Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study
The status of breastfeeding practices remains unsatisfactory across China, but regional differences persist. However, disaggregated data for specific provinces are limited. This representative survey determined the status of breastfeeding and factors associated with breastfeeding practices in Shangh...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/20/4429 |
| _version_ | 1797470552590385152 |
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| author | Yanhui Hao Lulu Wang Caifeng Wang Aiping Peng Wei Gao Isabelle Marc Sonia Semenic William D. Fraser Anuradha Narayan Yanting Wu Suying Chang Hefeng Huang |
| author_facet | Yanhui Hao Lulu Wang Caifeng Wang Aiping Peng Wei Gao Isabelle Marc Sonia Semenic William D. Fraser Anuradha Narayan Yanting Wu Suying Chang Hefeng Huang |
| author_sort | Yanhui Hao |
| collection | DOAJ |
| description | The status of breastfeeding practices remains unsatisfactory across China, but regional differences persist. However, disaggregated data for specific provinces are limited. This representative survey determined the status of breastfeeding and factors associated with breastfeeding practices in Shanghai. The questionnaire was designed in compliance with indicators for assessing infant and young child-feeding practices defined by the World Health Organization and the United Nations Children’s Fund (UNICEF). A total of 2665 children aged two years and younger (0–730 days) were investigated, among whom 1677 were aged under six months. The early initiation of breastfeeding (EIBF) rate was 60.3%. Among children aged under six months, 43.4% were exclusively breastfed (EBF). The univariate regression analysis showed that the EBF rate was influenced by multiple factors, including individual, socioeconomic, workplace and employment, and health system. The subsequent multivariate analysis suggested that mothers with a higher rate of EBF shared the following characteristics: intention to breastfeed during pregnancy, breastfeeding knowledge, and higher satisfaction with support through the healthcare system after delivery. The rate of EBF in Shanghai is over 40%, and supporting breastfeeding requires measures at multiple levels, including individual attributes, women’s work and employment conditions, breastfeeding knowledge, and health services. |
| first_indexed | 2024-03-09T19:38:22Z |
| format | Article |
| id | doaj.art-b30bde46f54d404bbdb8e69eaefde302 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T19:38:22Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-b30bde46f54d404bbdb8e69eaefde3022023-11-24T01:46:54ZengMDPI AGNutrients2072-66432022-10-011420442910.3390/nu14204429Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional StudyYanhui Hao0Lulu Wang1Caifeng Wang2Aiping Peng3Wei Gao4Isabelle Marc5Sonia Semenic6William D. Fraser7Anuradha Narayan8Yanting Wu9Suying Chang10Hefeng Huang11Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai 200032, ChinaObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai 200032, ChinaSchool of Nursing, Shanghai Jiao Tong University, Shanghai 200025, ChinaThe International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, ChinaThe International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, ChinaDepartment of Pediatrics, Research Center of CHU de Québec-Université Laval, Faculty of Medicine, Laval University, Québec, QC G1V 0A6, CanadaIngram School of Nursing, McGill University, Montréal, QC H3A 0G4, CanadaDepartment of Obstetrics and Gynecology, Université de Sherbrooke, Sherbrooke, QC J1K 2R1, CanadaUnited Nations Children’s Fund, Office for China, Beijing 100600, ChinaObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai 200032, ChinaUnited Nations Children’s Fund, Office for China, Beijing 100600, ChinaObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai 200032, ChinaThe status of breastfeeding practices remains unsatisfactory across China, but regional differences persist. However, disaggregated data for specific provinces are limited. This representative survey determined the status of breastfeeding and factors associated with breastfeeding practices in Shanghai. The questionnaire was designed in compliance with indicators for assessing infant and young child-feeding practices defined by the World Health Organization and the United Nations Children’s Fund (UNICEF). A total of 2665 children aged two years and younger (0–730 days) were investigated, among whom 1677 were aged under six months. The early initiation of breastfeeding (EIBF) rate was 60.3%. Among children aged under six months, 43.4% were exclusively breastfed (EBF). The univariate regression analysis showed that the EBF rate was influenced by multiple factors, including individual, socioeconomic, workplace and employment, and health system. The subsequent multivariate analysis suggested that mothers with a higher rate of EBF shared the following characteristics: intention to breastfeed during pregnancy, breastfeeding knowledge, and higher satisfaction with support through the healthcare system after delivery. The rate of EBF in Shanghai is over 40%, and supporting breastfeeding requires measures at multiple levels, including individual attributes, women’s work and employment conditions, breastfeeding knowledge, and health services.https://www.mdpi.com/2072-6643/14/20/4429cross-sectional surveyexclusive breastfeedinginfants and young childrenmaternal knowledgebreast milkbreast-milk substitutes marketing |
| spellingShingle | Yanhui Hao Lulu Wang Caifeng Wang Aiping Peng Wei Gao Isabelle Marc Sonia Semenic William D. Fraser Anuradha Narayan Yanting Wu Suying Chang Hefeng Huang Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study Nutrients cross-sectional survey exclusive breastfeeding infants and young children maternal knowledge breast milk breast-milk substitutes marketing |
| title | Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study |
| title_full | Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study |
| title_fullStr | Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study |
| title_full_unstemmed | Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study |
| title_short | Breastfeeding Practices and Associated Factors in Shanghai: A Cross-Sectional Study |
| title_sort | breastfeeding practices and associated factors in shanghai a cross sectional study |
| topic | cross-sectional survey exclusive breastfeeding infants and young children maternal knowledge breast milk breast-milk substitutes marketing |
| url | https://www.mdpi.com/2072-6643/14/20/4429 |
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