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Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers

BACKGROUND: Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breast...

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Autores principales: Aguilar-Ortega, Juana María, González-Pascual, Juan Luis, Cardenete-Reyes, César, Pérez-de-Algaba-Cuenca, Carmen, Pérez-García, Santiago, Esteban-Gonzalo, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348660/
https://www.ncbi.nlm.nih.gov/pubmed/30691401
http://dx.doi.org/10.1186/s12884-018-2161-y
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author Aguilar-Ortega, Juana María
González-Pascual, Juan Luis
Cardenete-Reyes, César
Pérez-de-Algaba-Cuenca, Carmen
Pérez-García, Santiago
Esteban-Gonzalo, Laura
author_facet Aguilar-Ortega, Juana María
González-Pascual, Juan Luis
Cardenete-Reyes, César
Pérez-de-Algaba-Cuenca, Carmen
Pérez-García, Santiago
Esteban-Gonzalo, Laura
author_sort Aguilar-Ortega, Juana María
collection PubMed
description BACKGROUND: Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breastfeeding rates of Chinese-born immigrants and natives are scarce. The aims of this study were therefore: 1) to compare the rate of exclusive breastfeeding at hospital discharge after giving birth between Chinese-born women resident in Spain and native Spanish women, 2) to assess the influence of the biological, socioeconomic, work-related and cultural factors on exclusive breastfeeding in women of Chinese origin. METHODS: A cross-sectional descriptive study with between group comparisons. This study included 73 postpartum women (33 Chinese-born and 40 native Spanish women). The association between exclusive breastfeeding and the country of origin was assessed by binary logistic regression. RESULTS: Native Spanish women showed a greater prevalence of exclusive breastfeeding (80%) compared to Chinese born immigrant women (36.4%) (adjusted for socioeconomic status, parental level of education, age, cesareans and birth weight) (OR = 0.21; 95% CI 0.05–0.91; p = 0.037). However, in other models that considered both work and cultural influences, no differences were observed. DISCUSSION: The classic biological and socioeconomic variables (educational and socioeconomic levels) do not seem to explain the lower rates of exclusive breastfeeding among Chinese immigrant women. This paradigm of inequity appears to be based on both the work conditions as well as cultural characteristics of Chinese born women in Spain, such as their overall attitude towards breastfeeding.
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spelling pubmed-63486602019-01-31 Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers Aguilar-Ortega, Juana María González-Pascual, Juan Luis Cardenete-Reyes, César Pérez-de-Algaba-Cuenca, Carmen Pérez-García, Santiago Esteban-Gonzalo, Laura BMC Pregnancy Childbirth Research Article BACKGROUND: Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breastfeeding rates of Chinese-born immigrants and natives are scarce. The aims of this study were therefore: 1) to compare the rate of exclusive breastfeeding at hospital discharge after giving birth between Chinese-born women resident in Spain and native Spanish women, 2) to assess the influence of the biological, socioeconomic, work-related and cultural factors on exclusive breastfeeding in women of Chinese origin. METHODS: A cross-sectional descriptive study with between group comparisons. This study included 73 postpartum women (33 Chinese-born and 40 native Spanish women). The association between exclusive breastfeeding and the country of origin was assessed by binary logistic regression. RESULTS: Native Spanish women showed a greater prevalence of exclusive breastfeeding (80%) compared to Chinese born immigrant women (36.4%) (adjusted for socioeconomic status, parental level of education, age, cesareans and birth weight) (OR = 0.21; 95% CI 0.05–0.91; p = 0.037). However, in other models that considered both work and cultural influences, no differences were observed. DISCUSSION: The classic biological and socioeconomic variables (educational and socioeconomic levels) do not seem to explain the lower rates of exclusive breastfeeding among Chinese immigrant women. This paradigm of inequity appears to be based on both the work conditions as well as cultural characteristics of Chinese born women in Spain, such as their overall attitude towards breastfeeding. BioMed Central 2019-01-28 /pmc/articles/PMC6348660/ /pubmed/30691401 http://dx.doi.org/10.1186/s12884-018-2161-y Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Aguilar-Ortega, Juana María
González-Pascual, Juan Luis
Cardenete-Reyes, César
Pérez-de-Algaba-Cuenca, Carmen
Pérez-García, Santiago
Esteban-Gonzalo, Laura
Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title_full Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title_fullStr Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title_full_unstemmed Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title_short Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers
title_sort adherence to initial exclusive breastfeeding among chinese born and native spanish mothers
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348660/
https://www.ncbi.nlm.nih.gov/pubmed/30691401
http://dx.doi.org/10.1186/s12884-018-2161-y
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