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Breastfeeding duration: a survival analysis-data from a regional immunization survey
E Robert1, Y Coppieters2, B Swennen1
1Research Center of Health Policy and Systems-International Health, School of Public Health, Université Libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium.
Biomed Research International
|July 4, 2014
Summary
Exclusive breastfeeding rates in Wallonia, Belgium, were low, with only 40.6% at 3 months and 12.6% at 6 months. Factors like foreign-born mothers and longer maternity leave improved breastfeeding duration.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Breastfeeding is crucial for infant health, yet duration and exclusivity rates vary significantly.
- Understanding factors influencing breastfeeding is essential for developing effective public health interventions.
Purpose of the Study:
- To determine the duration of exclusive and any breastfeeding in the French-speaking community of Belgium (Wallonia).
- To identify sociodemographic and other factors associated with breastfeeding duration and discontinuation.
Main Methods:
- A two-stage cluster sample of 525 mothers with children aged 18-24 months was recruited in Wallonia, Belgium.
- Anamnestic data on breastfeeding practices and sociodemographic information were collected.
- Cox's proportional hazards models were employed to analyze factors associated with breastfeeding cessation.
Main Results:
- Only 35.1% of mothers reported satisfaction with their breastfeeding duration.
- At 3 months postpartum, 54.1% of infants were breastfed (40.6% exclusively), decreasing to 29.1% (12.6% exclusively) at 6 months.
- Positive associations with longer breastfeeding duration included being foreign-born, awareness of WHO recommendations, maternity leave exceeding 3 months, higher parental income, and prenatal intention to breastfeed.
Conclusions:
- Breastfeeding duration is influenced by multiple factors, including maternal origin, professional support, and socioeconomic status.
- Prenatal education and professional advice are critical for promoting adherence to WHO breastfeeding guidelines.
- Public health programs should focus on enhancing prenatal support and emphasizing the benefits of exclusive breastfeeding.
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