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Informing the 'early years' agenda in Scotland: understanding infant feeding patterns using linked datasets
Omotomilola Ajetunmobi1, Bruce Whyte, James Chalmers
1Information Services Division, NHS National Services Scotland, , Edinburgh, Scotland, UK.
Insights
Breastfeeding in Scotland is low despite its benefits. A new linked dataset of infant health records helps understand factors influencing breastfeeding, crucial for infant health and policy. This resource aids research and interventions.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Scotland has one of Europe's lowest breastfeeding rates, impacting infant health.
- Government policy prioritizes infant nutrition and healthy development through breastfeeding.
- A better understanding of infant feeding practices and their health outcomes is needed.
Purpose of the Study:
- To develop a unique, population-wide resource for exploring infant feeding and child health in Scotland.
- To investigate the determinants of breastfeeding in a representative sample of Scottish infants.
- To create a valuable dataset for research, policy design, and intervention programs.
Main Methods:
- Utilized descriptive and multivariate analyses of linked routine and administrative maternal and infant health records.
- Included data for 731,595 infants born in Scotland between 1997 and 2009.
- Ensured high coverage and completeness of infant feeding and demographic data.
Main Results:
- A comprehensive linked dataset was created, encompassing background, parental, maternal, birth, and health service characteristics.
- The data confirmed the significance of an enabling environment in promoting breastfeeding.
- Key factors include cultural, family, and health service influences on infant feeding choices.
Conclusions:
- The developed linked dataset enables investigation into breastfeeding determinants for Scottish infants (1997-2009).
- This resource is vital for informing research, shaping health policies, and targeting public health interventions.
- It supports efforts to improve infant nutrition and health outcomes through evidence-based strategies.
Background:
Providing infants with the 'best possible start in life' is a priority for the Scottish Government. This is reflected in policy and health promotion strategies to increase breast feeding, which gives the best source of nutrients for healthy infant growth and development. However, the rate of breast feeding in Scotland remains one of the lowest in Europe. Information is needed to provide a better understanding of infant feeding and its impact on child health. This paper describes the development of a unique population-wide resource created to explore infant feeding and child health in Scotland.
Methods:
Descriptive and multivariate analyses of linked routine/administrative maternal and infant health records for 731,595 infants born in Scotland between 1997 and 2009.
Results:
A linked dataset was created containing a wide range of background, parental, maternal, birth and health service characteristics for a representative sample of infants born in Scotland over the study period. There was high coverage and completeness of infant feeding and other demographic, maternal and infant records. The results confirmed the importance of an enabling environment--cultural, family, health service and other maternal and infant health-related factors--in increasing the likelihood to breast feed.
Conclusions:
Using the linked dataset, it was possible to investigate the determinants of breast feeding for a representative sample of Scottish infants born between 1997 and 2009. The linked dataset is an important resource that has potential uses in research, policy design and targeting intervention programmes.
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