Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey

Objective To explore and compare the predictors for exclusive breast feeding (EBF) among migrant and non-migrant mothers in China.Design A large-scale cross-sectional study.Setting 12 counties/districts were covered in China.Participants A total number of 10 408 mothers were recruited, of whom 3571...

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Main Authors: Chen Zhao, Jie Wang, Jia Li, Yifan Duan, Ye Bi, Jianqiang Lai, Jin Fang, Zhenyu Yang
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e038268.full
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spelling doaj-582da06d336845d484de3db0afa5eb552021-07-21T16:02:52ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-038268Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional surveyChen Zhao0Jie Wang1Jia Li2Yifan Duan3Ye Bi4Jianqiang Lai5Jin Fang6Zhenyu Yang71 Chinese Clinical Trial Registry (Hong Kong), Hong Kong Chinese Medicine Clinical Study Centre, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China State Key Laboratory of Molecular Oncology, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaDepartment of Endocrinology and Diabetes, Xiamen Diabetes Institute, Fujian Key Laboratory of Translational Research for Diabetes, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, ChinaChild Development Center, China Development Research Foundation, Beijing, ChinaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, ChinaObjective To explore and compare the predictors for exclusive breast feeding (EBF) among migrant and non-migrant mothers in China.Design A large-scale cross-sectional study.Setting 12 counties/districts were covered in China.Participants A total number of 10 408 mothers were recruited, of whom 3571 mothers of infants aged 0–5 months in urban China were used for analysis.Outcome The practice of EBF was calculated based on the foods and drinks consumed in the last 24 hours, as recommended by WHO.Results Around 30% of Chinese mothers with infants aged 0–5 months practised EBF in urban areas, with no significant difference between migrant and non-migrant mothers (p=0.433). Among the migrant mothers, factors associated with EBF included residence in big cities (adjusted OR, AOR 1.68 (95% CI 1.20 to 2.34)), premature birth (AOR 0.27 (95% CI 0.09 to 0.81)), knowledge about EBF (AOR 2.00 (95% CI 1.51 to 2.65)), low intention of breast feeding in the first month postpartum (AOR 0.59 (95% CI 0.36 to 0.97)) and mothers working in agriculture-related fields or as casual workers (AOR 1.77 (95% CI 1.18 to 2.64)). Among non-migrant mothers, in addition to similar predictors including residence in big cities (AOR 1.40 (95% CI 1.13 to 1.73)), knowledge about EBF (AOR 1.25 (95% CI 1.02 to 1.53)) and low intention of breast feeding in the first month post partum (AOR 0.46 (95% CI 0.31 to 0.70)], early initiation of breast feeding (EIBF) (AOR 1.78 (95% CI 1.35 to 2.33)) and caesarean delivery (AOR 0.74 (95% CI 0.60 to 0.89)) were also factors associated with EBF.Conclusions There was no significant difference in the prevalence of EBF between migrant and non-migrant mothers in urban China. Premature birth and maternal occupation in agriculture-related fields or casual work were distinctive factors associated with EBF for migrants, while EIBF and caesarean delivery were unique predictors for non-migrants.Trial registration number ChiCTR-ROC-17014148; Pre-results.https://bmjopen.bmj.com/content/10/9/e038268.full
collection DOAJ
language English
format Article
sources DOAJ
author Chen Zhao
Jie Wang
Jia Li
Yifan Duan
Ye Bi
Jianqiang Lai
Jin Fang
Zhenyu Yang
spellingShingle Chen Zhao
Jie Wang
Jia Li
Yifan Duan
Ye Bi
Jianqiang Lai
Jin Fang
Zhenyu Yang
Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
BMJ Open
author_facet Chen Zhao
Jie Wang
Jia Li
Yifan Duan
Ye Bi
Jianqiang Lai
Jin Fang
Zhenyu Yang
author_sort Chen Zhao
title Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
title_short Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
title_full Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
title_fullStr Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
title_full_unstemmed Predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban China: results from a cross-sectional survey
title_sort predictors of exclusive breastfeeding practice among migrant and non-migrant mothers in urban china: results from a cross-sectional survey
publisher BMJ Publishing Group
series BMJ Open
issn 2044-6055
publishDate 2020-09-01
description Objective To explore and compare the predictors for exclusive breast feeding (EBF) among migrant and non-migrant mothers in China.Design A large-scale cross-sectional study.Setting 12 counties/districts were covered in China.Participants A total number of 10 408 mothers were recruited, of whom 3571 mothers of infants aged 0–5 months in urban China were used for analysis.Outcome The practice of EBF was calculated based on the foods and drinks consumed in the last 24 hours, as recommended by WHO.Results Around 30% of Chinese mothers with infants aged 0–5 months practised EBF in urban areas, with no significant difference between migrant and non-migrant mothers (p=0.433). Among the migrant mothers, factors associated with EBF included residence in big cities (adjusted OR, AOR 1.68 (95% CI 1.20 to 2.34)), premature birth (AOR 0.27 (95% CI 0.09 to 0.81)), knowledge about EBF (AOR 2.00 (95% CI 1.51 to 2.65)), low intention of breast feeding in the first month postpartum (AOR 0.59 (95% CI 0.36 to 0.97)) and mothers working in agriculture-related fields or as casual workers (AOR 1.77 (95% CI 1.18 to 2.64)). Among non-migrant mothers, in addition to similar predictors including residence in big cities (AOR 1.40 (95% CI 1.13 to 1.73)), knowledge about EBF (AOR 1.25 (95% CI 1.02 to 1.53)) and low intention of breast feeding in the first month post partum (AOR 0.46 (95% CI 0.31 to 0.70)], early initiation of breast feeding (EIBF) (AOR 1.78 (95% CI 1.35 to 2.33)) and caesarean delivery (AOR 0.74 (95% CI 0.60 to 0.89)) were also factors associated with EBF.Conclusions There was no significant difference in the prevalence of EBF between migrant and non-migrant mothers in urban China. Premature birth and maternal occupation in agriculture-related fields or casual work were distinctive factors associated with EBF for migrants, while EIBF and caesarean delivery were unique predictors for non-migrants.Trial registration number ChiCTR-ROC-17014148; Pre-results.
url https://bmjopen.bmj.com/content/10/9/e038268.full
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