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15 results

  • Factors associated with breast-feeding initiation and continuation in Canadian-born and non-Canadian-born women: a multi-centre study
  • Rishma Chooniedass, Marie Tarrant, Sarah Turner, Heidi Sze Lok Fan, Katie Del Buono, Stephanie Masina, Allan B Becker, Piushkumar Mandhane, Stuart E Turvey, Theo Moraes, Malcolm R Sears, Padmaja Subbarao, Meghan B Azad
  • Journal: Public Health Nutrition / Volume 25 / Issue 10 / October 2022
  • Published online by Cambridge University Press: 03 December 2021, pp. 2822-2833
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    Objective:

    To identify factors associated with breast-feeding initiation and continuation in Canadian-born and non-Canadian-born women.

    Design:

    Prospective cohort of mothers and infants born from 2008 to 2012: the Canadian Healthy Infant Longitudinal Development (CHILD) Cohort Study.

    Setting:

    General community setting in four Canadian provinces.

    Participants:

    In total, 3455 pregnant women from Vancouver, Edmonton, Winnipeg and Toronto between 2008 and 2012.

    Results:

    Of 3010 participants included in the current study, the majority were Canadian-born (75·5 %). Breast-feeding initiation rates were high in both non-Canadian-born (95·5 %) and Canadian-born participants (92·7 %). The median breast-feeding duration was 10 months in Canadian-born participants and 11 months in non-Canadian-born participants. Among Canadian-born participants, factors associated with breast-feeding initiation and continuation were older maternal age, higher maternal education, living with their partner and recruitment site. Rooming-in during the hospital stay was also associated with higher rates of breast-feeding initiation, but not continuation at 6-month postpartum. Factors associated with non-initiation of breast-feeding and cessation at 6-month postpartum were maternal smoking, living with a current smoker, caesarean birth and early-term birth. Among non-Canadian-born participants, maternal smoking during pregnancy was associated with lower odds of breast-feeding initiation and lower odds of breast-feeding continuation at 6 months, and older maternal age and recruitment site were associated with breast-feeding continuation at 6 months.

    Conclusions:

    Although Canadian-born and non-Canadian-born women in the CHILD cohort have similar breast-feeding initiation rates, breast-feeding initiation and continuation are more strongly associated with socio-demographic characteristics in Canadian-born participants. Recruitment site was strongly associated with breast-feeding continuation in both groups and may indicate geographic disparities in breast-feeding rates nationally.