Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study

Abstract Background Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and ha...

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Main Authors: Kristy A. Bolton, Peter Kremer, Kylie D. Hesketh, Rachel Laws, Konsita Kuswara, Karen J. Campbell
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-018-1157-0
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author Kristy A. Bolton
Peter Kremer
Kylie D. Hesketh
Rachel Laws
Konsita Kuswara
Karen J. Campbell
author_facet Kristy A. Bolton
Peter Kremer
Kylie D. Hesketh
Rachel Laws
Konsita Kuswara
Karen J. Campbell
author_sort Kristy A. Bolton
collection DOAJ
description Abstract Background Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and having a fatter child; with low breastfeeding rates and overfeeding of infant formula. The aim of this study was to compare infant feeding practices (breastfeeding, infant formula, other liquids, solids) of Chinese-born and Australian-born mothers living in Australia. Methods Using the Australian National Infant Feeding Survey dataset (2010–2011), infant feeding data from Chinese-born mothers (n = 602) were compared with a random sub-sample of Australian-born mothers (n = 602). Group differences on feeding practices were tested using Chi-square or t-tests and the effect of ethnicity on infant feeding behaviours assessed using regression. Results Compared to infants of Australian-born mothers, infants of Chinese-born mothers were younger when they first consumed infant formula, water-based drinks and fruit juice and older when they first ate solid foods (p < 0.05). Furthermore, infants of Chinese-born mothers were less likely to have ever had cow’s milk (OR: 0.37 95%CI:, 0.18–0.78) and solids (0.41, 0.25–0.68); but were more likely to have ever had infant formula (2.19, 1.32–3.62), water (2.45, 1.55–3.87), toddler milk (3.39, 1.60–7.18), water-based drinks (e.g. cordial, soft drink, tea; 2.48, 1.12–5.49), and fruit juice (4.03, 2.50–6.51). Those ≤4 months of age were more likely to have had water-based drinks (7.77, 1.96–30.77) and fruit juice (3.44, 1.14–10.38) (p < 0.05) compared to infants of Australian-born mothers. Conclusion Differences in mothers’ early infant feeding practices exist between Chinese-born and Australian-born mothers living in Australia. Better understanding these ethnically patterned infant feeding practices is important for identifying key opportunities to promote best nutrition and growth in early life in different ethnic groups within our population.
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spelling doaj.art-592ff6cfda474bd0a4efc41e4429054d2022-12-22T03:44:02ZengBMCBMC Pediatrics1471-24312018-06-011811910.1186/s12887-018-1157-0Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional studyKristy A. Bolton0Peter Kremer1Kylie D. Hesketh2Rachel Laws3Konsita Kuswara4Karen J. Campbell5Institute for Physical Activity and Nutrition (IPAN), School Exercise and Nutrition Sciences, Deakin UniversityCentre for Sport Research, School of Exercise and Nutrition Sciences, Deakin UniversityInstitute for Physical Activity and Nutrition (IPAN), School Exercise and Nutrition Sciences, Deakin UniversityInstitute for Physical Activity and Nutrition (IPAN), School Exercise and Nutrition Sciences, Deakin UniversityInstitute for Physical Activity and Nutrition (IPAN), School Exercise and Nutrition Sciences, Deakin UniversityInstitute for Physical Activity and Nutrition (IPAN), School Exercise and Nutrition Sciences, Deakin UniversityAbstract Background Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and having a fatter child; with low breastfeeding rates and overfeeding of infant formula. The aim of this study was to compare infant feeding practices (breastfeeding, infant formula, other liquids, solids) of Chinese-born and Australian-born mothers living in Australia. Methods Using the Australian National Infant Feeding Survey dataset (2010–2011), infant feeding data from Chinese-born mothers (n = 602) were compared with a random sub-sample of Australian-born mothers (n = 602). Group differences on feeding practices were tested using Chi-square or t-tests and the effect of ethnicity on infant feeding behaviours assessed using regression. Results Compared to infants of Australian-born mothers, infants of Chinese-born mothers were younger when they first consumed infant formula, water-based drinks and fruit juice and older when they first ate solid foods (p < 0.05). Furthermore, infants of Chinese-born mothers were less likely to have ever had cow’s milk (OR: 0.37 95%CI:, 0.18–0.78) and solids (0.41, 0.25–0.68); but were more likely to have ever had infant formula (2.19, 1.32–3.62), water (2.45, 1.55–3.87), toddler milk (3.39, 1.60–7.18), water-based drinks (e.g. cordial, soft drink, tea; 2.48, 1.12–5.49), and fruit juice (4.03, 2.50–6.51). Those ≤4 months of age were more likely to have had water-based drinks (7.77, 1.96–30.77) and fruit juice (3.44, 1.14–10.38) (p < 0.05) compared to infants of Australian-born mothers. Conclusion Differences in mothers’ early infant feeding practices exist between Chinese-born and Australian-born mothers living in Australia. Better understanding these ethnically patterned infant feeding practices is important for identifying key opportunities to promote best nutrition and growth in early life in different ethnic groups within our population.http://link.springer.com/article/10.1186/s12887-018-1157-0Early childhoodBreastfeedingEthnicityImmigrantsCultureOverweight
spellingShingle Kristy A. Bolton
Peter Kremer
Kylie D. Hesketh
Rachel Laws
Konsita Kuswara
Karen J. Campbell
Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
BMC Pediatrics
Early childhood
Breastfeeding
Ethnicity
Immigrants
Culture
Overweight
title Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
title_full Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
title_fullStr Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
title_full_unstemmed Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
title_short Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
title_sort differences in infant feeding practices between chinese born and australian born mothers living in australia a cross sectional study
topic Early childhood
Breastfeeding
Ethnicity
Immigrants
Culture
Overweight
url http://link.springer.com/article/10.1186/s12887-018-1157-0
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