scholarly journals Factors associated with breastfeeding initiation and continuation in Canadian-born and non-Canadian-born women: a multi-centre study

2021 ◽  
pp. 1-31
Author(s):  
Rishma Chooniedass ◽  
Marie Tarrant ◽  
Sarah Turner ◽  
Heidi Sze Lok Fan ◽  
Katie Del Buono ◽  
...  
Keyword(s):  
Maternal Smoking ◽  
Maternal Age ◽  
Maternal Education ◽  
Current Smoker ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Multi Centre Study ◽  
Smoking During Pregnancy ◽  
Lower Odds ◽  
Factors Associated

Abstract Objective: To identify factors associated with breastfeeding initiation and continuation in Canadian-born and non-Canadian-born women. Design: Prospective cohort of mothers and infants born from 2008–2012: the CHILD Cohort Study. Setting: General community setting in four Canadian provinces. Participants: 3455 pregnant women from Vancouver, Edmonton, Winnipeg, and Toronto between 2008 and 2012. Results: Of 3010 participants included in this study, the majority were Canadian-born (75.5%). Breastfeeding initiation rates were high in both non-Canadian-born (95.5%) and Canadian-born participants (92.7%). The median breastfeeding duration was 10 months in Canadian-born participants and 11 months in non-Canadian-born participants. Among Canadian-born participants, factors associated with breastfeeding initiation and continuation were older maternal age, higher maternal education, living with their partner, and recruitment site. Rooming-in during the hospital stay was also associated with higher rates of breastfeeding initiation, but not continuation at 6-months postpartum. Factors associated with non-initiation of breastfeeding and cessation at 6-months postpartum were maternal smoking, living with a current smoker, cesarean birth, and early-term birth. Among non-Canadian-born participants, maternal smoking during pregnancy was associated with lower odds of breastfeeding initiation, and lower odds of breastfeeding continuation at 6 months, and older maternal age and recruitment site were associated with breastfeeding continuation at 6 months. Conclusions: Although Canadian-born and non-Canadian-born women in the CHILD cohort have similar breastfeeding initiation rates, breastfeeding initiation and continuation are more strongly associated with sociodemographic characteristics in Canadian-born participants. Recruitment site was strongly associated with breastfeeding continuation in both groups and may indicate geographic disparities in breastfeeding rates nationally.

Maternal Education, Breastfeeding Behaviours and Lactational Amenorrhoea: Studies Among Two Ethnic Communities in Ile Ife, Nigeria

1996 ◽  
Vol 11 (2) ◽  
pp. 115-126 ◽  
Author(s):  
Anita A. Davies-Adetugbo ◽  
E.O. Ojofeitimi
Keyword(s):  
Formal Education ◽  
Maternal Education ◽  
Child Survival ◽  
Important Variable ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Southwestern Nigeria ◽  
Average Decrease ◽  
Lactating Mothers ◽  
Milk Substitutes

Breastfeeding is an important child survival strategy. This report aims to describe the unique contributions of education, ethnicity, and other variables to breastfeeding outcomes. The study was conducted among two groups of lactating mothers in Ile Ife, southwestern Nigeria, using structured questionnaires focusing on their breastfeeding history and current practice. Breastfeeding initiation was delayed in both groups, and primary education is the most significant predictor of initiation of breastfeeding within 6 hours of delivery (OR = 3.92, p = 0.0117). Breastfeeding duration (SD) was 13.7 (4.3) months for the Yorubas and 17.5 (3.4) for the Hausas. Its only significant predictors are education (p < = 0.0001), with an average decrease in breastfeeding duration of 3.2 and 6.6 months with mother's education to the primary and post-primary levels respectively, compared with mothers with no education. In turn, breastfeeding duration is the most significant predictor of the duration of lactational amenorrhoea (p = 0.0000). Mothers with some formal education are also more likely to start feeding human milk substitutes at 2 weeks (OR = 3.83, p = 0.024). The most important variable determining breastfeeding in this study is education. The educated mother is more likely to be involved in economic activity away from the home. To protect breastfeeding in these communities, there is a need for programmes to support the breastfeeding mother who works.

scholarly journals Association between Maternal Smoking during Pregnancy and Low Birthweight: Effects by Maternal Age

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146241 ◽  
Author(s):  
Wei Zheng ◽  
Kohta Suzuki ◽  
Taichiro Tanaka ◽  
Moriyasu Kohama ◽  
Zentaro Yamagata ◽  
...  
Keyword(s):  
Maternal Smoking ◽  
Maternal Age ◽  
Low Birthweight ◽  
Smoking During Pregnancy ◽  
Maternal Smoking During Pregnancy

scholarly journals Maternal education and offspring birth weight for gestational age: the mediating effect of smoking during pregnancy

2020 ◽  
Vol 30 (5) ◽  
pp. 1001-1006 ◽  
Author(s):  
Aurélie Nakamura ◽  
Laura Pryor ◽  
Morgane Ballon ◽  
Sandrine Lioret ◽  
Barbara Heude ◽  
...  
Keyword(s):  
Birth Weight ◽  
Educational Attainment ◽  
Gestational Age ◽  
Tobacco Smoking ◽  
Mediation Analysis ◽  
Maternal Smoking ◽  
Maternal Education ◽  
Mediating Effect ◽  
Smoking During Pregnancy ◽  
Child Birth

Abstract Background Small for gestational age (SGA) birth weight, a risk factor for infant mortality and delayed child development, is associated with maternal educational attainment. Maternal tobacco smoking during pregnancy could contribute to this association. We aimed to quantify the contribution of maternal smoking during pregnancy to social inequalities in child birth weight for gestational age (GA). Methods Data come from the French nation-wide ELFE cohort study, which included 17 155 singletons. Birth weights for GA were calculated using z-scores. Associations between maternal educational attainment, tobacco smoking during pregnancy and child birth weight for GA were ascertained using mediation analysis. Mediation analyses were also stratified by maternal pre-pregnancy body mass index. Results Low maternal educational attainment was associated with an increased odd of tobacco smoking during pregnancy [adjusted OR (ORa) = 2.58 (95% CI 2.34–2.84)] as well as a decrease in child birth weight for GA [RRa = 0.94 (95% CI 0.91–0.98)]. Tobacco smoking during pregnancy was associated with a decrease in offspring birth weight for GA [RRa = 0.73 (95% CI 0.70–0.76)]. Mediation analysis suggests that 39% of the effect of low maternal educational attainment on offspring birth weight for GA was mediated by smoking during pregnancy. A more important direct effect of maternal educational attainment on child birth weight for GA was observed among underweight women [RRa = 0.82 (95% CI 0.72–0.93)]. Conclusions The relationship between maternal educational attainment and child birth weight for GA is strongly mediated by smoking during pregnancy. Reducing maternal smoking could lessen the occurrence of infant SGA and decrease socioeconomic inequalities in birth weight for GA.

The Relationship Between Idiopathic Mental Retardation and Maternal Smoking During Pregnancy

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 547-553
Author(s):  
Carolyn D. Drews ◽  
Catherine C. Murphy ◽  
Marshalyn Yeargin-Allsopp ◽  
Pierre Decouflé
Keyword(s):  
Mental Retardation ◽  
Confidence Interval ◽  
Maternal Smoking ◽  
Maternal Education ◽  
Economic Status ◽  
Smoking During Pregnancy ◽  
Face To Face ◽  
Maternal Smoking During Pregnancy ◽  
The Relationship ◽  
Idiopathic Mental Retardation

Objectives. Smoking has been linked to small cognitive, achievement, and behavioral deficits but has not been associated with more severe cognitive impairments. This investigation evaluated the relationship between maternal smoking during pregnancy and idiopathic mental retardation (MR). Methods. Data on maternal smoking during pregnancy were obtained during face-to-face interviews with the mothers of 221 children with idiopathic MR and the mothers of 400 children attending public school. All children had been born in the five-county metropolitan Atlanta area in 1975 or 1976 and were living in the area when they were 10 years of age. We used exposure odds ratios (ORs) to assess the relationship between maternal smoking and MR, controlling for sex, maternal age at delivery, race, maternal education, economic status, parity, and alcohol use. Results. Maternal smoking during pregnancy was associated with slightly more than a 50% increase in the prevalence of idiopathic MR (adjusted OR, 1.6; 95% confidence interval, 1.0-2.4), and children whose mothers smoked at least one pack a day during pregnancy had more than a 75% increase in the occurrence of idiopathic MR (OR, 1.9;95% confidence interval, 1.0-3.4). This increase was neither accounted for by other sociodemographic risk factors for MR nor explained by an increase in the prevalence of low birth weight among the children of smokers. Conclusions. Our data suggest that maternal smoking may be a preventable cause of mental retardation.

scholarly journals 454. Perinatal Risk Factors Associated with Skin Infection Hospitalisation in Western Australian Aboriginal and Non-Aboriginal Children

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S223-S223
Author(s):  
Rosanne Barnes ◽  
Asha C Bowen ◽  
Roz Walker ◽  
Steven Y C Tong ◽  
Jodie McVernon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Maternal Smoking ◽  
Skin Infection ◽  
Perinatal Risk Factors ◽  
Perinatal Risk ◽  
Smoking During Pregnancy ◽  
Factors Associated ◽  
Maternal Smoking During Pregnancy ◽  
Aboriginal Children ◽  
Western Australian

Abstract Background Hospitalisation with skin infection in Western Australian (WA) Aboriginal children is common, with the highest rates in infants and children from remote WA. We aimed to quantify infant, maternal, and sociodemographic risk factors for skin infection hospitalization in WA children, focusing on Aboriginal children aged <17 years. Methods We conducted a retrospective population-based cohort study with linked perinatal and hospitalization data on WA-born children (1996–2012), of whom 31,348 (6.7%) were Aboriginal. We used Cox regression to calculate adjusted hazard ratios and associated population attributable fractions (PAFs) for perinatal factors attributed to the first hospitalization with skin infection. To identify specific risk factors for early-onset infection, we further restricted the cohort to infants aged <1 year. Results Overall, 5,439 (17.4%) Aboriginal and 6,750 (1.5%) non-Aboriginal children were hospitalized at least once with a skin infection. Aboriginal infants aged <1 year had the highest skin infection hospitalization rate (63.2/1,000 child-years). The strongest risk factors in Aboriginal children aged <17 years were socio-economic disadvantage, very remote location at birth and multi-parity (≥3 previous pregnancies) accounting for 24%, 23% and 15% of skin infection hospitalizations, respectively. Other risk factors included maternal age <20 years, maternal smoking during pregnancy and low birthweight. Conclusion We have quantified the relative influence of perinatal risk factors associated with skin infection hospitalizations in WA children, providing measures indicating which factors have the potential to reduce the most hospitalizations. Our evidence supports existing calls for substantial government investment in addressing underlying social and environmental barriers to healthy skin in WA Aboriginal children but also identifies potential areas to target health promotion messaging at individuals/families on maternal smoking during pregnancy and skin hygiene for families. Disclosures All authors: No reported disclosures.

Factors Associated With Breastfeeding Among Women With Gestational Diabetes

2019 ◽  
Vol 36 (1) ◽  
pp. 126-135
Author(s):  
Shaline Modena Reinheimer ◽  
Maria Inês Schmidt ◽  
Bruce Bartholow Duncan ◽  
Michele Drehmer
Keyword(s):  
Gestational Diabetes ◽  
Complete Information ◽  
Health Data ◽  
Breastfeeding Initiation ◽  
Smoking During Pregnancy ◽  
Factors Associated ◽  
Robust Variance ◽  
Kaplan Meier ◽  
Mother And Child ◽  
Early Preterm Birth

Background: Breastfeeding offers benefits to mother and child but is frequently not practiced among women whose pregnancy is complicated by gestational diabetes mellitus. Factors associated with not initiating or not maintaining breastfeeding among these women have been little investigated. Research aims: (1) To evaluate the frequency of breastfeeding for 30 days among women with a recent pregnancy complicated by gestational diabetes and (2) to determine factors associated with not initiating or not maintaining breastfeeding. Methods: Between January 2014 and July 2017 we enrolled women with gestational diabetes at high-risk prenatal services in three Brazilian cities. We collected baseline sociodemographic and health data and followed up with participants by telephone. Using Kaplan–Meier curves, we calculated the proportions of participants not initiating breastfeeding or not maintaining it for at least 30 days. We used Poisson regression with robust variance to identify factors related to this outcome. Results: Of the 2328 participants with complete information, 2236 (96.1%) initiated breastfeeding, and 2166 (93.1%) maintained breastfeeding for 30 days. Not having breastfed the previous infant (relative risk [RR] = 5.02, 95% CI [3.39, 7.45]), smoking during pregnancy (RR = 2.37, 95% CI [1.48, 3.80]), infant with health problems (RR = 2.25, 95% CI [1.27, 3.99]), early preterm birth (RR = 2.49, 95% CI [1.07, 5.77]), and not intending to breastfeed (RR = 3.73, 95% CI [1.89, 7.33]) were related to not maintaining breastfeeding for at least 30 days. Conclusions: Breastfeeding initiation was nearly universal among participants, and most maintained breastfeeding for 30 days. Factors relating to not breastfeeding at 30 days were easily identifiable.

scholarly journals Biomedical, psychological, environmental and behavioural factors associated with adult obesity in a nationally representative sample

2019 ◽  
Vol 42 (3) ◽  
pp. 570-578 ◽  
Author(s):  
Helen Cheng ◽  
Scott Montgomery ◽  
Andy Green ◽  
Adrian Furnham
Keyword(s):  
Physical Exercise ◽  
Maternal Smoking ◽  
Outcome Variable ◽  
Adult Obesity ◽  
Smoking During Pregnancy ◽  
Factors Associated ◽  
Neurological Functioning ◽  
Maternal Smoking During Pregnancy ◽  
Nationally Representative ◽  
Behavioural Factors

Abstract Objective To identify personality, biomedical and behavioural factors associated with adult obesity in a large longitudinal sample. Method In total, 5360 participants with data on personality, neurological functioning, maternal smoking during pregnancy, education and occupation, physical exercise, adult self-reported BMI and obesity were included in the study. Obesity at 55 years was the outcome variable. Results The rates of obesity increased from 9.5 to 22.8% from age 33 to 55 years. Logistic regression analyses (adjusted estimates) showed that childhood neurological functioning (OR = 1.32: 1.07–1.63, P &lt; 0.01), maternal smoking during pregnancy (OR = 1.42: 1.22–1.65, P &lt; 0.001), educational qualifications (OR = 0.54: 0.37–0.79, P &lt; 0.01), trait conscientiousness (OR = 0.80:0.74–0.86, P &lt; 0.001) and physical exercise (OR = 0.87: 0.82–0.92, P &lt; 0.001) were significant predictors of obesity at age 55 years for both men and women. Trait extraversion for men (OR = 1.16: 1.07–1.26, P &lt; 0.001) and trait emotional stability for women (OR = 0.90: 0.82–0.99, P &lt; 0.05) were also significant predictors of the outcome variable. Conclusion Biomedical, psychological, environmental and behavioural factors were all associated with adult obesity.

scholarly journals The Association Between Breastfeeding and Body Composition During Adolescence (P11-123-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Abeer Aljahdali ◽  
Alejandra Cantoral ◽  
Karen Peterson ◽  
Wei Perng ◽  
Maritsa Solano ◽  
...  
Keyword(s):  
Body Composition ◽  
Lean Mass ◽  
Maternal Education ◽  
Positive Association ◽  
Bioelectrical Impedance ◽  
Breastfeeding Duration ◽  
Continuous Exposure ◽  
Significant Positive Association ◽  
Smoking During Pregnancy ◽  
Funding Sources

Abstract Objectives To investigate whether breastfeeding duration during infancy was related to body composition in adolescence. Methods The analytic sample comprised 536 Mexico City adolescents enrolled in an ongoing cohort study. Breastfeeding duration was estimated based on mother's report of when she started and stopped breastfeeding, assessed during follow up visits at 1, 3, 6, and 12 months postpartum. Trained health professionals conducted the anthropometric assessment of weight, height, waist circumference, and triceps, suprailiac, and subscapular skinfold thicknesses. Bioelectrical impedance was used to derive the fat, muscle, lean and trunk fat masses and percentages. Sex-specific linear regression was performed with body composition measures as outcomes and breastfeeding duration in months as a continuous exposure, accounting for age, maternal education, maternal smoking during pregnancy, maternal parity, birth weight, and length, length of gestation, and adolescent maturation status. Results The median (IQR) age was 14.62 (3.90) years, and 51.49% were females. Mean (SD) Body Mass Index Z-score was 0.58 (1.19) for females and 0.42 (1.29) for males. Breastfeeding duration ranged from 0 to 34 months with a median duration of 6.50 (9.00) and 7.00 (8.00) months in females and males, respectively. In males, there was a statistically significant positive association between duration of breastfeeding and skeletal muscle and lean mass in crude models (β = 0.19 [95% CI 0.07, 0.30] and β = 0.29 [95% CI 0.11, 0.46], respectively. Nonetheless, these associations were attenuated and no longer statistically significant when age and other covariates were included in the linear model (for muscle mass β = 0.02 [95% CI - 0.06, 0.10]) and lean mass β = 0.03 [95% CI - 0.09, 0.15]). There were no associations between breastfeeding duration and other body composition outcomes either in crude or adjusted sex-specific models. Conclusions After accounting for potential confounders, there was no evidence of a relationship between breastfeeding duration and adolescent body composition. Age was a crucial confounder, as younger adolescents in the cohort had shorter breastfeeding duration and lower skeletal and lean mass. Funding Sources NIH/NIEHS and EPA.

scholarly journals Is increasing urbanicity associated with changes in breastfeeding duration in rural India? An analysis of cross-sectional household data from the Andhra Pradesh children and parents study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016331 ◽  
Author(s):  
Laura Oakley ◽  
Christopher P Baker ◽  
Srivalli Addanki ◽  
Vipin Gupta ◽  
Gagandeep Kaur Walia ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Andhra Pradesh ◽  
Maternal Education ◽  
Early Stage ◽  
Breastfeeding Duration ◽  
Similar Proportion ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Children And Parents

ObjectiveTo investigate whether village-level urbanicity and lower level socioeconomic factors are associated with breastfeeding practices in transitioning rural communities in India.Setting29 villages in Ranga Reddy district, southern India between 2011 and 2014.Participants7848 children under 6 years identified via a cross-sectional household survey conducted as part of the Andhra Pradesh Children and Parents Study.Outcome measuresTwo key indicators of optimal breastfeeding: termination of exclusive breastfeeding before 6 months and discontinuation of breastfeeding by 24 months. Village urbanicity was classified as low, medium or high according to satellite assessed night-light intensity.ResultsBreastfeeding initiation was almost universal, and approximately two in three children were exclusively breastfed to 6 months and a similar proportion breastfed to 24 months. Using multilevel logistic regression, increasing urbanicity was associated with breastfeeding discontinuation before 24 months (medium urbanicity OR 1.45, 95% CI 0.71 to 2.96; high urbanicity OR 2.96, 95% CI 1.45 to 6.05) but not with early (<6 months) termination of exclusive breastfeeding. Increased maternal education was independently associated with both measures of suboptimal breastfeeding, and higher household socioeconomic position was associated with early termination of exclusive breastfeeding.ConclusionIn this transitional Indian rural community, early stage urbanicity was associated with a shorter duration of breastfeeding. Closer surveillance of changes in breastfeeding practices alongside appropriate intervention strategies are recommended for emerging economies.

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