Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China

BackgroundThe promotion of breastfeeding is an important strategy to prevent neonatal death and improve maternal and infant health. But Chinese efforts to improve breastfeeding practices have not been particularly effective. There is still a long way to go to achieve the national health development...

Full description

Bibliographic Details
Main Authors: Junying Li, Lan Zhang, Nafei Guo, Ying Liu, Hui Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Health Services
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frhs.2024.1348888/full
_version_ 1797271409631690752
author Junying Li
Lan Zhang
Nafei Guo
Ying Liu
Hui Jiang
author_facet Junying Li
Lan Zhang
Nafei Guo
Ying Liu
Hui Jiang
author_sort Junying Li
collection DOAJ
description BackgroundThe promotion of breastfeeding is an important strategy to prevent neonatal death and improve maternal and infant health. But Chinese efforts to improve breastfeeding practices have not been particularly effective. There is still a long way to go to achieve the national health development goals. We aimed to explore the maternal demand for breastfeeding guarantee policy in China and to determine the impact of a range of socio-demographic and neonatal-related variables on breastfeeding guarantee policy demand.MethodsThe study was carried out in the Obstetrics and Gynecology hospital of Shanghai, one of China's earliest provincial and municipal maternal and child health care institutions. From June to November 2021, 1,292 women were recruited for the cross-sectional study in child health clinic. We collected relevant socio- demographic and neonatal-related data. Maternal breastfeeding needs were measured through a self-designed questionnaire on breastfeeding guarantee policy demands of mothers.ResultsThe mean score of breastfeeding guarantee policy demand was 4.42 ± 0.51. There were statistically significant differences in the effects of maternal age, education level, family income per capita (Yuan), medical payment type, baby age, work status, and current feeding methods on the demand for breastfeeding guarantee policies (P < 0.05). Multiple linear regression analyses showed that higher education level (B = 4.437, P < 0.001), baby age (B = 2.150, P = 0.002), and current feeding methods (B = 2.754, P = 0.005) were significantly associated with a higher demand for a breastfeeding guarantee policy, the effect of medical payment type is the most influencing factor (B = −7.369, P < 0.001).ConclusionsThe maternal needs for breastfeeding guarantee policy are multi-faceted and urgent. In the process of improving and implementing policies, the government and relevant departments should take into account the actual needs of women who have different education levels, baby ages, family economics, and feeding methods.
first_indexed 2024-03-07T14:03:18Z
format Article
id doaj.art-ad795291845945b1bf1b3b49fd8d7173
institution Directory Open Access Journal
issn 2813-0146
language English
last_indexed 2024-03-07T14:03:18Z
publishDate 2024-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Health Services
spelling doaj.art-ad795291845945b1bf1b3b49fd8d71732024-03-07T05:03:10ZengFrontiers Media S.A.Frontiers in Health Services2813-01462024-03-01410.3389/frhs.2024.13488881348888Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in ChinaJunying Li0Lan Zhang1Nafei Guo2Ying Liu3Hui Jiang4Nursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaOutpatient Office, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaBackgroundThe promotion of breastfeeding is an important strategy to prevent neonatal death and improve maternal and infant health. But Chinese efforts to improve breastfeeding practices have not been particularly effective. There is still a long way to go to achieve the national health development goals. We aimed to explore the maternal demand for breastfeeding guarantee policy in China and to determine the impact of a range of socio-demographic and neonatal-related variables on breastfeeding guarantee policy demand.MethodsThe study was carried out in the Obstetrics and Gynecology hospital of Shanghai, one of China's earliest provincial and municipal maternal and child health care institutions. From June to November 2021, 1,292 women were recruited for the cross-sectional study in child health clinic. We collected relevant socio- demographic and neonatal-related data. Maternal breastfeeding needs were measured through a self-designed questionnaire on breastfeeding guarantee policy demands of mothers.ResultsThe mean score of breastfeeding guarantee policy demand was 4.42 ± 0.51. There were statistically significant differences in the effects of maternal age, education level, family income per capita (Yuan), medical payment type, baby age, work status, and current feeding methods on the demand for breastfeeding guarantee policies (P < 0.05). Multiple linear regression analyses showed that higher education level (B = 4.437, P < 0.001), baby age (B = 2.150, P = 0.002), and current feeding methods (B = 2.754, P = 0.005) were significantly associated with a higher demand for a breastfeeding guarantee policy, the effect of medical payment type is the most influencing factor (B = −7.369, P < 0.001).ConclusionsThe maternal needs for breastfeeding guarantee policy are multi-faceted and urgent. In the process of improving and implementing policies, the government and relevant departments should take into account the actual needs of women who have different education levels, baby ages, family economics, and feeding methods.https://www.frontiersin.org/articles/10.3389/frhs.2024.1348888/fullbreastfeedingpolicy protectionmaternal and infant rightspolicy needsChina background
spellingShingle Junying Li
Lan Zhang
Nafei Guo
Ying Liu
Hui Jiang
Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
Frontiers in Health Services
breastfeeding
policy protection
maternal and infant rights
policy needs
China background
title Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
title_full Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
title_fullStr Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
title_full_unstemmed Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
title_short Investigation of maternal breastfeeding guarantee policy needs and influencing factors: a cross-sectional study in China
title_sort investigation of maternal breastfeeding guarantee policy needs and influencing factors a cross sectional study in china
topic breastfeeding
policy protection
maternal and infant rights
policy needs
China background
url https://www.frontiersin.org/articles/10.3389/frhs.2024.1348888/full
work_keys_str_mv AT junyingli investigationofmaternalbreastfeedingguaranteepolicyneedsandinfluencingfactorsacrosssectionalstudyinchina
AT lanzhang investigationofmaternalbreastfeedingguaranteepolicyneedsandinfluencingfactorsacrosssectionalstudyinchina
AT nafeiguo investigationofmaternalbreastfeedingguaranteepolicyneedsandinfluencingfactorsacrosssectionalstudyinchina
AT yingliu investigationofmaternalbreastfeedingguaranteepolicyneedsandinfluencingfactorsacrosssectionalstudyinchina
AT huijiang investigationofmaternalbreastfeedingguaranteepolicyneedsandinfluencingfactorsacrosssectionalstudyinchina