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Determinants of breastfeeding practices and success in a multi-ethnic Asian population

Determinants of breastfeeding practices and success in a multi-ethnic Asian population
Determinants of breastfeeding practices and success in a multi-ethnic Asian population
BACKGROUND: Many countries in Asia report low breastfeeding rates and the risk factors for early weaning are not well studied. We assessed the prevalence, duration, and mode of breastfeeding (direct or expressed) among mothers of three Asian ethnic groups.

METHODS: Participants were 1,030 Singaporean women recruited during early pregnancy. Data collected included early breastfeeding experiences, breastfeeding duration, and mode of breastfeeding. Full breastfeeding was defined as the intake of breast milk, with or without water. Cox regression models were used to identify factors associated with discontinuation of any and full breastfeeding. Logistic regression analyses assessed the association of ethnicity with mode of breastfeeding.

RESULTS: At 6 months postpartum, the prevalence of any breastfeeding was 46 percent for Chinese mothers, 22 percent for Malay mothers, and 41 percent for Indian mothers; prevalence of full breastfeeding was 11, 2, and 5 percent, respectively. More Chinese mothers fed their infants expressed breast milk, instead of directly breastfeeding them, compared with the other two ethnic groups. Duration of any and full breastfeeding were positively associated with breastfeeding a few hours after birth, higher maternal age and education, and negatively associated with irregular breastfeeding frequency and being shown how to breastfeed. Adjusting for maternal education, breastfeeding duration was similar in the three ethnic groups, but ethnicity remained a significant predictor of mode of breastfeeding.

CONCLUSIONS: The low rates and duration of breastfeeding in this population may be improved with breastfeeding education and support, especially in mothers with lower education. Further work is needed to understand the cultural differences in mode of feeding and its implications for maternal and infant health.
breastfeeding duration, mode of breastfeeding, asian, ethnicity
0730-7659
1-10
Pang, Wei Wei
ea5e4a08-2641-485d-854d-62734f51ffe4
Aris, Izzuddin M.
28b7a24b-ea38-428a-9398-c275731002f2
Fok, Doris
bb0a659f-fc27-4847-b09c-c64f018dca7d
Soh, Shu-E
cb38cd22-eb50-4128-97d1-831d450aa516
Chua, Mei Chien
bafc2416-91c8-47b6-8301-bc1b41b1d6c1
Lim, Sok Bee
ca4c4380-5362-43d8-9782-ccdedde756a0
Saw, Seang-Mei
54ff7be9-beda-4b86-b4db-9168b142e53b
Kwek, Kenneth
020d4ba4-4abe-4d07-84ec-b7787d94277d
Gluckman, Peter D.
ef2e8b92-0b76-4a12-bd7c-01b0674f94d3
Godfrey, Keith M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
van Dam, Rob M.
b507f7ec-b74d-4111-961c-cdd782cc7874
Kramer, Michael S.
8af13d8f-cdb6-4bfb-a37a-aac9bee0d0c3
Chong, Yap-Seng
7043124b-e892-4d4b-8bb7-6d35ed94e136
Pang, Wei Wei
ea5e4a08-2641-485d-854d-62734f51ffe4
Aris, Izzuddin M.
28b7a24b-ea38-428a-9398-c275731002f2
Fok, Doris
bb0a659f-fc27-4847-b09c-c64f018dca7d
Soh, Shu-E
cb38cd22-eb50-4128-97d1-831d450aa516
Chua, Mei Chien
bafc2416-91c8-47b6-8301-bc1b41b1d6c1
Lim, Sok Bee
ca4c4380-5362-43d8-9782-ccdedde756a0
Saw, Seang-Mei
54ff7be9-beda-4b86-b4db-9168b142e53b
Kwek, Kenneth
020d4ba4-4abe-4d07-84ec-b7787d94277d
Gluckman, Peter D.
ef2e8b92-0b76-4a12-bd7c-01b0674f94d3
Godfrey, Keith M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
van Dam, Rob M.
b507f7ec-b74d-4111-961c-cdd782cc7874
Kramer, Michael S.
8af13d8f-cdb6-4bfb-a37a-aac9bee0d0c3
Chong, Yap-Seng
7043124b-e892-4d4b-8bb7-6d35ed94e136

Pang, Wei Wei, Aris, Izzuddin M., Fok, Doris, Soh, Shu-E, Chua, Mei Chien, Lim, Sok Bee, Saw, Seang-Mei, Kwek, Kenneth, Gluckman, Peter D., Godfrey, Keith M., van Dam, Rob M., Kramer, Michael S. and Chong, Yap-Seng (2015) Determinants of breastfeeding practices and success in a multi-ethnic Asian population. Birth, 1-10. (doi:10.1111/birt.12206). (PMID:26643773)

Record type: Article

Abstract

BACKGROUND: Many countries in Asia report low breastfeeding rates and the risk factors for early weaning are not well studied. We assessed the prevalence, duration, and mode of breastfeeding (direct or expressed) among mothers of three Asian ethnic groups.

METHODS: Participants were 1,030 Singaporean women recruited during early pregnancy. Data collected included early breastfeeding experiences, breastfeeding duration, and mode of breastfeeding. Full breastfeeding was defined as the intake of breast milk, with or without water. Cox regression models were used to identify factors associated with discontinuation of any and full breastfeeding. Logistic regression analyses assessed the association of ethnicity with mode of breastfeeding.

RESULTS: At 6 months postpartum, the prevalence of any breastfeeding was 46 percent for Chinese mothers, 22 percent for Malay mothers, and 41 percent for Indian mothers; prevalence of full breastfeeding was 11, 2, and 5 percent, respectively. More Chinese mothers fed their infants expressed breast milk, instead of directly breastfeeding them, compared with the other two ethnic groups. Duration of any and full breastfeeding were positively associated with breastfeeding a few hours after birth, higher maternal age and education, and negatively associated with irregular breastfeeding frequency and being shown how to breastfeed. Adjusting for maternal education, breastfeeding duration was similar in the three ethnic groups, but ethnicity remained a significant predictor of mode of breastfeeding.

CONCLUSIONS: The low rates and duration of breastfeeding in this population may be improved with breastfeeding education and support, especially in mothers with lower education. Further work is needed to understand the cultural differences in mode of feeding and its implications for maternal and infant health.

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More information

Accepted/In Press date: 23 September 2015
e-pub ahead of print date: 8 December 2015
Keywords: breastfeeding duration, mode of breastfeeding, asian, ethnicity
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 387075
URI: http://eprints.soton.ac.uk/id/eprint/387075
ISSN: 0730-7659
PURE UUID: 88552015-ec91-425a-be86-a75ff1266e46
ORCID for Keith M. Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 09 Feb 2016 10:10
Last modified: 07 Oct 2020 01:35

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Contributors

Author: Wei Wei Pang
Author: Izzuddin M. Aris
Author: Doris Fok
Author: Shu-E Soh
Author: Mei Chien Chua
Author: Sok Bee Lim
Author: Seang-Mei Saw
Author: Kenneth Kwek
Author: Peter D. Gluckman
Author: Rob M. van Dam
Author: Michael S. Kramer
Author: Yap-Seng Chong

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