ArticleCanadian journal of public health = Revue canadienne de sante publique2014
Have we left some behind? Trends in socio-economic inequalities in breastfeeding initiation: a population-based epidemiological surveillance study.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The trial behind it
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Who cites it
16 citing papers in PubMed.
- Trial
- Infant Feeding Practices Among Indigenous Women in Northwest Territories, Canada: Results From the Maternal and Infant Health Project.Food science & nutrition · 2025Article
- Time trends and social inequalities in infant and young child feeding practices: national estimates from Brazil's Food and Nutrition Surveillance System, 2008-2019.Public health nutrition · 2023Article
- Socio-economic inequalities in the effect of public policies and the COVID-19 pandemic on exclusive breastfeeding in Chile.Public health · 2023Article
- The human gut microbiome and health inequities.Proceedings of the National Academy of Sciences of the United States of America · 2021Article
- Breastfeeding and the origins of health: Interdisciplinary perspectives and priorities.Maternal & child nutrition · 2021Article
- Vulnerable mothers' experiences breastfeeding with an enhanced community lactation support program.Maternal & child nutrition · 2020Article
- Evaluating the Manitoba Infant Feeding Database: a Canadian infant feeding surveillance system.Canadian journal of public health = Revue canadienne de sante publique · 2019Article
- Article
- Teen clinics: missing the mark? Comparing pregnancy and sexually transmitted infections rates among enrolled and non-enrolled adolescents.International journal for equity in health · 2016Article
- Inadequate prenatal care use and breastfeeding practices in Canada: a national survey of women.BMC pregnancy and childbirth · 2016Article
- Trends and determinants for early initiation of and exclusive breastfeeding under six months in Vietnam: results from the Multiple Indicator Cluster Surveys, 2000-2011.Global health action · 2016Article
- Does a pay-for-performance program for primary care physicians alleviate health inequity in childhood vaccination rates?International journal for equity in health · 2015Article
- Data resource profile: Pathways to Health and Social Equity for Children (PATHS Equity for Children).International journal of epidemiology · 2014Article
- Association of Breastfeeding and the Federal Poverty Level: National Survey of Family Growth, 2011-2013.Epidemiology Research InternationalArticle
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesBreastfeeding is associated with improved health. Surveillance data show that breastfeeding initiation rates have increased; however, limited work has examined trends in socio-economic inequalities in initiation. The study's research question was whether socio-economic inequalities in breastfeeding initiation have changed over the past 20 years.
methodsThis population-based study is a project within PATHS Equity for Children. Analyses used hospital discharge data for Manitoba mother-infant dyads with live births, 1988-2011 (n=316,027). Income quintiles were created, each with ~20% of dyads. Three-year, overall and by-quintile breastfeeding initiation rates were estimated for Manitoba and two hospitals. Age-adjusted rates were estimated for Manitoba. Rates were modelled using generalized linear models. Three measures, rate ratios (RRs), rate differences (RDs) and concentration indices, assessed inequality at each time point. We also compared concentration indices with Gini coefficients to assess breastfeeding inequality vis-à-vis income inequality. Trend analyses tested for changes over time.
resultsManitoba and Hospital A initiation rates increased; Hospital B rates did not change. Significant inequalities existed in nearly every period, across all three measures: RRs, RDs and concentration indices. RRs and concentration indices suggested little to no change in inequality from 1988 to 2011. RDs for Manitoba (comparing initiation in the highest to lowest income quintiles) did not change significantly over time. RDs decreased for Hospital A, suggesting decreasing socio-economic inequalities in breastfeeding; RDs increased for Hospital B. Income inequality increased significantly in Manitoba during the study period.
conclusionsOverall breastfeeding initiation rates can improve while inequality persists or worsens.
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