Determinants of breast-feeding in a Finnish birth cohort

AbstractObjectiveTo assess milk feeding on the maternity ward and during infancy, and their relationship to sociodemographic determinants. The validity of our 3-month questionnaire in measuring hospital feeding was assessed.DesignA prospective Finnish birth cohort with increased risk to type 1 diabetes recruited between 1996 and 2004. The families completed a follow-up form on the age at introduction of new foods and age-specific dietary questionnaires.SettingType 1 Diabetes Prediction and Prevention (DIPP) project, Finland.SubjectsA cohort of 5993 children (77 % of those invited) participated in the main study, and 117 randomly selected infants in the validation study.ResultsBreast milk was the predominant milk on the maternity ward given to 99 % of the infants. Altogether, 80 % of the women recalled their child being fed supplementary milk (donated breast milk or infant formula) on the maternity ward. The median duration of exclusive breast-feeding was 1·4 months (range 0–8) and that of total breast-feeding 7·0 months (0–25). Additional milk feeding on the maternity ward, short parental education, maternal smoking during pregnancy, small gestational age and having no siblings were associated with a risk of short duration of both exclusive and total breast-feeding. In the validation study, 78 % of the milk types given on the maternity ward fell into the same category, according to the questionnaire and hospital records.ConclusionsThe recommendations for infant feeding were not achieved. Infant feeding is strongly influenced by sociodemographic determinants and feeding practices on the maternity wards. Long-term breast-feeding may be supported by active promotion on the maternity ward.

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Sociodemographic determinants of early weaning: a Finnish birth cohort study in infants with human leucocyte antigen-conferred susceptibility to type 1 diabetes

Public Health Nutrition ◽

10.1017/s1368980012002595 ◽

2012 ◽

Vol 16 (2) ◽

pp. 296-304 ◽

Cited By ~ 9

Author(s):

Maijaliisa Erkkola ◽

Maija Salmenhaara ◽

Bright I Nwaru ◽

Liisa Uusitalo ◽

Carina Kronberg-Kippilä ◽

...

Keyword(s):

Type 1 Diabetes ◽

Birth Cohort ◽

Infant Formula ◽

Professional Education ◽

Complementary Food ◽

Complementary Foods ◽

Prediction And Prevention ◽

Increased Risk ◽

Sociodemographic Determinants

AbstractObjectiveTo assess the most important sociodemographic determinants of age at introduction of complementary foods in infancy.DesignA prospective birth cohort with increased risk of type 1 diabetes, recruited between 1996 and 2004. The families completed at home a follow-up form on the age at introduction of new foods and, for each clinic visit, a structured dietary questionnaire with 3 d food records.SettingData from the Type 1 Diabetes Prediction and Prevention (DIPP) Project, Finland.SubjectsA cohort of 5991 infants (77 % of those invited) belonging to the DIPP Nutrition Study.ResultsSixty-three per cent of the infants were introduced to complementary foods, including infant formula, before the age of 4 months. The median age at introduction of infant formula was 1·5 months (range 0–18 months) and that of the first other complementary food 3·5 months (range 0·7–8 months). All sociodemographic and lifestyle factors studied were associated with the age at introduction of infant formula and/or first other complementary food. Female sex of the infant, being born in the southern region of Finland, living in a rural municipality, the presence of siblings, the mother or the father being a high-school graduate, high maternal professional education and maternal non-smoking during pregnancy predicted later introduction of complementary foods.ConclusionsCompliance was relatively poor with the current recommendations for the age of introducing complementary foods. Small-sized young families with less well-educated parents were most prone to introduce complementary foods early.

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PERBEDAAN FREKUENSI DIARE ANTARA BAYI YANG DIBERI ASI EKSKLUSIF DENGAN BAYI YANG DIBERI SUSU FORMULA PADA RENTANG USIA 2- 4 BULAN DI WILAYAH KERJA PUSKESMAS KLATEN TENGAH

Biomedika ◽

10.23917/biomedika.v4i2.255 ◽

2012 ◽

Vol 4 (2) ◽

Author(s):

Putri Rahmitasari ◽

Burhannudin Ichsan ◽

Sahilah Ermawati

Keyword(s):

Public Health ◽

Breast Milk ◽

Infant Feeding ◽

Infant Formula ◽

Breast Feeding ◽

Exclusive Breastfeeding ◽

Formula Milk ◽

Cross Sectional ◽

Main Indicator ◽

Milk Feeding

The main indicator of public healths degree is infant mortility rate (IMR). One of the main things that cause infant mortility is diarrhea. The existence of diarrheas incidence in infants can be caused due to errors in the form of food other than breast milk feeding at the age of 4 months or the practise of infant feeding with formula milk (replacement feeding). This research was an observational analytic research with cross sectional approach. Samples obtained amounted to 80 respondents who are infants aged 2-4 months in various posyandu in the area of Central Klaten. This sample had fulfiilled the predetermined criteria. The research instrument used a questionnaire. for the result, there were 21 respondents of 80 respondents obtained who had diarrhea. Respondents of exclusive breastfeeding who had frequency of diarrhea is rarely as many as 5 babies, whereas 1 baby for often category. Respondents of infant formula who had frequency of diarrhea is rarely as many as 12 babies, whereas 3 babies for often category. There were significant differences between infants who were breastfed exclusively with formula-fed infants againts diarrhea frequency indicated by the value of p = 0,032.Keywords: Frequency of Diarrhea, Exclusive Breast Feeding, Formula Feeding Infant, Infants Aged 2-4 Months

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Changes in caesarean section rates and milk feeding patterns of infants between 1986 and 2013 in the Dominican Republic

Public Health Nutrition ◽

10.1017/s1368980016000847 ◽

2016 ◽

Vol 19 (15) ◽

pp. 2688-2697 ◽

Cited By ~ 1

Author(s):

John D McLennan

Keyword(s):

Breast Milk ◽

Dominican Republic ◽

Infant Feeding ◽

Breast Feeding ◽

Demographic And Health Surveys ◽

Feeding Patterns ◽

The Relationship ◽

Prelacteal Feeds ◽

Over Time ◽

Milk Feeding

AbstractObjectiveThe relationship between caesarean sections (C-sections) and infant feeding varies between different samples and indicators of feeding. The current study aimed to determine the relationship between C-sections and five indicators of infant milk feeding (breast-feeding within 1 h after delivery, at the time of the survey (current) and ever; milk-based prelacteal feeds; and current non-breast milk use) over time in a country with a rapidly rising C-section rate.DesignSecondary data analysis on cross-sectional data from Demographic and Health Surveys from six different time points between 1986 and 2013.SettingDominican Republic.SubjectsInfants under 6 months of age.ResultsOver 90 % of infants were ever breast-fed in each survey sample. However, non-breast milk use has expanded over time with a concomitant drop in predominant breast-feeding. C-section prevalence has increased over time reaching 63 % of sampled infants in the most recent survey. C-sections remained significantly related to three infant feeding practices – the child not put to the breast within 1 h after delivery, milk-based prelacteal feeds and current non-breast milk use – in multivariate models that included sociodemographic control variables. However, current non-breast milk use was no longer related to C-sections when milk-based prelacteal feeds were factored into the model.ConclusionsReducing or avoiding milk-based prelacteal feeds, particularly among those having C-sections, may improve subsequent breast-feeding patterns. Simultaneously, efforts are needed to understand and help reduce the exceptionally high C-section rate in the Dominican Republic.

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A long-term evaluation of Facebook for recruitment and retention in the ENDIA type 1 diabetes pregnancy-birth cohort study (Preprint)

10.2196/preprints.34049 ◽

2021 ◽

Author(s):

Kelly J McGorm ◽

James David Brown ◽

Rebecca Louise Thomson ◽

Helena Oakey ◽

Belinda Moore ◽

...

Keyword(s):

Social Media ◽

Type 1 Diabetes ◽

Logistic Regression ◽

Birth Cohort ◽

Multinomial Logistic Regression ◽

Sociodemographic Characteristics ◽

Recruitment And Retention

BACKGROUND Recruitment and retention of research participants is challenging. Social media, particularly Facebook, has emerged as a tool for connecting with participants due to its high uptake in the community. The Environmental Determinants of Islet Autoimmunity (ENDIA) study is an Australia-wide prospective pregnancy-birth cohort following children who have a first-degree relative with type 1 diabetes (ACTRN1261300794707). A dedicated Facebook page was established for the ENDIA study in 2013 with the aim to enhance recruitment and support participant retention. OBJECTIVE The purpose of this investigation was to evaluate the long-term impact of Facebook as a recruitment and retention tool. The hypotheses were that (1) Facebook was an important source of referral to the ENDIA study, (2) the sociodemographic characteristics of participants recruited by Facebook would be different from those of participants recruited by other means (i.e., ‘conventional recruits’), and (3) recruitment by Facebook would be associated with long-term retention. We also evaluated the most effective types of Facebook content based on post engagement. METHODS Recruitment of 1511 ENDIA participants was completed in December 2019. Characteristics of participants recruited through Facebook were compared to conventional recruits using linear, logistic, and multinomial logistic regression models. A logistic regression model was used to determine the risk of study withdrawal. Data pertaining to 794 Facebook posts over 7.5 years from June 2013 until December 2020 were extracted using the Facebook ‘Insights’ function for thematic analysis. RESULTS Facebook was the third largest source of referral to the ENDIA study (300/1511; 19.9%) behind in-person clinics (500/1511, 33.1%) and healthcare professional referrals (347/1511, 23.0%). The ENDIA Facebook page had 2337 followers at the close of recruitment. Approximately 20% of these could be identified as participating parents. Facebook recruits were more frequently Australian-born (P<.001) enrolling postnatally (P=.01) and withdrew from the study at a significantly lower rate compared to conventional recruits (4.7% vs 12.3%; P<.001) after a median of follow-up of 3.3 years. CONCLUSIONS Facebook was a valuable recruitment tool for the ENDIA study and participants recruited through Facebook were three times less likely to withdraw during long-term follow-up. The sociodemographic characteristics of Facebook recruits were different to conventional recruits, but perhaps in unintended ways. Facebook content featuring stories and images of participants received the highest engagement despite the fact that most Facebook followers were not enrolled in the study. These findings should inform social media strategies for future cohort studies involving pregnant women and young families, and for type 1 diabetes risk studies. CLINICALTRIAL Australia New Zealand Clinical Trials Registry: ACTRN1261300794707 INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/1471-2431-13-124

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The Faces Emotional Coping Scale as a self-reporting instrument for coping with needle-related procedures: An initial validation study with children treated for type 1 diabetes

Journal of Child Health Care ◽

10.1177/1367493517729041 ◽

2017 ◽

Vol 21 (4) ◽

pp. 392-403 ◽

Cited By ~ 1

Author(s):

Stefan Nilsson ◽

Lena Hanberger ◽

Anna Lindholm Olinder ◽

Maria Forsner

Keyword(s):

Type 1 Diabetes ◽

Validation Study ◽

Analogue Scale ◽

Older Children ◽

Initial Validation ◽

Emotional Coping ◽

Coping Scale ◽

Short Narrative ◽

Good Agreement

The aim of this study was to determine the concurrent and content validity, sensitivity and inter-rater reliability of the Faces Emotional Coping Scale (FECS) to evaluate the children’s anticipation of the level of emotional coping in conjunction with a venepuncture. A total of 153 children with type 1 diabetes and 86 of their parents participated in the study. The age of the children, 76 of whom were boys, ranged from 7 to 18 years. The child and his or her parent reported the child’s coping ability, and the child reported the pain intensity and unpleasantness of a venepuncture. The child also wrote a short narrative about his or her experience of the needle procedure. The FECS correlated negatively with the Coloured Analogue Scale and the Facial Affective Scale and positively with the FECS by proxy. The narratives of 90 children correlated negatively with the FECS. Younger children reported significantly lower scores than older children did regarding their ability to cope with a venepuncture. The children’s scores on the FECS showed good agreement with the parents’ scores. In this study, the FECS was deemed valid for measuring children’s ability to cope with their emotions when undergoing needle-related procedures like venepuncture.

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Association between type 1 diabetes and Haemophilus influenzae type b vaccination: birth cohort study

BMJ ◽

10.1136/bmj.318.7192.1169 ◽

1999 ◽

Vol 318 (7192) ◽

pp. 1169-1172 ◽

Cited By ~ 60

Author(s):

M. Karvonen ◽

Z. Cepaitis ◽

J. Tuomilehto

Keyword(s):

Type 1 Diabetes ◽

Cohort Study ◽

Haemophilus Influenzae ◽

Birth Cohort ◽

Haemophilus Influenzae Type ◽

Birth Cohort Study ◽

Haemophilus Influenzae Type B ◽

Type B

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Perinatal risk factors for early onset of Type 1 diabetes in a 2000-2005 birth cohort

Diabetic Medicine ◽

10.1111/j.1464-5491.2009.02878.x ◽

2009 ◽

Vol 26 (12) ◽

pp. 1193-1197 ◽

Cited By ~ 41

Author(s):

C. S. Algert ◽

A. McElduff ◽

J. M. Morris ◽

C. L. Roberts

Keyword(s):

Risk Factors ◽

Type 1 Diabetes ◽

Birth Cohort ◽

Early Onset ◽

Perinatal Risk Factors ◽

Perinatal Risk

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Executive Summary

PEDIATRICS ◽

10.1542/peds.74.4.579 ◽

1984 ◽

Vol 74 (4) ◽

pp. 579-583

Keyword(s):

Developing Countries ◽

Breast Milk ◽

Infant Feeding ◽

Breast Feeding ◽

Maternal Employment ◽

The United States ◽

Attitudinal Factors ◽

Rate Of Increase ◽

Breast Feed ◽

Breast Fed

Domestic Although the rate of breast-feeding is increasing in the United States, it appears that the rate of increase has been much slower among less well educated and economically disadvantaged women. Relatively little is known about the behavioral and attitudinal factors that affect the decisions to breast-feed or to stop if already breast-feeding. Breast-feeding does appear to decrease an infant's risk of gastrointestinal infection and otitis media. The effect of method of infant feeding on risk of other infections and allergic illness is less certain. International The rate of breast-feeding in developing countries appears to have declined, especially among urban women. Although some sociodemographic correlates of infant-feeding choice have been examined, little is known about the behavioral and attitudinal factors that influence choice and duration of infant-feeding practices. Milk insufficiency, maternal employment, and pregnancy frequently are given as reasons for terminating breast-feeding. Rates of gastrointestinal illness are lower among breast-fed infants and when such illness is an important cause of death, infant mortality from this cause appears to be reduced. A randomized clinical trial carried out among high-risk infants found a significantly lower rate of infections among those given breast milk than those fed with infant formula. The evidence of the effect of breast-feeding on respiratory tract and other infections from other studies was less clear. Direct comparison of the growth of predominately breast-fed v artificially fed infants in the same populations from developing countries generally show faster growth for the breast-fed infants for the first 6 months of life. After 6 months, severe growth faltering occurs regardless of the method of feeding. In communities where the nutritional adequacy of supplementary foods is poor, breast milk is an extremely important, high-quality food during the second half of infancy and beyond.

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