The Patterns and Social Determinants of Breastfeeding in 12 Selected Regions in China: A Population-Based Cross-Sectional Study

2019 ◽  
Vol 36 (3) ◽  
pp. 436-447
Author(s):  
Zhe Fang ◽  
Yuning Liu ◽  
Hanyu Wang ◽  
Kun Tang
Keyword(s):  
Exclusive Breastfeeding ◽  
Large Scale ◽  
Sampling Technique ◽  
Population Based ◽  
Breastfeeding Initiation ◽  
Cross Sectional Survey ◽  
Annual Household Income ◽  
Cross Sectional ◽  
Breastfeeding Rate ◽  
Determinants Of Breastfeeding

Background With rapid industrialization and urbanization, there is a growing need for women to enter the workforce, and affluent people are drawn to the infant formula market. The breastfeeding rates in China are below the optimal level. Large scale quantitative research studying breastfeeding practices after 2015 in China are lacking. Research aim We aimed to (1) explore the latest patterns and (2) identify the determinants of breastfeeding in China. Methods The study was a population-based, cross-sectional survey. A multi-stage sampling technique was adopted for the selection of participants. We recruited 10,408 mothers with children under 12 months old, in 12 regions of China, and conducted a questionnaire survey about breastfeeding patterns. The associations between social and biophysical determinants and breastfeeding outcomes were analyzed using a logistic regression model. Results The exclusive breastfeeding rate was 29.32% ( n = 3,052) decreasing from 32.71% ( n = 3,404) to 15.83% ( n = 1,648) among children aged 0–5 months. Cesarean section had a negative association with early breastfeeding initiation ( OR = .33, 95% CI [.30, .36]), exclusive breastfeeding ( OR = .78, 95% CI [.69, .89]), and predominant breastfeeding ( OR = .73, 95% CI [.65, .83]). Compared to participants with an annual household income lower than 40,000 Yuan ($5,817 USD), those with over 100,000 Yuan ($14,542 USD) had an OR of .78 (95% CI [.67, .90]) in exclusive breastfeeding. Compared with illiterate and unemployed groups, middle/high school education and a current work status, respectively, were associated with a lower likelihood of exclusive breastfeeding ( OR = .73, 95% CI [.63, .84]; OR = .58, 95% CI [.37, .89]). Conclusions The prevalence of breastfeeding in 12 selected regions in China was low and interventions focusing on the targeted population should be strengthened.

scholarly journals Maternal adherence to micronutrient supplementation before and during pregnancy in Northwest China: a large-scale population-based cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028843 ◽  
Author(s):  
Danmeng Liu ◽  
Yue Cheng ◽  
Shaonong Dang ◽  
Duolao Wang ◽  
Yaling Zhao ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Large Scale ◽  
Northwest China ◽  
Population Based ◽  
Shaanxi Province ◽  
Micronutrient Supplementation ◽  
Cross Sectional Survey ◽  
Start Time ◽  
Cross Sectional ◽  
Scale Population

ObjectivesTo report the situation of maternal micronutrient supplementation before and during pregnancy in Northwest China and to examine the rates of and factors related to the adherence to micronutrient supplementation among pregnant women in this region, where dietary micronutrient intake is commonly insufficient.DesignA large-scale population-based cross-sectional survey.SettingTwenty counties and ten districts of Shaanxi Province.ParticipantsA sample of 30 027 women were selected using a stratified multistage random sampling method. A total of 28 678 women were chosen for the final analysis after excluding those who did not provide clear information about nutritional supplementation before and during pregnancy.Main outcome measuresMaternal adherence to micronutrient supplementation (high and low) were the outcomes. They were determined by the start time and duration of use according to Chinese guidelines (for folic acid (FA) supplements) and WHO recommendations (for iron, calcium and multiple-micronutrient (MMN) supplements).ResultsIn total, 83.9% of women took at least one kind of micronutrient supplement before or during pregnancy. FA (67.6%) and calcium (57.5%) were the primarily used micronutrient supplements; few participants used MMN (14.0%) or iron (5.4%). Adherence to supplementation of all micronutrients was low (7.4% for FA, 0.6% for iron, 11.7% for calcium and 2.7% for MMN). Higher educational levels, higher income levels, urban residence and better antenatal care (including pregnancy consultation and a higher frequency of antenatal visits) were associated with high adherence to micronutrient supplementation.ConclusionMaternal micronutrient supplementation before and during pregnancy in Northwest China was way below standards recommended by the Chinese guidelines or WHO. Targeted health education and future nutritional guidelines are suggested to improve this situation, especially in pregnant women with disadvantaged sociodemographic conditions.

Factors Associated with Exclusive Breastfeeding among Mothers who Work at Home at Tabanan Regency

2016 ◽  
pp. 179
Author(s):  
Hesteria F.A.S ◽  
I.W.G. Artawan Eka Putra ◽  
Dyah Pradnyaparamita Duarsa
Keyword(s):  
Exclusive Breastfeeding ◽  
Bivariate Analysis ◽  
Breastfeeding Initiation ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Work At Home ◽  
Social Demographic ◽  
At Home

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it.Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic, knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis.Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76).Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.

scholarly journals Infant feeding practices among parturient women in rural communities of Anambra State, Nigeria

2019 ◽  
Vol 6 (8) ◽  
pp. 3216
Author(s):  
Oluchukwu Loveth Obiora ◽  
Pauline O. Ezenduka ◽  
Chuka Ifeanyi Umeonwuka
Keyword(s):  
Rural Communities ◽  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Reproductive Process ◽  
Validated Questionnaire

Background: Infant feeding is an integral part of the reproductive process with important implications for the health of mothers and their babies. However, various practices exist in different communities. It is therefore pertinent to know the infant feeding practices among rural dwellers, as well as the factors that influence them.Methods: This study was a cross sectional survey. A total of 372 volunteering parturient women were recruited using a multi-stage stratified sampling technique. Ethical approval and respondents’ informed consent was obtained. A self-developed and validated questionnaire was used to collect data. Descriptive and inferential statistics was used to analyse data.Results: Findings revealed that majority (84.4%) of the respondents were aware of exclusive breastfeeding (EBF), but only about half (50.5%) ever practiced exclusive breastfeeding. Also, a significant percentage of the respondents introduced complimentary feeding to the baby immediately after birth while 29.3% of participants reported drinking palm wine which is mainly alcoholic to stimulate breast milk secretion. Occupation of parturient women was associated with the practice of EBF (p=0.002).Conclusions: Almost half of our studied parturient women do not engage in EBF. There is need for health care workers to strategically educate parturient women and their significant others on the numerous benefits of exclusive breast feeding.

scholarly journals Population-based estimates of post-acute sequelae of SARS-CoV-2 infection (PASC) prevalence and characteristics: A cross-sectional study

2021 ◽  
Author(s):  
Jana L. Hirschtick ◽  
Andrea R. Titus ◽  
Elizabeth Slocum ◽  
Laura E. Power ◽  
Robert E. Hirschtick ◽  
...  
Keyword(s):  
Low Income ◽  
Smoking Status ◽  
Prevalence Ratio ◽  
Population Based ◽  
Outcome Data ◽  
Cross Sectional Survey ◽  
Annual Household Income ◽  
Cross Sectional ◽  
Persistent Symptoms ◽  
Initial Symptoms

AbstractImportanceEmerging evidence suggests many people have persistent symptoms after acute COVID-19 illness.ObjectiveTo estimate the prevalence and correlates of persistent COVID-19 symptoms 30 and 60 days post onset using a population-based sample.Design & SettingThe Michigan COVID-19 Recovery Surveillance Study is a population-based cross-sectional survey of a probability sample of adults with confirmed COVID-19 in the Michigan Disease Surveillance System (MDSS). Respondents completed a survey online or via telephone in English, Spanish, or Arabic between June - December 2020.ParticipantsLiving non-institutionalized adults (aged 18+) in MDSS with COVID-19 onset through mid-April 2020 were eligible for selection (n=28,000). Among 2,000 adults selected, 629 completed the survey. We excluded 79 cases during data collection due to ineligibility, 6 asymptomatic cases, 7 proxy reports, and 24 cases missing outcome data, resulting in a sample size of 593. The sample was predominantly female (56.1%), aged 45 and older (68.2%), and Non-Hispanic White (46.3%) or Black (34.8%).ExposuresDemographic (age, sex, race/ethnicity, and annual household income) and clinical factors (smoking status, body mass index, diagnosed comorbidities, and illness severity).Main outcomes and MeasuresWe defined post-acute sequelae of SARS-CoV-2 infection (PASC) as persistent symptoms 30+ days (30-day COVID-19) or 60+ days (60-day COVID-19) post COVID-19 onset.Results30- and 60-day COVID-19 were highly prevalent (52.5% and 35.0%), even among respondents reporting mild symptoms (29.2% and 24.5%) and non-hospitalized respondents (43.7% and 26.9%, respectively). Low income was statistically significantly associated with 30-day COVID-19 in adjusted models. Respondents reporting very severe (vs. mild) symptoms had 2.25 times higher prevalence of 30-day COVID-19 (Adjusted Prevalence Ratio [aPR] 2.25, 95% CI 1.46-3.46) and 1.71 times higher prevalence of 60-day COVID-19 (aPR 1.71, 95% 1.02-2.88). Hospitalized (vs. non-hospitalized) respondents had about 40% higher prevalence of both 30-day (aPR 1.37, 95% CI 1.12-1.69) and 60-day COVID-19 (aPR 1.40, 95% CI 1.02-1.93).Conclusions and RelevancePASC is highly prevalent among cases with severe initial symptoms, and, to a lesser extent, cases with mild and moderate symptoms.

scholarly journals Analysis Factor Initiated Early Breastfeeding, Husband Support and Promotion of Formula Milk to Failure of Exclusive Breastfeeding

2020 ◽  
Vol 3 (2) ◽  
pp. 193-200
Author(s):  
Asyaul Wasiah ◽  
Koesnadi Koesnadi ◽  
Indasah Indasah
Keyword(s):  
Exclusive Breastfeeding ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Breastfeeding Initiation ◽  
Formula Milk ◽  
Cross Sectional ◽  
Factors Affecting ◽  
A Value ◽  
Cross Sectional Design ◽  
Husband Support

Various studies show that the coverage of exclusive breastfeeding in Indonesia is still very low. Exclusive breastfeeding is very important for the survival of the baby because it contains growth factors and antibody substances. If breast milk is not given exclusively, the immune system's maturation process will be disrupted and cause the baby to get infected easily. The purpose of this study was to find out the most dominant factors affecting the failure of exclusive breastfeeding at Turi Health Center, Lamongan Regency. This research is descriptive descriptive analysis with cross sectional design. A sample of 132 mothers who have babies aged 6-12 months with the Simple Randem Sampling technique, questionnaire instruments, data analysis with the Logistic Regression test. Most of the mothers did not initiate early breastfeeding, namely 78 (59.1%), got enough husband support 80 respondents (60.6%) and interested in promoting formula milk as many as 74 respondents (56.1%). For partial test Early breastfeeding initiation has a Sig 0.003 value, husband's support for Sig 0.004 and promotion of formula milk Sig 0.001. The results of the analysis of the most dominant variable on the failure of Exclusive ASI were husband's support with a value of OR 1.868. It is expected to increase counselin g and information about the Initiation of Early Breastfeeding and Exclusive Breastfeeding for pregnant women and mothers having babies. As well as being more selective in accepting all forms of promotion of formula milk from various promotional media

scholarly journals Factors associated with being an older rather than younger unpaid carer of adults with a chronic health condition: Results from a population-based cross-sectional survey in South Australia

2021 ◽  
pp. 174239532110540
Author(s):  
Sungwon Chang ◽  
Tim Luckett ◽  
Jane Phillips ◽  
Meera Agar ◽  
Lawrence Lam ◽  
...  
Keyword(s):  
Chronic Health Condition ◽  
Population Based ◽  
Health Condition ◽  
Poor Mental Health ◽  
Sociodemographic Characteristics ◽  
Cross Sectional Survey ◽  
Annual Household Income ◽  
Cross Sectional ◽  
Chronic Health ◽  
Neurological Condition

Objective To examine sociodemographic characteristics and caring experiences associated with being an older rather than younger carer of an adult with a chronic health condition. Methods The population-based cross-sectional South Australian Health Omnibus survey was administered in 2016. Multiple logistic regression was used to identify sociodemographic characteristics and caring experiences associated with being an older (≥65 years) versus younger (<65 years) carer of one or more adult(s) with a chronic health condition. Results Of 988 survey respondents who self-identified as carers, 198(20%) were 65 years or over. Characteristics associated with being an older carer included having a partner, having poor physical health, being born outside Australia, have no formal qualification, living in a household of 1–2 people, have an annual household income ≤$60,000, and owning one's home. Carer experiences associated with older carer status included providing ≥40 h of care per week, perceived control over caring, and caring for someone with a neurological condition, whereas caring for someone with a mental illness, reporting poor mental health of their own, and providing personal care were inversely associated. Discussion Interventions directed at older carers should consider the increased likelihood that they may be investing large amounts of time in caring for someone with a neurological condition, and be culturally and linguistically diverse.

scholarly journals Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030039
Author(s):  
Md Al Amin Bhuiyan ◽  
Priyanka Agrawal ◽  
Shirin Wadhwaniya ◽  
Qingfeng Li ◽  
O Alonge ◽  
...  
Keyword(s):  
Large Scale ◽  
Age Groups ◽  
Population Based ◽  
Secondary Outcome ◽  
Public Health Issue ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Bangladesh ◽  
Snake Bites ◽  
Reported Data

ObjectiveThis study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh.Design and settingA cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June 2013 to September 2013.ParticipantsA total of approximately 1.17 million individuals across all age and gender profiles were included in the survey. The participants had to be residents of the seven subdistricts and have provided consent to participate in the study.Primary and secondary outcome measuresAnimal-related injury characteristics and demographic information was collected in the study. Frequency, proportion and 95% CIs of variables such as type of animal, type of animal attack, activity of the person prior to attack and the seasonality of the injury were reported. Data was then statistically analysed for associations between injury and sociodemographic characteristics.ResultsThe incidence rate of fatal and non-fatal animal-related injuries across all ages were 0.7 (95% CI 0.4 to 1.4) and 1635.3 (95% CI 1612.0 to 1658.0) per 100 000 populations, respectively. Non-fatal animal-related injury rates were highest among adults 18 years and older (1820.6 per 100 000 population (1777.2 to 1865.1)), and in males across all age groups. The most common animal injury was wasp/hornet/bee sting (49%), followed by cow/buffalo (25%), dog bite (9%) and snake bites (9%).ConclusionsAnimal-related injuries are an important public health issue in rural Bangladesh. The incidence of animal-related morbidities was found high in the study area. Males, school-going and productive age groups were at high risk. Immediate attention should be given to prevent these events.

scholarly journals Breastfeeding Techniques and Associated Factors among Mothers before Discharge: A Cross-Sectional Study

2020 ◽  
Author(s):  
Sen LI ◽  
dan zhu
Keyword(s):  
Exclusive Breastfeeding ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
General Information ◽  
Average Score ◽  
Sectional Study ◽  
Cross Sectional ◽  
Positive Effects ◽  
Breastfeeding Rate

Abstract BackgroundBreastfeeding techniques are strongly associated with the exclusive breastfeeding. It is the very key time to improve mothers’ breastfeeding techniques during staying in the hospital and delivery institution, but there is little study about in-hospital breastfeeding techniques in China. This study aimed to assess the breastfeeding techniques and its associated factors among mothers in hospital. MethodsA cross-sectional study was conducted in Peking university people’s hospital, china, from March 19, 2018 to April 27, 2018. 153 mothers selected by convenience sampling technique were investigated by questionnaire survey, which includes the LATCH scoring system, the general information and breastfeeding behavior questionnaire, the breastfeeding knowledge questionnaire, and the Chinese version of maternal breastfeeding evaluation scale (MBFES). Factors associated with in-hospital breastfeeding techniques were determined by multiple regression analysis. ResultsThe average score of breastfeeding techniques assessed before discharge was 8.63, the multipara, long hospital staying, and high breastfeeding satisfaction were positive effects to breastfeeding techniques before discharge (P<0.05), which could explain 11.2% of the variance.ConclusionAlthough the breastfeeding techniques before discharge are high, we can still make efforts to improve it. Implementing measures to promote breastfeeding, provide breastfeeding guidance right after delivery, take timely evaluation and specific guidance will be conducive to improve the breastfeeding techniques and do help to increase the exclusive breastfeeding rate.

scholarly journals Exclusive breastfeeding in rural Western China: does father’s co-residence matter?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jingchun Nie ◽  
Lifang Zhang ◽  
Shuyi Song ◽  
Andrew John Hartnett ◽  
Zhuo Liu ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Population Based ◽  
Cross Sectional Study ◽  
Western China ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Breastfeeding Rate ◽  
The Status

Abstract Background China suffers from a low exclusive breastfeeding rate. Though it has been proofed that paternal support benefits breastfeeding a lot, the correlation between father’s co-residence and exclusive breastfeeding in China remain undiscovered. This study is to provide population-based evidence for the association of paternal co-residence on exclusive breastfeeding in rural western China. We also attempt to detect how the process works by examining the correlation between the father’s co-residence and breastfeeding family support as well as maternal decision-making power. Methods A cross-sectional study was conducted in 13 nationally-designated poverty-stricken counties in the Qinba Mountains area in 2019. Data on breastfeeding practices, the status of fathers co-residence, breastfeeding family support, and maternal decision-making power were collected via structured questionnaires from 452 caregivers-infant pairs. Multivariate regressions were conducted to explore the correlation between paternal co-residence and exclusive breastfeeding. Results The exclusive breastfeeding (0–6 months) rate was 16% in rural western China. Fathers’ co-residence was associated with a lower exclusive breastfeeding rate (OR = 0.413, 95% CI = 0.227–0.750, P = 0.004) and the rate did not improve when the father was the secondary caregiver. Even ruling out support from grandmothers, the association was still negative. Paternal co-residence did not improve maternal perceived breastfeeding family support, neither practically nor emotionally (β =0.109, P = 0.105; β =0.011,P = 0.791, respectively) and it reduced maternal decision-making power (β = − 0.196, P = 0.007). Conclusions Fathers’ co-residence is negatively associated with the exclusive breastfeeding rates in rural western China. More skill-based practical and emotional strategies should be considered on father’s education to help them better involvement and show more respect to mothers’ decisions.

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