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Article: Breastfeeding patterns of primiparous mothers in Hong Kong

TitleBreastfeeding patterns of primiparous mothers in Hong Kong
Authors
Issue Date2003
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIR
Citation
Birth, 2003, v. 30 n. 3, p. 195-202 How to Cite?
AbstractBackground: An understanding of patterns of breastfeeding is necessary for the effective implementation of breastfeeding promotion and intervention programs. In Hong Kong, little current data have been gathered on women's breastfeeding rates. The objective of this study was to determine how patterns of breastfeeding, maternal demographics, and maternal employment affect continuation of breastfeeding in primiparous women in Hong Kong. Method: A longitudinal self-report survey was used to collect data when first-time mothers (n = 218) were in the hospital, at 1, 3, 6, 9, and 12 months postpartum, or until they weaned their infant. All data (self-report survey, demographic data, and follow-up telephone surveys) were collected in Cantonese and then translated into English. Data were analyzed by determining, first, the influence of individual variables on the length of breastfeeding using a simple Cox regression analysis, and second, by grouping variables according to time sequence and entering them into a Cox regression model in 4 sequential phases. Results: Factors that were significantly associated with continuation of breastfeeding were maternal age (HR = 0.97; p = 0.048); attendance at a prenatal breastfeeding class (HR = 0.69; p = 0.020); intended weeks of breastfeeding (HR = 0.97; p < 0.001); breastfeeding score in hospital (HR = 0.99; p = 0.009); and length of exclusive breastfeeding (HR = 0.93; p < 0.001). Similar results were obtained in the multiphase Cox regression analysis; only the breastfeeding score in hospital became marginally insignificant (p = 0.053) after adjusting for demographics, prenatal, and other immediate postpartum factors. Conclusions: Short periods of exclusive breastfeeding and early supplementation were common in this sample. Unlike previous research, maternal employment was not a statistically significant factor in length of continued breastfeeding. Study findings show that multiple factors influence continued breastfeeding in Hong Kong, suggesting further areas for investigation. Changes in practice may improve continued and exclusive breastfeeding rates.
Persistent Identifierhttp://hdl.handle.net/10722/87587
ISSN
2015 Impact Factor: 1.867
2015 SCImago Journal Rankings: 0.763
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorDodgson, JEen_HK
dc.contributor.authorTarrant, Men_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorPeng, XHen_HK
dc.contributor.authorHui, WHCen_HK
dc.date.accessioned2010-09-06T09:31:46Z-
dc.date.available2010-09-06T09:31:46Z-
dc.date.issued2003en_HK
dc.identifier.citationBirth, 2003, v. 30 n. 3, p. 195-202en_HK
dc.identifier.issn0730-7659en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87587-
dc.description.abstractBackground: An understanding of patterns of breastfeeding is necessary for the effective implementation of breastfeeding promotion and intervention programs. In Hong Kong, little current data have been gathered on women's breastfeeding rates. The objective of this study was to determine how patterns of breastfeeding, maternal demographics, and maternal employment affect continuation of breastfeeding in primiparous women in Hong Kong. Method: A longitudinal self-report survey was used to collect data when first-time mothers (n = 218) were in the hospital, at 1, 3, 6, 9, and 12 months postpartum, or until they weaned their infant. All data (self-report survey, demographic data, and follow-up telephone surveys) were collected in Cantonese and then translated into English. Data were analyzed by determining, first, the influence of individual variables on the length of breastfeeding using a simple Cox regression analysis, and second, by grouping variables according to time sequence and entering them into a Cox regression model in 4 sequential phases. Results: Factors that were significantly associated with continuation of breastfeeding were maternal age (HR = 0.97; p = 0.048); attendance at a prenatal breastfeeding class (HR = 0.69; p = 0.020); intended weeks of breastfeeding (HR = 0.97; p < 0.001); breastfeeding score in hospital (HR = 0.99; p = 0.009); and length of exclusive breastfeeding (HR = 0.93; p < 0.001). Similar results were obtained in the multiphase Cox regression analysis; only the breastfeeding score in hospital became marginally insignificant (p = 0.053) after adjusting for demographics, prenatal, and other immediate postpartum factors. Conclusions: Short periods of exclusive breastfeeding and early supplementation were common in this sample. Unlike previous research, maternal employment was not a statistically significant factor in length of continued breastfeeding. Study findings show that multiple factors influence continued breastfeeding in Hong Kong, suggesting further areas for investigation. Changes in practice may improve continued and exclusive breastfeeding rates.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIRen_HK
dc.relation.ispartofBirthen_HK
dc.titleBreastfeeding patterns of primiparous mothers in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0730-7659&volume=30&spage=195&epage=202&date=2003&atitle=Breastfeeding+patterns+of+primiparous+mothers+in+Hong+Kongen_HK
dc.identifier.emailTarrant, M: tarrantm@hkucc.hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailHui, WHC: whchoi@hkucc.hku.hken_HK
dc.identifier.authorityTarrant, M=rp00461en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityHui, WHC=rp00440en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1523-536X.2003.00245.xen_HK
dc.identifier.pmid12911803-
dc.identifier.scopuseid_2-s2.0-0041322657en_HK
dc.identifier.hkuros83671en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0041322657&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume30en_HK
dc.identifier.issue3en_HK
dc.identifier.spage195en_HK
dc.identifier.epage202en_HK
dc.identifier.isiWOS:000184572900008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridDodgson, JE=7005791972en_HK
dc.identifier.scopusauthoridTarrant, M=7004340118en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridPeng, XH=32767478800en_HK
dc.identifier.scopusauthoridHui, WHC=36900811700en_HK

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