ArticleArchives of gynecology and obstetrics2021
Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study.
Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Maternal health literacy as a potential determinant of infant and early childhood health: a systematic review.Frontiers in public health · 2026Pooled it
- Parental Health Literacy as a Determinant of Parenting Practices and Early Childhood Health Outcomes: A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Knowledge Gaps Regarding Overweight and Obesity in Pregnancy: A Cross-Sectional Study Among Polish Women.Nutrients · 2026Article
- Review
- Challenges and Choices in Breastfeeding Healthy, Sick and Preterm Babies: Review.Healthcare (Basel, Switzerland) · 2024Review
- Effect of mothers' health literacy on early childhood allergy prevention behaviours: results from the KUNO-Kids health study.BMC public health · 2024Article
- Maternal Health Literacy in Pregnant Women: A Concept Analysis.Maternal and child health journal · 2024Review
- Factors Influencing Duration of Breastfeeding: Insights from a Prospective Study of Maternal Health Literacy and Obstetric Practices.Nutrients · 2024Article
- Health literacy and its related factors as predictors for the breastfeeding self-efficacy in a western province in Iran.BMC public health · 2023Article
- Development and Validation of the Breastfeeding Literacy Assessment Instrument (BLAI) for Obstetric Women.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeDespite the health benefits of full breastfeeding for both infants and mothers, less than 50% of mothers in Germany practice this method for at least 4 months after childbirth. Because of the growing importance of health literacy to improve public health, we investigated the role of maternal health literacy in breastfeeding behavior.
methodsWe analyzed the data of 1172 mother-child dyads of the KUNO-Kids health study of the University Children's and Maternity Hospital Regensburg. Maternal health literacy was assessed with the HLS-EU-Q47 questionnaire (sub-index health care) up to 48 h after childbirth. Outcome was analyzed 6 months after childbirth and categorized into full breastfeeding for less than 4 months or for at least 4 months. The association between breastfeeding and maternal health literacy was calculated with univariable and multivariable logistic regression analyses.
results38.8% of mothers showed inadequate or limited health literacy. 75.9% of mothers had fully breastfed their child for at least 4 months. Univariable logistic regression analysis showed that health literacy and full breastfeeding for at least 4 months were not associated (OR = 0.995 [CI 0.977-1.015], p = 0.60). After adjusting for all potentially confounding variables with a significant association (p ≤ 0.05) on both health literacy and breastfeeding, the multivariable model showed no association between health literacy and breastfeeding (OR = 0.984 [CI 0.963-1.007], p = 0.170).
conclusionSurprisingly, we found no association between health literacy and breastfeeding behavior in our study. Therefore, future research with comparable measurements of health literacy and breastfeeding is required to validate this result and to identify reasons for early breastfeeding cessation.
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