ArticleBMC pregnancy and childbirth2015
Predictors of breastfeeding initiation in Hong Kong and Mainland China born mothers.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Early childhood exposure to secondhand smoke and behavioural problems in preschoolers.Scientific reports · 2018Trial
- Experiences, barriers, and enablers of infant and young child feeding among adolescent mothers in Sub-Saharan Africa: a scoping review protocol.Systematic reviews · 2025Article
- The Phenomenon of Human Migration on the Breastfeeding Practices of Migrant Women: A Scoping Review.Cureus · 2024Article
- Factors Associated with Breastfeeding Initiation and Duration in Greece: Data from the Hellenic National Nutrition and Health Survey.Children (Basel, Switzerland) · 2022Article
- The Effect of Maternal Self-Regulated Motivation on Breastfeeding Continuation.Maternal and child health journal · 2022Article
- Perceived enablers of exclusive breastfeeding by teenage mothers in Ghana.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- Exposure to baby-friendly hospital practices and mothers' achievement of their planned duration of breastfeeding.BMC pregnancy and childbirth · 2020Article
- Do Differences in Prelacteal Feeding Explain Differences in Subsequent Breastfeeding Between Haiti and the Dominican Republic?Maternal and child health journal · 2020Article
- Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland.International breastfeeding journal · 2020Article
- Consequences of Lack of Neonatal Breastfeeding in Infants Hospitalized for Diarrhea at an Urban Hospital, Bangladesh: A Case Control Design.Global pediatric health · 2019Article
- Baby-friendly hospital practices are associated with duration of full breastfeeding in primiparous but not multiparous Iranian women.Maternal & child nutrition · 2018Article
- Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants.Public health nutrition · 2017Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years there has been a steady influx of immigrants into Hong Kong from Mainland China, where breastfeeding patterns differ. Studies in other regions have found substantial differences in breastfeeding rates between native-born and immigrant mothers. The purpose of this study was to examine factors associated with breastfeeding initiation in Hong Kong born and Mainland China born mothers living in Hong Kong.
methodsWe used a multi-center cross-sectional study design and recruited 2761 new mothers from the postnatal wards of all eight public hospitals in Hong Kong that offer obstetric services. We assessed breastfeeding status as well as various socio-demographic, maternal and birth characteristics. Chi-square tests and multivariable logistic regression were used to identify the predictors of breastfeeding initiation in Hong Kong born and Mainland China born participants.
results80.3 % of Hong Kong and 81.1 % of Mainland Chinese born women initiated breastfeeding. In the fully adjusted models, multiparity (Odds Ratio [OR] 0.53, 95 % CI 0.43-0.66) and maternal smoking (OR 0.29, 95 % CI 0.18-0.45) were strongly associated with failure to initiate breastfeeding in both Hong Kong and Mainland China born participants. In Hong Kong born mothers, participants with lower maternal education and those who had a cesarean section were significantly less likely to breastfeed. For Mainland China born mothers, paternal smoking (OR 0.70, 95 % CI 0.49-0.99) and having a pregnancy-related health problem (OR 0.60, 95 % CI 0.38-0.94) were both additional risk factors for not breastfeeding.
conclusionThis study has identified predictors of breastfeeding initiation in Hong Kong and Mainland China born mothers. Given the current high breastfeeding initiation rates among both groups, antenatal breastfeeding education and promotion programmes need to specifically intervene with sub-groups of pregnant women at risk for not breastfeeding so that their efforts are more strategic and cost-effective.
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