Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study

Bolton, Kristy A.; Kremer, Peter; Hesketh, Kylie; Laws, Rachel; Kuswara, Konsita; Campbell, Karen

doi:10.1186/s12887-018-1157-0

Cited by 20 publications

(25 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, breastfeeding has been reported to have bene cial effects on the health outcomes of both infants and mothers. However, it is of concern that previous surveys in Australia reported less than 15% of women exclusively breastfeed their ve-month-old infants [9]. In china, similar results show that the breastfeeding rate of infants aged 1-2 months ranges from 59.4-66.5% [10,11].…”

Section: Introductionmentioning

confidence: 85%

“…As for the relationship between the education level and LM, the result of four studies [20,23,25,26] As for the relationship between postpartum period and LM, the result of ve studies [22,23,25,27,28] showed that postpartum within 6 months was identi ed as the risk factor for LM (OR 5.11,95%CI [2.66,9.82], I²=93%, 5 trials, PAR 65.93%).…”

Section: Education Levelmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors and population attributable risk percent for lactation mastitis in Chinese women: a systematic review and meta-analysis

Lai¹,

Yu²,

Chu³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Lactation mastitis (LM) is one of the most common breast disorders experienced by postpartum women, affecting approximately 3% to 20% breastfeeding mothers. Although a few researches have studied the risk factors related to LM, there are still some inconsistent problems on this topic and nationally representative evidence is scarce. This study was aimed to determine the well-accepted risk factors for LM in Chinese women. Methods: Six electronic literature databases were searched from their inception to June 1st, 2020. We used RevMan5.3 and Stata14.0 for data analysis. The strength of the association was summarized using odds ratio (OR) with 95% confidence intervals (CI). The population attributable risk (PAR) percent was calculated for significant risk factors. The fail-safe number (Nfs) was used to estimate publication bias and robustness of the current results. Results: Twelve studies involving 6539 participants were included. A total of 18 potential risk factors were eventually evaluated. Significant risk factors for LM included improper breastfeeding posture (OR 2.47, 95%CI 2.09-2.92; PAR 26.51%), improper milking method (OR 6.79, 95%CI 3.45-13.34; PAR 59.14%), repeated milk stasis (OR 6.08, 95%CI 3.75-9.88; PAR 37.42%), little or no cleaning of nipples (OR 2.38, 95%CI 1.88-3.03; PAR 31.28%), abnormal nipple or crater nipple (OR 2.94, 95%CI 1.76-4.91; PAR 33.99%), primipara (OR 1.91, 95%CI 1.26-2.90; PAR 39.06%), history of breast trauma (OR 3.57, 95%CI 2.86-4.46; PAR 13.36%), experience of cesarean section (OR 1.77, 95%CI 1.32-2.38; PAR 28.34%), low educational level (OR 1.85, 95%CI 1.04-3.28, PAR 23.67%), breast massage experience of non-medical personnel (OR 1.90, 95%CI 1.36-2.65, PAR 20.89%), postpartum within 6 months (OR 5.11, 95%CI 2.66-9.82; PAR 65.93%), prone sleeping position (OR 2.53, 95%CI1.51-4.22; PAR 22.72%) and postpartum rest time less than 3 months (OR 4.71, 95%CI 3.92-5.65; PAR 56.95%). There seemed to be good robustness of the pooled results for most of the included risk factors.Conclusion: This study found several important risk factors of LM in Chinese women. In particular, the incidence of LM can be reduced by controlling several modifiable factors such as breastfeeding posture, milking method, milk stasis situation and nipple cleaning condition, etc.

show abstract

Section: Introductionmentioning

confidence: 85%

Section: Education Levelmentioning

confidence: 99%

Risk factors and population attributable risk percent for lactation mastitis in Chinese women: a systematic review and meta-analysis

Lai¹,

Yu²,

Chu³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Chinese immigrant mothers living in Australia, for example, tend to feed their babies formula milk in the evening, given the recommendation from their elders that doing so facilitates breast milk production because of maternal rest (65). In addition, prior to the recommended weaning age, these mothers also tend to feed their babies water, honey, and rice porridge under the assumption that doing so provides the infant with additional nutrients (65,66).…”

Section: The Effects Of Urbanization On Nutritionmentioning

confidence: 99%

The Effects of Urbanization on the Infant Gut Microbiota and Health Outcomes

Brushett

Sinha

Reijneveld³

et al. 2020

Front. Pediatr.

View full text Add to dashboard Cite

Humans and their gut microbiota have co-evolved over thousands of years, resulting in the establishment of a complex host-microbiota ecosystem. Early life environmental factors, such as delivery mode, nutrition, and medication use, have been shown to substantially affect both host-microbiota interactions and health outcomes. However, the effects of urbanization (characterized by the spectrum of rural and urban populations) on these early life events have been overlooked. A deeper understanding of the relationship between urbanization and microbiota development will allow for the identification of novel biological and social approaches that can be implemented to prevent and treat disease and promote maternal and infant/child health. The aim of this narrative review is to summarize how factors associated with urbanization differentially impact delivery mode, nutrition, and medication use, and how these changes subsequently affect the gut microbiota and health outcomes of infants. This narrative review also describes the important evidence gaps associated with these relationships and recommends actions that can be taken to improve the health of mothers and infants worldwide.

show abstract

“…The Australian National Infant Feeding Survey in 2010 showed that the breastfeeding initiation rate in Australia is high at 96%, however at 6 months of age EBF rate reduced to 15%, and at 12 months only 18% of mothers offer any breastfeeding [7]. A secondary analysis of the survey showed that a greater proportion of Chinese born mothers have used infant formula (90% vs. 81%), and on average introduced it at an earlier age than Australian born mothers (1.2 compared to 1.7 months) [8]. Consistent with this, in a secondary analysis of data from a clinical trial at two hospitals in Sydney, Dahlen and Homer [9] reported that Asian born mothers (including Chinese born) were more likely to be partially breastfeeding in the first 12 weeks than non-Asian mothers in Australia.…”

Section: Introductionmentioning

confidence: 99%

Patterns and predictors of exclusive breastfeeding in Chinese Australian mothers: a cross sectional study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: While exclusive breastfeeding is recommended to 6 months of age, just 15% of mothers in Australia achieve this. The rate appears to be even lower among mothers born in China, where 90% have introduced infant formula by this time. This study aimed to examine infant feeding patterns in the first 12 months of life and the factors associated with exclusive breastfeeding at 4 months of age and infant formula introduction by 1 month of age among Chinese Australian mothers. Methods: Chinese Australian women with a child aged 1 to 4 years born in Australia were recruited through social media and asked to complete an online survey. Chinese ethnicity was defined as the mother or her parents having been born in mainland China, Taiwan or Hong Kong. Infant feeding practices since birth and a range of psychosocial and cultural factors were assessed. A total of 289 Chinese Australian mothers completed the survey. The relationships between exposure variables and exclusive breastfeeding at 4 months or infant formula use by 1 month were examined using multivariable logistic regression. Results: Almost all (93%) mothers initiated breastfeeding, however by 1 month of age exclusive breastfeeding rates reduced to 44%, with a further decline to 33 and 18% at 4 and 6 months respectively. Concurrently, 7% of parents reported infant formula feeding at birth increasing to 55 and 63% at 1 and 6 months of age respectively. The rates of any breastfeeding were 81% at 6 months and 50% at 12 months of age. Breastfeeding intention, self-efficacy and awareness of the infant feeding guidelines were key factors associated with sustained exclusive breastfeeding to 4 months. Conclusions: While Chinese Australian mothers had comparable exclusive breastfeeding rates at 6 months to the general Australian population, twice as many had introduced infant formula by 1 month of age. There is an urgent need to support Chinese Australian mothers in the perinatal period to strengthen their knowledge, intention and confidence to delay early introduction of infant formula and promote exclusive breastfeeding in the early postpartum period.

show abstract

Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study

Cited by 20 publications

References 40 publications

Risk factors and population attributable risk percent for lactation mastitis in Chinese women: a systematic review and meta-analysis

Risk factors and population attributable risk percent for lactation mastitis in Chinese women: a systematic review and meta-analysis

The Effects of Urbanization on the Infant Gut Microbiota and Health Outcomes

Patterns and predictors of exclusive breastfeeding in Chinese Australian mothers: a cross sectional study

Contact Info

Product

Resources

About