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Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study

Objective: To investigate the factors affecting the duration of continuous breastfeeding of infants within 2 years of age, and to explore intervention strategies that may promote breastfeeding duration in China. Method: A self-made electronic questionnaire was used to investigate the breastfeeding d...

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Autores principales: Yang, Ziming, Ding, Yingfang, Song, Shuyao, Zhang, Yaoyun, Li, Aolin, Su, Mintao, Xu, Yajun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051738/
https://www.ncbi.nlm.nih.gov/pubmed/36986082
http://dx.doi.org/10.3390/nu15061353
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author Yang, Ziming
Ding, Yingfang
Song, Shuyao
Zhang, Yaoyun
Li, Aolin
Su, Mintao
Xu, Yajun
author_facet Yang, Ziming
Ding, Yingfang
Song, Shuyao
Zhang, Yaoyun
Li, Aolin
Su, Mintao
Xu, Yajun
author_sort Yang, Ziming
collection PubMed
description Objective: To investigate the factors affecting the duration of continuous breastfeeding of infants within 2 years of age, and to explore intervention strategies that may promote breastfeeding duration in China. Method: A self-made electronic questionnaire was used to investigate the breastfeeding duration of infants, and the influencing factors were collected from three levels of individual, family, and social support. The Kruskal–Wallis rank sum test and the multivariable ordinal logistic regression model were used for data analysis. Subgroup analysis was carried out according to region and parity. Results: A total of 1001 valid samples from 26 provinces across the country were obtained. Among them, 9.9% breastfed for less than 6 months, 38.6% for 6 to 12 months, 31.8% for 12 to 18 months, 6.7% for 18 to 24 months, and 13.1% for more than 24 months. Barriers to sustained breastfeeding included the mother’s age at birth being over 31, education level below junior high, cesarean delivery, and the baby’s first nipple sucking at 2 to 24 h after birth. Factors that promote continued breastfeeding included freelancer or full-time mother, high breastfeeding knowledge score, supporting breastfeeding, baby with low birth weight, first bottle feeding at 4 months and later, first supplementary food at over 6 months old, high family income, the mother’s family and friends supporting breastfeeding, breastfeeding support conditions after returning to work, etc. Conclusion: The breastfeeding duration in China is generally short, and the proportion of mothers breastfeeding until the age of 2 years and above, recommended by WHO, is very low. Multiple factors at the individual, family, and social support levels influence the duration of breastfeeding. It is suggested to improve the current situation by strengthening health education, improving system security, and enhancing social support.
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spelling pubmed-100517382023-03-30 Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study Yang, Ziming Ding, Yingfang Song, Shuyao Zhang, Yaoyun Li, Aolin Su, Mintao Xu, Yajun Nutrients Article Objective: To investigate the factors affecting the duration of continuous breastfeeding of infants within 2 years of age, and to explore intervention strategies that may promote breastfeeding duration in China. Method: A self-made electronic questionnaire was used to investigate the breastfeeding duration of infants, and the influencing factors were collected from three levels of individual, family, and social support. The Kruskal–Wallis rank sum test and the multivariable ordinal logistic regression model were used for data analysis. Subgroup analysis was carried out according to region and parity. Results: A total of 1001 valid samples from 26 provinces across the country were obtained. Among them, 9.9% breastfed for less than 6 months, 38.6% for 6 to 12 months, 31.8% for 12 to 18 months, 6.7% for 18 to 24 months, and 13.1% for more than 24 months. Barriers to sustained breastfeeding included the mother’s age at birth being over 31, education level below junior high, cesarean delivery, and the baby’s first nipple sucking at 2 to 24 h after birth. Factors that promote continued breastfeeding included freelancer or full-time mother, high breastfeeding knowledge score, supporting breastfeeding, baby with low birth weight, first bottle feeding at 4 months and later, first supplementary food at over 6 months old, high family income, the mother’s family and friends supporting breastfeeding, breastfeeding support conditions after returning to work, etc. Conclusion: The breastfeeding duration in China is generally short, and the proportion of mothers breastfeeding until the age of 2 years and above, recommended by WHO, is very low. Multiple factors at the individual, family, and social support levels influence the duration of breastfeeding. It is suggested to improve the current situation by strengthening health education, improving system security, and enhancing social support. MDPI 2023-03-10 /pmc/articles/PMC10051738/ /pubmed/36986082 http://dx.doi.org/10.3390/nu15061353 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yang, Ziming
Ding, Yingfang
Song, Shuyao
Zhang, Yaoyun
Li, Aolin
Su, Mintao
Xu, Yajun
Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title_full Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title_fullStr Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title_full_unstemmed Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title_short Factors Affecting the Breastfeeding Duration of Infants and Young Children in China: A Cross-Sectional Study
title_sort factors affecting the breastfeeding duration of infants and young children in china: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051738/
https://www.ncbi.nlm.nih.gov/pubmed/36986082
http://dx.doi.org/10.3390/nu15061353
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