOI: 10.1111/mcn.12687

Abstract

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.

Keywords: breast feeding; emigrants and immigrants; postpartum period.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

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References

1. Ahluwalia, I. B. , D'Angelo, D. , Morrow, B. , & McDonald, J. A. (2012). Association between acculturation and breastfeeding among Hispanic women: Data from the Pregnancy Risk Assessment and Monitoring System. Journal of Human Lactation, 28(2), 167–173. - PubMed
1. Bar, S. , Milanaik, R. , & Adesman, A. (2016). Long‐term neurodevelopmental benefits of breastfeeding. Current Opinion in Pediatrics, 28(4), 559–566. - PubMed
1. Binns, C. , Lee, M. , & Low, W. Y. (2016). The long‐term public health benefits of breastfeeding. Asia‐Pacific Journal of Public Health, 28(1), 7–14. - PubMed
1. Blomquist, H. K. , Jonsbo, F. , Serenius, F. , & Persson, L. A. (1994). Supplementary feeding in the maternity ward shortens the duration of breast feeding. Acta Paediatrica Scandinavica, 83, 1122–1126. - PubMed
1. Brown, A. , & Patten, E. (2014). Statistical portrait of the foreign‐born population in the United States, 2012. Washington, DC: Pew Research Center.

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[1] Ahluwalia, I. B. , D'Angelo, D. , Morrow, B. , & McDonald, J. A. (2012). Association between acculturation and breastfeeding among Hispanic women: Data from the Pregnancy Risk Assessment and Monitoring System. Journal of Human Lactation, 28(2), 167–173. - PubMed

[2] Ahluwalia, I. B. , D'Angelo, D. , Morrow, B. , & McDonald, J. A. (2012). Association between acculturation and breastfeeding among Hispanic women: Data from the Pregnancy Risk Assessment and Monitoring System. Journal of Human Lactation, 28(2), 167–173. - PubMed

[3] Bar, S. , Milanaik, R. , & Adesman, A. (2016). Long‐term neurodevelopmental benefits of breastfeeding. Current Opinion in Pediatrics, 28(4), 559–566. - PubMed

[4] Bar, S. , Milanaik, R. , & Adesman, A. (2016). Long‐term neurodevelopmental benefits of breastfeeding. Current Opinion in Pediatrics, 28(4), 559–566. - PubMed

[5] Binns, C. , Lee, M. , & Low, W. Y. (2016). The long‐term public health benefits of breastfeeding. Asia‐Pacific Journal of Public Health, 28(1), 7–14. - PubMed

[6] Binns, C. , Lee, M. , & Low, W. Y. (2016). The long‐term public health benefits of breastfeeding. Asia‐Pacific Journal of Public Health, 28(1), 7–14. - PubMed

[7] Blomquist, H. K. , Jonsbo, F. , Serenius, F. , & Persson, L. A. (1994). Supplementary feeding in the maternity ward shortens the duration of breast feeding. Acta Paediatrica Scandinavica, 83, 1122–1126. - PubMed

[8] Blomquist, H. K. , Jonsbo, F. , Serenius, F. , & Persson, L. A. (1994). Supplementary feeding in the maternity ward shortens the duration of breast feeding. Acta Paediatrica Scandinavica, 83, 1122–1126. - PubMed

[9] Brown, A. , & Patten, E. (2014). Statistical portrait of the foreign‐born population in the United States, 2012. Washington, DC: Pew Research Center.

[10] Brown, A. , & Patten, E. (2014). Statistical portrait of the foreign‐born population in the United States, 2012. Washington, DC: Pew Research Center.

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical