The nutrition of Australian aboriginal infants and young children

Gracey, Michael; Murray, Helen; Hitchcock, Nancy E.; Owles, Elisabeth N.; Murphy, Brian P.

doi:10.1016/s0271-5317(83)80050-5

Cited by 32 publications

(5 citation statements)

References 13 publications

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“…There are relatively few larger studies of breastfeeding and these are mainly cross‐sectional in nature 4 . Based on a number of studies in Western Australia (WA), Gracey and colleagues reported that breastfeeding rates declined in groups who lived closer to urban areas 9 . A study of Aboriginal mothers was undertaken in Perth in the early 1980s 10 .…”

Section: Introductionmentioning

confidence: 99%

“…4 Based on a number of studies in Western Australia (WA), Gracey and colleagues reported that breastfeeding rates declined in groups who lived closer to urban areas. 9 A study of Aboriginal mothers was undertaken in Perth in the early 1980s. 10 Although the sample size was relatively small (n = 127), this showed a trend towards reduced rates of breastfeeding by urban Aboriginal people.…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding by Aboriginal mothers in Perth

Binns

Gilchrist

Woods

et al. 2006

Nutrition & Dietetics

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Objective: To document the breastfeeding practices of Aboriginal mothers delivering in Perth. Design and methods: A cohort of mothers was followed from the time of delivery for six months to obtain details of infant feeding practices. Subjects: A total of 455 mothers delivered during the study period and were asked to participate. A total of 425 mothers completed the initial questionnaire. Setting: The study was undertaken in six public hospitals in Perth, Western Australia. Data analyses: The data were analysed using spss. Breastfeeding duration was calculated using Kaplan–Meier survival analysis. Main outcome measures: Breastfeeding initiation and duration. Results: The mean age of the Aboriginal mothers was 21.8 years (range 14–39 years, SD 5.32) and the average gestational age was 38.3 weeks. Almost 50% of the mothers in the study delivered by Caesarean section. At discharge from hospital 89.4% (CI 86.6–92.1) of mothers were breastfeeding, declining to 58.8% (CI 53.5–64.1) at six months. When compared with non‐Aboriginal mothers, the Aboriginal breastfeeding rates were higher than the non‐Aboriginal average breastfeeding rates, but lower than the highest socioeconomic group. Conclusions: The breastfeeding rates of Aboriginal mothers are higher than for other Australians. This is despite the low maternal age and level of education and the high rates of low‐birth‐weight infants and Caesarean section among this population. The World Health Organization recommendation for infant feeding is exclusive breastfeeding until six months, but less than one‐third of Aboriginal mothers achieved this recommendation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breastfeeding by Aboriginal mothers in Perth

Binns

Gilchrist

Woods

et al. 2006

Nutrition & Dietetics

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“…In Western Australia, differences in breast-feeding rates have been demonstrated among Aboriginal groups from various locations. Gracey et al reported that groups in remote areas tended to continue the traditional pattern of breast-feeding for as long as possible, with 96% of infants still being breast-fed at 12 months 6 . The prevalence of breast-feeding at all ages decreased with increasing urbanisation.…”

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confidence: 99%

Factors associated with the initiation of breast-feeding by Aboriginal mothers in Perth

Binns

Gilchrist

Gracey

et al. 2004

Public Health Nutr.

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Objectives: To identify the prevalence of breast-feeding at discharge and the determinants of breast-feeding initiation amongst Aboriginal women. Design: A prospective cohort study using a self-administered baseline questionnaire and telephone-administered follow-up interviews. Setting: Six hospitals with maternity wards in Perth, Western Australia. Subjects: Four hundred and twenty-five Aboriginal mothers of newborn infants. Results: At discharge, 89.4% of Aboriginal mothers were breast-feeding. Breastfeeding at discharge was most positively associated with perceived paternal support of breast-feeding, with an adjusted odds ratio (OR) of 6.65 (95% confidence interval (CI) 2.81-15.74), and with maternal age (OR 1.12, 95% CI 1.03 -1.22), but negatively associated with parity and having delivered vaginally. Conclusion: The factors independently associated with breast-feeding at discharge were similar to those previously identified for a group of non-Aboriginal Perth women, suggesting that separate breast-feeding interventions specially targeted at Aboriginal women are not warranted. The findings do, however, highlight the importance of including the father in the breast-feeding discussions.

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“…Very high infection rates in Aboriginal infants and children are not surprisingly associated with widespread growth faltering, failure to thrive and frank malnutrition which have been documented repeatedly since the 1960s (see earlier and other references, e.g. [76][77][78][79].…”

Section: Growth Patterns In Aboriginal Infants and Childrenmentioning

confidence: 99%

Annie B Cunning Lecture – Nutrition and infections in Australian Aboriginal children*

Gracey

1991

Australian and New Zealand Journal of Medicine

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The nutrition of Australian aboriginal infants and young children

Cited by 32 publications

References 13 publications

Breastfeeding by Aboriginal mothers in Perth

Breastfeeding by Aboriginal mothers in Perth

Factors associated with the initiation of breast-feeding by Aboriginal mothers in Perth

Annie B Cunning Lecture – Nutrition and infections in Australian Aboriginal children*

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