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Association between maternal education and breast feeding practices in China: a population-based cross-sectional study

OBJECTIVE: To investigate the association between maternal education and breast feeding in the Chinese population, with a consideration of household income and health-seeking behaviours. DESIGN: A nationally representative population-based cross-sectional study. SETTING: 77 counties from 12 geograph...

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Autores principales: Tang, Kun, Wang, Hanyu, Tan, Shi Hui, Xin, Tong, Qu, Xueqi, Tang, Tianyu, Wang, Yuqi, Liu, Yuning, Gaoshan, Junjian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720234/
https://www.ncbi.nlm.nih.gov/pubmed/31467048
http://dx.doi.org/10.1136/bmjopen-2018-028485
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author Tang, Kun
Wang, Hanyu
Tan, Shi Hui
Xin, Tong
Qu, Xueqi
Tang, Tianyu
Wang, Yuqi
Liu, Yuning
Gaoshan, Junjian
author_facet Tang, Kun
Wang, Hanyu
Tan, Shi Hui
Xin, Tong
Qu, Xueqi
Tang, Tianyu
Wang, Yuqi
Liu, Yuning
Gaoshan, Junjian
author_sort Tang, Kun
collection PubMed
description OBJECTIVE: To investigate the association between maternal education and breast feeding in the Chinese population, with a consideration of household income and health-seeking behaviours. DESIGN: A nationally representative population-based cross-sectional study. SETTING: 77 counties from 12 geographically distinct regions in China. PARTICIPANTS: 10 408 mothers with children from 0 to 12 months of age, aged 15–53 years old (mean: 29.15, SD: 5.11) were classified into primary school or below group (n=781), middle school group (n=3842), high school/vocational school group (n=1990), college or above group (n=3795), according to their highest completed education. OUTCOMES: Five breastfeeding outcomes, including early initiation of breast feeding (EIB), exclusive breast feeding (EBF) under 6 months, predominant breast feeding under 6 months, current breast feeding and children ever breast fed, were calculated based on the standardised questionnaire from the WHO and Wellstart International’s toolkit for monitoring and evaluating breastfeeding activities. RESULTS: The absolute risk of EIB and EBF in the lowest maternal education level was 64.85% and 26.53%, respectively, whereas the absolute risk of EIB and EBF in the highest maternal education level was 77.21% and 14.06%, respectively. A higher level of maternal education was positively associated with EIB (risk ratio (RR): 1.22; 95% CI: 1.12 to 1.30) and was inversely associated with EBF (RR: 0.59; 95% CI: 0.38 to 0.88). Stratified by household income, a positive association with EIB was observed only in the group with the highest household income and an inverse association with EBF was found in both low household and high household income groups. CONCLUSIONS: Mothers with a higher education were more likely to initiate early breast feeding when they were also from a high-income household while also being less likely to exclusively breast feed their babies. Routine and successful nursing is crucial for the health of infants and is influenced by maternal education. Future public health interventions to promote breast feeding should consider the issues related to the educational level of mothers.
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spelling pubmed-67202342019-09-17 Association between maternal education and breast feeding practices in China: a population-based cross-sectional study Tang, Kun Wang, Hanyu Tan, Shi Hui Xin, Tong Qu, Xueqi Tang, Tianyu Wang, Yuqi Liu, Yuning Gaoshan, Junjian BMJ Open Public Health OBJECTIVE: To investigate the association between maternal education and breast feeding in the Chinese population, with a consideration of household income and health-seeking behaviours. DESIGN: A nationally representative population-based cross-sectional study. SETTING: 77 counties from 12 geographically distinct regions in China. PARTICIPANTS: 10 408 mothers with children from 0 to 12 months of age, aged 15–53 years old (mean: 29.15, SD: 5.11) were classified into primary school or below group (n=781), middle school group (n=3842), high school/vocational school group (n=1990), college or above group (n=3795), according to their highest completed education. OUTCOMES: Five breastfeeding outcomes, including early initiation of breast feeding (EIB), exclusive breast feeding (EBF) under 6 months, predominant breast feeding under 6 months, current breast feeding and children ever breast fed, were calculated based on the standardised questionnaire from the WHO and Wellstart International’s toolkit for monitoring and evaluating breastfeeding activities. RESULTS: The absolute risk of EIB and EBF in the lowest maternal education level was 64.85% and 26.53%, respectively, whereas the absolute risk of EIB and EBF in the highest maternal education level was 77.21% and 14.06%, respectively. A higher level of maternal education was positively associated with EIB (risk ratio (RR): 1.22; 95% CI: 1.12 to 1.30) and was inversely associated with EBF (RR: 0.59; 95% CI: 0.38 to 0.88). Stratified by household income, a positive association with EIB was observed only in the group with the highest household income and an inverse association with EBF was found in both low household and high household income groups. CONCLUSIONS: Mothers with a higher education were more likely to initiate early breast feeding when they were also from a high-income household while also being less likely to exclusively breast feed their babies. Routine and successful nursing is crucial for the health of infants and is influenced by maternal education. Future public health interventions to promote breast feeding should consider the issues related to the educational level of mothers. BMJ Publishing Group 2019-08-28 /pmc/articles/PMC6720234/ /pubmed/31467048 http://dx.doi.org/10.1136/bmjopen-2018-028485 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Public Health
Tang, Kun
Wang, Hanyu
Tan, Shi Hui
Xin, Tong
Qu, Xueqi
Tang, Tianyu
Wang, Yuqi
Liu, Yuning
Gaoshan, Junjian
Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title_full Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title_fullStr Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title_full_unstemmed Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title_short Association between maternal education and breast feeding practices in China: a population-based cross-sectional study
title_sort association between maternal education and breast feeding practices in china: a population-based cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720234/
https://www.ncbi.nlm.nih.gov/pubmed/31467048
http://dx.doi.org/10.1136/bmjopen-2018-028485
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