Evidence map›Paper›PMID 40776657›Full record

ArticleClinical and experimental pediatrics2025

Trends and determinants in breastfeeding among Korean infants (2007-2021): a nationwide study using the National Health Screening Program for Infants and Children.

Minwoong Kang, Eui Kyung Choi, Jeung Min Lee, Hye-Jung Shin, Woo Ryoung Lee, Son Moon Shin, Korean Society of Breastfeeding Medicine

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Article in Clinical and experimental pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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7 authors.

Minwoong KangBiomedical Research Center, Korea University Guro Hospital, Seoul, Korea.
Eui Kyung ChoiDepartment of Pediatrics, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Jeung Min LeeDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Korea.
Hye-Jung ShinDepartment of Pediatrics, National Medical Center, Seoul, Korea.
Woo Ryoung LeeDepartment of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Son Moon ShinDepartment of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea.
Korean Society of Breastfeeding Medicine

Funding

Korea University K2407221
6 · The paper itself

Abstract

backgroundBreastfeeding has nutritional, immunological, and psychological benefits for infants. However, breastfeeding rates have recently declined in South Korea. PURPOSE: This study aimed to investigate the breastfeeding trends and determinants in a nationwide birth cohort.

methodsThis retrospective cohort study used claims data from the National Health Insurance Service from 2007-2022. Infants born between 2007 and 2021 who underwent at least one National Health Screening Program for Infants and Children examination were included in this study. Breastfeeding rates were analyzed across eight age-specific sessions, and logistic regression models were used to identify factors associated with breastfeeding practices.

resultsAt 4-6 months, the prevalence of breastfeeding decreased from 45.6% in 2007 to 15.4% in 2020, whereas that of formula feeding increased from 36.5% to 70.6%. Similarly, the breastfeeding rate at 9-12 months decreased from 22.7% in 2015 to 12.0% in 2020. In 2021, only 16.6% of neonates were exclusively breastfed at 14-35 days of life, and the rate of exclusive breastfeeding at 6 months further declined from 10.0% in 2020 to 8.8% in 2021. Factors negatively affecting breastfeeding were low birth weight (adjusted odds ratio [aOR], 0.636; 95% confidence interval [CI], 0.607-0.667), preterm birth (aOR, 0.72; 95% CI, 0.687-0.754), multiple births (aOR, 0.603; 95% CI, 0.570-0.638), rural residence (aOR, 0.788; 95% CI, 0.771-0.805), and lower household income (aOR, 0.783; 95% CI, 0.748-0.819) (P<0.001).

conclusionBreastfeeding rates in South Korea have declined significantly over the past decade, with disparities observed in preterm, low birth weight, and multiple-birth infants as well as and rural or lower-income households. Targeted interventions including enhanced prenatal education, postnatal support, and community-based initiatives are necessary to improve breastfeeding rates.

Indexed as

BreastfeedingExclusive breastfeedingInfantKorea

Identifiers

PMID40776657
PMCPMC12488273

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.