ArticleInternational journal of environmental research and public health2022
Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health literacy interventions for pregnant women with limited language proficiency in the country they live in: a systematic review.BMC public health · 2024Pooled it
- Measurement Properties and Quality of Maternal Breastfeeding Instruments: A Scoping Review.Journal of human lactation : official journal of International Lactation Consultant Association · 2026Article
- Testing the Turkish version of the breastfeeding literacy assessment instrument: a validity and reliability study.BMC pregnancy and childbirth · 2026Article
- Breastfeeding self-efficacy as a mediator between sense of coherence and perception of milk supply among postpartum women: a cross-sectional study.Frontiers in public health · 2026Article
- Health Literacy in Pregnant Women and Its Associations with Personal, Socioeconomic, and Health-Related Factors in Primary Care.Nursing reports (Pavia, Italy) · 2025Article
- The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia.International breastfeeding journal · 2025Article
- Ecological Beeswax Breast Pads Promote Breastfeeding in First-Time Mothers from the Valencian Community (Spain): A Randomized Trial.Healthcare (Basel, Switzerland) · 2025Article
- Article
- "Feeding the baby breast milk shouldn't be a problem" breastfeeding confidence and intention in pregnant persons with type 2 diabetes mellitus from Thailand.PLOS global public health · 2025Article
- Exploring the factors associated with prelacteal feeds in Papua New Guinea: a population-based survey.BMJ open · 2024Article
- Monitoring of the Main Reasons for Early Abandonment of Breastfeeding during the First Six Months of Life: A Secondary Analysis.Nursing reports (Pavia, Italy) · 2024Article
- Factors Influencing Exclusive Breastfeeding in Saudi Arabia.Healthcare (Basel, Switzerland) · 2024Article
- Factors Influencing Duration of Breastfeeding: Insights from a Prospective Study of Maternal Health Literacy and Obstetric Practices.Nutrients · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Association of the presence of a COVID-19 infection at the time of birth and the rates of exclusive breastfeeding upon discharge in BFHI hospitals: a multicenter, prospective cohort study.International breastfeeding journal · 2023Observational
- The Association of Nutrition and Exercise Behaviors of Women with Diabetes in Pregnancy with Infant Breastfeeding Practices.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023Article
- Effect of Mobile-Based Counselling on Breastfeeding in Spain: A Randomized Controlled Trial Protocol (COMLACT Study).Healthcare (Basel, Switzerland) · 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
No grant is acknowledged in the PubMed record.
Abstract
Background: International organizations recommend initiating breastfeeding within the first hour of life and maintaining exclusive breastfeeding for the first 6 months. However, worldwide rates of exclusive breastfeeding for 6-month-old infants is far from meeting the goal proposed by the World Health Organization, which is to reach a minimum of 50% of infants. Education is one of the factors affecting the initiation and continuation of breastfeeding, and incidentally, it is also related to lower health literacy. This study explored the influence of health literacy on maintenance of exclusive breastfeeding at 6 months postpartum. Methods: A longitudinal multicenter study with 343 women were recruited between January 2019 and January 2020. The first questionnaire was held during the puerperium (24−48 h) with mothers practicing exclusive breastfeeding, with whom 6-month postpartum breastfeeding follow-up was performed. Socio-demographic, clinical and obstetric variables were collected. Breastfeeding efficiency was assessed using the LATCH breastfeeding assessment tool. The health literacy level was evaluated by the Newest Vital Sign screening tool. A multivariate logistic regression model was used to detect protective factors for early exclusive breastfeeding cessation. Results: One third of the women continued exclusive breastfeeding at 6 months postpartum. Approximately half the participants had a low or inadequate health literacy level. An adequate health literacy level, a high LATCH breastfeeding assessment tool score (>9 points) and being married were the protective factors against exclusive breastfeeding cessation at 6 months postpartum. Conclusion: Health literacy levels are closely related to maintaining exclusive breastfeeding and act as a protective factor against early cessation. A specific instrument is needed to measure the lack of “literacy in breastfeeding”, in order to verify the relationship between health literacy and maintenance of exclusive breastfeeding.
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