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Exclusive Breastfeeding Rate and Complementary Feeding Indicators in China: A National Representative Survey in 2013

Yifan Duan1, Zhenyu Yang2, Jianqiang Lai3

  • 1Key Laboratory of Trace Element Nutrition of National Health and Family Planning Commission, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing 100050, China. duanyf@ninh.chinacdc.cn.

Nutrients
|February 23, 2018
PubMed

Insights

Exclusive breastfeeding rates under six months are low in China, with suboptimal complementary feeding practices observed. Factors like residential area, income, and maternal education influence feeding outcomes, suggesting targeted interventions.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition

Background:

  • Appropriate infant and young child feeding is crucial for reducing child morbidity, mortality, and improving cognitive development.
  • Nationwide data on exclusive breastfeeding and complementary feeding practices in China are limited, hindering targeted public health initiatives.

Purpose of the Study:

  • To assess the current status of exclusive breastfeeding and complementary feeding practices among young children in China.
  • To identify factors associated with suboptimal infant and young child feeding in the Chinese population.

Main Methods:

  • Utilized data from the 2013 Chinese National Nutrition and Health Survey, a nationally representative sample of children under six years.
  • Employed stratified multistage cluster sampling across 30 provinces, studying 14,458 children aged 0 to <730 days.
  • Applied World Health Organization (WHO) infant and young child feeding indicators to evaluate feeding practices.

Main Results:

  • The weighted exclusive breastfeeding rate under six months was low at 18.6%.
  • Among children aged 6-23 months, weighted prevalence rates were: minimum dietary diversity 53.7%, minimum meal frequency 69.1%, and minimum acceptable diet 25.1%.
  • Residential area, household income, and maternal education showed positive associations with complementary feeding indicators.

Conclusions:

  • Exclusive breastfeeding rates under six months are low, and complementary feeding practices are suboptimal nationwide in China.
  • Residential area, household income, and maternal education are significant factors associated with complementary feeding.
  • These demographic factors can inform targeted interventions to improve infant and young child feeding practices in China.

Keywords:
breastfeedingcomplementary feedingcross-sectional studyinfant and young child

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