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Association between maternal education and breast feeding practices in China: a population-based cross-sectional study.

ABSTRACT: OBJECTIVE:To investigate the association between maternal education and breast feeding in the Chinese population, with a consideration of household income and health-seeking behaviours. DESIGN:A nationally representative population-based cross-sectional study. SETTING:77 counties from 12 geographically distinct regions in China. PARTICIPANTS:10?408 mothers with children from 0 to 12 months of age, aged 15-53 years old (mean: 29.15, SD: 5.11) were classified into primary school or below group (n=781), middle school group (n=3842), high school/vocational school group (n=1990), college or above group (n=3795), according to their highest completed education. OUTCOMES:Five breastfeeding outcomes, including early initiation of breast feeding (EIB), exclusive breast feeding (EBF) under 6?months, predominant breast feeding under 6?months, current breast feeding and children ever breast fed, were calculated based on the standardised questionnaire from the WHO and Wellstart International's toolkit for monitoring and evaluating breastfeeding activities. RESULTS:The absolute risk of EIB and EBF in the lowest maternal education level was 64.85% and 26.53%, respectively, whereas the absolute risk of EIB and EBF in the highest maternal education level was 77.21% and 14.06%, respectively. A higher level of maternal education was positively associated with EIB (risk ratio (RR): 1.22; 95%?CI: 1.12 to 1.30) and was inversely associated with EBF (RR: 0.59; 95%?CI: 0.38 to 0.88). Stratified by household income, a positive association with EIB was observed only in the group with the highest household income and an inverse association with EBF was found in both low household and high household income groups. CONCLUSIONS:Mothers with a higher education were more likely to initiate early breast feeding when they were also from a high-income household while also being less likely to exclusively breast feed their babies. Routine and successful nursing is crucial for the health of infants and is influenced by maternal education. Future public health interventions to promote breast feeding should consider the issues related to the educational level of mothers.

SUBMITTER: Tang K

PROVIDER: S-EPMC6720234 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Association between maternal education and breast feeding practices in China: a population-based cross-sectional study.

Tang Kun K Wang Hanyu H Tan Shi Hui SH Xin Tong T Qu Xueqi X Tang Tianyu T Wang Yuqi Y Liu Yuning Y Gaoshan Junjian J

BMJ open 20190828 8

<h4>Objective</h4>To investigate the association between maternal education and breast feeding in the Chinese population, with a consideration of household income and health-seeking behaviours.<h4>Design</h4>A nationally representative population-based cross-sectional study.<h4>Setting</h4>77 counties from 12 geographically distinct regions in China.<h4>Participants</h4>10 408 mothers with children from 0 to 12 months of age, aged 15-53 years old (mean: 29.15, SD: 5.11) were classified into prim ...[more]

PMID: 31467048

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Project description:Background:Infant feeding practices are an important factor influencing malocclusion in deciduous dentition, which can have long-lasting negative outcomes on oral health-related quality of life. Hence, knowledge, attitudes and cultural practices of mothers are vital in prevention of this. Objective:The present study was carried out to assess the mother's knowledge about feeding practices and its influence on primary dentition. Materials and methods:The current study was a cross-sectional study of 187 mothers of 3- to 5-year-old children identified with malocclusion, conducted in the pedodontics department of tertiary care teaching dental hospital in South India. Results:Majority of the mothers were graduates (31.6%) or undergraduates or postgraduates (42.8%). The duration of breastfeeding was 0-3 months in 9.1%, 3-6 months in 23%, 6-12 months in 30.5%, and >12 months in 37.5%. Bottle-feeding was reported by 21.4%. Only 52.4% of the mothers were aware about caries, and 66.2% were aware of malocclusion. The prevalence of malocclusion was 63.6% in study population, and the prevalence of caries was 30.5%. The most common type of malocclusion was overjet seen in 20.9% of study subjects. The proportion of children with crowding, open bite, and crossbite was 17.1, 15, and 10.7%, respectively. There was a gradually increasing trend in malocclusion awareness with increasing educational status of the mother which was statistically not significant (p value = 0.119). The proportion of malocclusion was highest in children who received breastfeeding between 3 months and 6 months and was highest (69.8%) in children who received bottle-feeding for more than 12 months. None of the factors had shown a statistically significant association with malocclusion in study population. Conclusion:The prevalence of malocclusion is high in children, and mothers' awareness regarding malocclusion is poor. Clinical significance:There is a need to educate mothers about proper feeding practices to prevent dental malocclusion. How to cite this article:Duraisamy V, Pragasam AX, Vasavaih SK, et al. Maternal Knowledge Regarding Feeding Practices and its Effect on Occlusion of Primary Dentition in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2020;13(1):31-34.

Project description:ObjectivesTo obtain a general overview of infant and young child feeding practices in one rural county in China and identify current delivery channels and challenges.DesignA cross-sectional study.SettingA rural county, Zhao County, in Hebei Province, China.Participants10 clusters were first selected within each township (16 townships in total) with proportional to population size sampling. In each cluster, a name list was used to select 13 children aged 0-23?months. We interviewed caregivers of all the selected children.Primary and secondary outcomes measuresCoverage of infant feeding practices, reasons for low coverage of infant feeding practices and current delivery channels of infant feeding practices.ResultsFindings from our survey indicated that infant feeding practices were poor. Early initiation of breastfeeding was only 22.4%, exclusive breastfeeding for 6?months was less than 10% and continued breastfeeding up to the age of two was just 38.2%. Only 32.5% of children were given iron-rich or iron-fortified foods. The leading sources of infant feeding information were family members, neighbours, friends and popular media. Only around 20% of the information came from health facilities and nearly none came from communities. Household property data showed that 99.9% of households owned televisions and 99.4% owned mobile phones. In addition, 61.2% of the households owned computers, with 54.8% having access to the internet.ConclusionsFew caregivers of children in Zhao County received feeding information during pregnancy and after delivery. Moreover, their feeding knowledge and practices were poor. Multi-channel approaches, delivered through health facilities, community resources, popular media, the internet and mobile phones, hold potential to improve infant feeding practices and should be explored in future studies.Strengths and limitationsAlthough this study took place only within one county, a full range of globally standard feeding indicators was used to assess the feeding practices of caregivers in our study. The name lists of children in some villages may not be complete, and therefore selection bias may have occurred. Some indicators may have recall bias due to long recall time.Trial registration numberChiCTR-PRC-11001446.

Dataset Information

Association between maternal education and breast feeding practices in China: a population-based cross-sectional study.

Publications

Association between maternal education and breast feeding practices in China: a population-based cross-sectional study.

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