No widening socioeconomic gap within a general decline in Swedish breastfeeding

M Magnusson1,2, D Lagerberg1, T Wallby1,2

  • 1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Insights

Swedish breastfeeding rates declined, but socioeconomic gaps did not widen. Instead, the gap narrowed between mothers with different educational levels and family types over time.

Area of Science:

  • Public Health
  • Sociology
  • Pediatrics

Background:

  • Breastfeeding rates in Sweden have shown a gradual decline since the late 1990s.
  • Understanding socioeconomic disparities in breastfeeding is crucial for public health initiatives.

Purpose of the Study:

  • To investigate potential socioeconomic differences within the observed decline in breastfeeding rates in Sweden.
  • To determine if socioeconomic gaps in breastfeeding widened or narrowed over time.

Main Methods:

  • Analysis of data from 51,415 infants born between 2004-2010 in Uppsala and Orebro counties, Sweden.
  • Utilized breastfeeding data at 1 week, 4 months, and 6 months, linked with national socioeconomic indicators.
  • Employed logistic regression models with generalized estimating equations (GEE) to analyze trends and socioeconomic factors.

Main Results:

  • While overall breastfeeding rates declined, socioeconomic status influenced rates in a gradient manner.
  • No widening of the socioeconomic gap in breastfeeding was detected; instead, a narrowing gap was observed.
  • Specifically, a narrowing gap was noted between mothers with high versus low educational levels and single versus cohabiting mothers at 4 and 6 months.

Conclusions:

  • The study found no increase in the socioeconomic gap accompanying the general decline in Swedish breastfeeding.
  • Continued and strengthened breastfeeding support measures are recommended, with particular attention to vulnerable groups.
Abstract

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