ArticleInternational breastfeeding journal2023
Beyond mothers: the crucial role of family caregivers' knowledge on exclusive breastfeeding in rural western China.
Article in International breastfeeding journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Family-Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- Determinants of early interruption of exclusive breastfeeding: a qualitative meta-synthesis.BMC public health · 2026Pooled it
- Childhood starvation and elderly poverty in rural China: the mediating effect of human capital in adulthood.BMC public health · 2026Article
- Decision-making process of exclusive breastfeeding at 6 months postpartum based on the COM-B model: a multicenter, cross-sectional study in Southeast China.Frontiers in public health · 2026Article
- Development and initial validation of a modular life-course health education and science communication needs scale for Chinese clinical and community service users: a Tianjin-based study.Frontiers in public health · 2026Article
- Collecting real-time infant feeding and support experience: co-participatory pilot study of mobile health methodology.International breastfeeding journal · 2025Article
- Article
- Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach.BMC pregnancy and childbirth · 2024Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe exclusive breastfeeding rate in China remains significantly low. Numerous studies have identified the impact of maternal characteristics on exclusive breastfeeding; however, the correlation between primary family caregivers' characteristics, such as health and nutrition knowledge, and exclusive breastfeeding still lacks clarity. The aim of this study is to investigate the association between the health and nutrition knowledge of primary family caregivers and exclusive breastfeeding in rural China.
methodsIn 2019, a cross-sectional study was conducted in two prefectures within the Qinba Mountains area, located in the southern region of Shaanxi province. Data on knowledge of health and nutrition, breastfeeding practices, breastfeeding family support, breastfeeding self-efficacy, and conflict frequency were collected via structured questionnaires from 372 caregiver-infant pairs. Infant feeding practices were assessed based on the caregivers' recall of the previous day (within the 24 h before the interview). The mother was interviewed first, followed by a brief questionnaire for the primary family caregiver, both conducted individually to minimize disruptions from other family members. Univariate and multivariate regression analyses were conducted to explore the correlation between knowledge of mothers and primary family caregivers and exclusive breastfeeding.
resultsThe exclusive breastfeeding rate for six-month-old infants in the sample was 15.7%. On average, mothers scored 4.6 (SD 1.4) for health and nutrition knowledge, while primary family caregivers scored 3.6 (SD 1.4). Both maternal (OR 1.48; 95% CI 1.16, 1.88) and primary family caregiver's (OR 1.34; 95% CI 1.05, 1.70) health and nutrition knowledge were significantly associated with exclusive breastfeeding. A positive correlation (OR 1.98; 95% CI 1.40, 2.80) existed between the average health and nutrition knowledge of the mother and primary family caregiver and exclusive breastfeeding. The primary family caregiver's health and nutrition knowledge was positively correlated with the practical family support perceived by the mother (OR 1.23; 95% CI 1.02, 1.49) and breastfeeding self-efficacy of the mother (β = 1.40; 95% CI 0.29, 2.50).
conclusionsThe characteristics of the primary family caregiver play a large role in exclusive breastfeeding. To promote exclusive breastfeeding, interventions should address the needs of the whole family instead of just mothers.
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