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Murcia-Baquero LM, Sandoval-Pinto E, Guerrero CH, López Flores MDL, Sierra-Diaz E, Cremades R. The Phenomenon of Human Migration on the Breastfeeding Practices of Migrant Women: A Scoping Review. Cureus 2024; 16:e63614. [PMID: 39087178 PMCID: PMC11290891 DOI: 10.7759/cureus.63614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2024] [Indexed: 08/02/2024] Open
Abstract
Human migrations and different migratory flows have been as old as the practice of breastfeeding (BF). The reasons for migrating, the conditions, and its protagonists are so diverse, often constituting situations of vulnerability and risk for health decision-making at both the individual and collective levels. The relationship between BF and human migration is totally dynamic and includes multiple factors, which is why there is a need to characterize territorially its prevalence rate and variability depending on the context. The migration profiles that can be configured from factors, such as schooling, employment, the host country's health system, and support networks, among others, have heterogeneity between countries that make it necessary to identify them. This study is an in-depth review of the report on the practice of BF in migrant women. The Arksey and O'Malley method was used to perform the PubMed and SciELO searches. The search terms were "exclusive breastfeeding (EBF)," "breastfeeding," "migrant women," and "human migration," and original articles published in English, Spanish, and Portuguese were included. Of the 43 selected articles, differences were found between the various migrant groups, in variables such as socioeconomic level, education, access to health services, maternal knowledge, father factor, culture, and intention to breastfeed. The heterogeneity of the practice of BF between countries, as well as in intraregional migratory flows, establishes different protective or risk factors depending on where the phenomenon develops and its conditions.
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Affiliation(s)
- Lina María Murcia-Baquero
- University Center for Health Sciences, Department of Public Health, University of Guadalajara, Guadalajara, MEX
| | - Elena Sandoval-Pinto
- University Center for Biological and Agricultural Sciences, Department of Cellular and Molecular Biology, University of Guadalajara, Guadalajara, MEX
| | - Christian H Guerrero
- University Center for Health Sciences, Department of Public Health, University of Guadalajara, Guadalajara, MEX
| | | | - Erick Sierra-Diaz
- University Center for Health Sciences, Department of Public Health, University of Guadalajara, Guadalajara, MEX
| | - Rosa Cremades
- University Center for Health Sciences, Department of Microbiology and Pathology, University of Guadalajara, Guadalajara, MEX
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Lemas DJ, Du X, Rouhizadeh M, Lewis B, Frank S, Wright L, Spirache A, Gonzalez L, Cheves R, Magalhães M, Zapata R, Reddy R, Xu K, Parker L, Harle C, Young B, Louis-Jaques A, Zhang B, Thompson L, Hogan WR, Modave F. Classifying early infant feeding status from clinical notes using natural language processing and machine learning. Sci Rep 2024; 14:7831. [PMID: 38570569 PMCID: PMC10991582 DOI: 10.1038/s41598-024-58299-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 03/27/2024] [Indexed: 04/05/2024] Open
Abstract
The objective of this study is to develop and evaluate natural language processing (NLP) and machine learning models to predict infant feeding status from clinical notes in the Epic electronic health records system. The primary outcome was the classification of infant feeding status from clinical notes using Medical Subject Headings (MeSH) terms. Annotation of notes was completed using TeamTat to uniquely classify clinical notes according to infant feeding status. We trained 6 machine learning models to classify infant feeding status: logistic regression, random forest, XGBoost gradient descent, k-nearest neighbors, and support-vector classifier. Model comparison was evaluated based on overall accuracy, precision, recall, and F1 score. Our modeling corpus included an even number of clinical notes that was a balanced sample across each class. We manually reviewed 999 notes that represented 746 mother-infant dyads with a mean gestational age of 38.9 weeks and a mean maternal age of 26.6 years. The most frequent feeding status classification present for this study was exclusive breastfeeding [n = 183 (18.3%)], followed by exclusive formula bottle feeding [n = 146 (14.6%)], and exclusive feeding of expressed mother's milk [n = 102 (10.2%)], with mixed feeding being the least frequent [n = 23 (2.3%)]. Our final analysis evaluated the classification of clinical notes as breast, formula/bottle, and missing. The machine learning models were trained on these three classes after performing balancing and down sampling. The XGBoost model outperformed all others by achieving an accuracy of 90.1%, a macro-averaged precision of 90.3%, a macro-averaged recall of 90.1%, and a macro-averaged F1 score of 90.1%. Our results demonstrate that natural language processing can be applied to clinical notes stored in the electronic health records to classify infant feeding status. Early identification of breastfeeding status using NLP on unstructured electronic health records data can be used to inform precision public health interventions focused on improving lactation support for postpartum patients.
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Affiliation(s)
- Dominick J Lemas
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA.
- Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, 32610, USA.
| | - Xinsong Du
- Division of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA
- Department of Medicine, Harvard Medical School, Boston, MA, 02115, USA
| | - Masoud Rouhizadeh
- Department of Pharmaceutical Outcomes and Policy, University of Florida College of Medicine, Gainesville, FL, 32610, USA
- Biomedical Informatics and Data Science Section, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA
| | - Braeden Lewis
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Simon Frank
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Lauren Wright
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Alex Spirache
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Lisa Gonzalez
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Ryan Cheves
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Marina Magalhães
- Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, 94305, USA
| | - Ruben Zapata
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Rahul Reddy
- Department of Computer and Information Science, Herbert Wertheim College of Engineering, University of Florida, Gainesville, FL, 32611, USA
| | - Ke Xu
- Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Clinical and Translational Research Building, Gainesville, FL, 32610, USA
| | - Leslie Parker
- Department of Biobehavioral Nursing Science, University of Florida College of Nursing, Gainesville, FL, 32603, USA
| | - Chris Harle
- Health Policy and Management Department, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis, Indianapolis, IN, 46202, USA
| | - Bridget Young
- Division of Breastfeeding and Lactation Medicine, University of Rochester Medical Center, Rochester, NY, 14642, USA
| | - Adetola Louis-Jaques
- Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, 32610, USA
| | - Bouri Zhang
- Health Science Center Libraries, University of Florida, Gainesville, FL, 32610, USA
| | - Lindsay Thompson
- Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, 27101, USA
| | - William R Hogan
- Data Science Institute, Medical College of Wisconsin, Milwaukee, WI, 53226, USA
| | - François Modave
- Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, 32610, USA
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Urine Metabolomic Profile of Breast- versus Formula-Fed Neonates Using a Synbiotic-Enriched Formula. Int J Mol Sci 2022; 23:ijms231810476. [PMID: 36142388 PMCID: PMC9499619 DOI: 10.3390/ijms231810476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 09/04/2022] [Accepted: 09/07/2022] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to compare the urine metabolic fingerprint of healthy neonates exclusively breastfed with that of neonates fed with a synbiotic-enriched formula (Rontamil® Complete 1) at four time points (the 3rd and 15th days of life and the 2nd and 3rd months). The determination of urine metabolic fingerprint was performed using NMR metabolomics. Multivariate data analyses were performed with SIMCA-P 15.0 software and R language. Non-distinct profiles for both groups (breastfeeding and synbiotic formula) for the two first time points (3rd and 15th days of life) were detected, whereas after the 2nd month of life, a discrimination trend was observed between the two groups, which was further confirmed at the 3rd month of life. A clear discrimination of the synbiotic formula samples was evident when comparing the metabolites taken in the first days of life (3rd day) with those taken in the 2nd and 3rd months of life. In both cases, OPLS-DA models explained more than 75% of the metabolic variance. Non-distinct metabolomic profiles were obtained between breastfed and synbiotic-formula-fed neonates up to the 15th day of life. Discrimination trends were observed only after the 2nd month of the study, which could be attributed to breastfeeding variations and the consequent dynamic profile of urine metabolites compared to the stable ingredients of the synbiotic formula.
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Lechosa-Muñiz C, Paz-Zulueta M, Cayón-De las Cuevas J, Llorca J, Cabero-Pérez MJ. Declared Reasons for Cessation of Breastfeeding during the First Year of Life: An Analysis Based on a Cohort Study in Northern Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8414. [PMID: 34444163 PMCID: PMC8394949 DOI: 10.3390/ijerph18168414] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 08/07/2021] [Accepted: 08/08/2021] [Indexed: 12/22/2022]
Abstract
BACKGROUND Breastfeeding is the gold standard of infant feeding due to the many advantages it offers to both the child and the mother. OBJECTIVE To identity the main reasons for cessation of breastfeeding reported by mothers during the first year of life. DESIGN A prospective cohort study was conducted, recruiting 970 infants from a university hospital in Spain. The main maternal variables studied were maternal age, parity, educational level, work occupation, smoking habit, weeks of gestation at birth, birth weight, feeding type, and duration of breastfeeding. All participants were followed for one year to determinate the duration of breastfeeding and to gather reasons for abandoning breastfeeding. RESULTS At six months, the percentage of breastfeeding experienced a decline of 50%, and only 24.5% of these mothers maintained breastfeeding. Up to 15.8% of the mothers decided to give up exclusive breastfeeding by their own choice, whereas 15.4% did so because they suspected low milk production. Work-related causes represent the third reason of abandonment. CONCLUSIONS Our results highlight the need to improve the health policies for the promotion, protection, and support for the initiation and maintenance of breastfeeding. In particular, our results highlight the importance of researching women's low milk production and work-related factors, with particular emphasis on improving conciliation measures.
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Affiliation(s)
- Carolina Lechosa-Muñiz
- Faculty of Nursing, University of Cantabria, Avda Valdecilla s/n. C.P., 39008 Santander, Spain;
- Pediatrics Section, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
| | - María Paz-Zulueta
- Faculty of Nursing, University of Cantabria, Avda Valdecilla s/n. C.P., 39008 Santander, Spain;
- IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, C/Cardenal Herrera Oria s/n. C.P., 39011 Santander, Spain
| | - Joaquín Cayón-De las Cuevas
- IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, C/Cardenal Herrera Oria s/n. C.P., 39011 Santander, Spain
- Faculty of Law, University of Cantabria, Avda. de los Castros s/n. C.P., 39005 Santander, Spain;
| | - Javier Llorca
- Faculty of Medicine, University of Cantabria, Avenida del Cardenal Herrera Oria 2, C.P., 39010 Santander, Spain; (J.L.); (M.J.C.-P.)
- CIBER Epidemiology and Public Health (CIBERESP), C.P., 28029 Madrid, Spain
| | - María Jesús Cabero-Pérez
- Pediatrics Section, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
- Faculty of Medicine, University of Cantabria, Avenida del Cardenal Herrera Oria 2, C.P., 39010 Santander, Spain; (J.L.); (M.J.C.-P.)
- IDIVAL, C/Cardenal Herrera Oria s/n. C.P., 39011 Santander, Spain
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García-de-León-Chocano R, Sáez C, Muñoz-Soler V, Oliver-Roig A, García-de-León-González R, García-Gómez JM. Robust estimation of infant feeding indicators by data quality assessment of longitudinal electronic health records from birth up to 18 months of life. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2021; 207:106147. [PMID: 34020376 DOI: 10.1016/j.cmpb.2021.106147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 04/26/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND AND OBJECTIVE The Baby-Friendly Hospital Initiative (BFHI) is an international strategy aimed at improving breastfeeding practices in health care services. Regular monitoring of indicators is key for BFHI implementation and maintenance. Currently, routine data collected from electronic health records (EHR) is an excellent source for infant feeding monitoring, however data quality (DQ) assessment should be undertaken. The aim of this research is to enable robust estimations of infant feeding indicators through DQ assessment of routine EHR data. MATERIALS AND METHODS We use the longitudinal series of healthcare contacts belonging to 6427 children born from 2009 to 2018 in the Health Area V of Murcia (Spain). Longitudinal data came from EHR at hospital discharge and community infant health reviews up to 18 months. The data of each healthcare contact contained a 24-h recall of infant feeding. We perform a DQ process in three phases: (1) an assessment of each-single-contact and the definition of their infant feeding status; (2) a longitudinal DQ assessment of completeness and consistency of the series of contacts to obtain meta-information that guides the duration calculus, for each case, of the different types of breastfeeding: exclusive breastfeeding (EBF), full breastfeeding (FBF) and any breastfeeding (ABF); and finally (3) a robust estimation of indicators and description of DQ of each indicator. RESULTS We found deficiencies of DQ in 30.42% of single contacts for EBF, 19.02% for FBF and 22.50% for ABF that were used to establish the infant feeding status. However, after longitudinal DQ assessment, we obtained valid and reliable data rates for most indicators such as "median duration of breastfeeding" nearly 90%, both for FBF and ABF, not so for EBF. CONCLUSIONS Despite the DQ deficiencies found in raw data, the DQ assurance approach by indicators proposed in this work, allowed us to obtain a robust estimation of indicators with a significant percentage of subjects with valid information for ABF and FBF monitoring. The estimations were consistent with results previously published. The methodology provided with this study allows a continuous and reliable population monitoring of infant feeding indicators of BFHI from routine EHR data.
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Affiliation(s)
- Ricardo García-de-León-Chocano
- Department of Information Technology, Hospital Virgen del Castillo, Yecla, Gerencia Área de Salud V - Altiplano, Servicio Murciano de Salud, Spain.
| | - Carlos Sáez
- Biomedical Data Science Lab, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Camino de Vera s/n, Valencia 46022, España
| | - Verónica Muñoz-Soler
- Doctoral student Nursing Department, Faculty of Health Sciences, University of Alicante, Spain
| | - Antonio Oliver-Roig
- Department of Nursing, Faculty of Health Sciences, University of Alicante, Spain
| | - Ricardo García-de-León-González
- Department of Paediatrics, Hospital Virgen del Castillo, Yecla, Gerencia Área de Salud V-Altiplano, Servicio Murciano de Salud, Spain
| | - Juan Miguel García-Gómez
- Biomedical Data Science Lab, Instituto Universitario de Tecnologías de la Información y Comunicaciones, Universitat Politècnica de València, Camino de Vera s/n, Valencia 46022, España
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6
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Lechosa-Muñiz C, Paz-Zulueta M, Sota SM, de Adana Herrero MS, Del Rio EC, Llorca J, Cabero-Perez MJ. Factors associated with duration of breastfeeding in Spain: a cohort study. Int Breastfeed J 2020; 15:79. [PMID: 32907592 PMCID: PMC7488233 DOI: 10.1186/s13006-020-00324-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 09/02/2020] [Indexed: 11/12/2022] Open
Abstract
Background Factors associated with duration of breastfeeding have been usually studied at specific times after birth. Little is known about how much time is added to breastfeeding by each associated factor. Methods A cohort of 969 mother-child dyads was followed-up for twelve months at the Marqués de Valdecilla University Hospital, Spain, in 2018. Data on mother characteristics, pregnancy, delivery and children characteristics were obtained from medical records. Length of breastfeeding was reported by the mothers and recorded in paediatric medical record at hospital discharge and 2, 4, 6, 9 and 12 months of life. Factors associated with duration of breastfeeding were analysed via multivariate Weibull regression parameterized as accelerated time of failure. Results are presented as time ratios. Results About four out of five children were breastfed at hospital discharge, although this proportion dropped to 65% in children born from smoker women, 70% in preterm children and 68% in neonates weighting less than 2500 g. Mother’s age was associated with longer breastfeeding, adding 2% more breastfeeding time per year (adjusted time ratio 1.02; 95% confidence interval 1.00, 1.04). Children born from mothers with university studies were breastfed 53% more time than those born from mothers with primary studies (adjusted time ratio 1.53; 95% confidence interval 1.21, 1.95); smoking in pregnancy decreased length of breastfeeding by 41% (adjusted time ratio 0.59; 95% confidence interval 0.46, 0.76). Other factors associated with longer breastfeeding were single pregnancy and newborn weight over 2500 g. Conclusions Analysing factors associated with duration of breastfeeding as time parameters allows us to quantify the amount of time gained or lost by each factor, which could make it easier to evaluate the relevance of programmes directed to promote facilitating breastfeeding factors.
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Affiliation(s)
| | - María Paz-Zulueta
- Faculty of Nursing, Universidad de Cantabria. IDIVAL, GI Derecho Sanitario y Bioética. GRIDES, 39008, Santander, Spain.
| | - Sonia Mateo Sota
- Hospital Universitario Marqués de Valdecilla, 39008, Santander, Spain
| | | | | | - Javier Llorca
- Universidad de Cantabria - IDIVAL, Santander, Spain.,CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - María J Cabero-Perez
- Hospital Universitario Marqués de Valdecilla, 39008, Santander, Spain.,Universidad de Cantabria - IDIVAL, Santander, Spain
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Hiatt RA, Engmann NJ, Balke K, Rehkopf DH. A Complex Systems Model of Breast Cancer Etiology: The Paradigm II Conceptual Model. Cancer Epidemiol Biomarkers Prev 2020; 29:1720-1730. [PMID: 32641370 DOI: 10.1158/1055-9965.epi-20-0016] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 03/09/2020] [Accepted: 06/04/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The etiology of breast cancer is a complex system of interacting factors from multiple domains. New knowledge about breast cancer etiology continues to be produced by the research community, and the communication of this knowledge to other researchers, practitioners, decision makers, and the public is a challenge. METHODS We updated the previously published Paradigm model (PMID: 25017248) to create a framework that describes breast cancer etiology in four overlapping domains of biologic, behavioral, environmental, and social determinants. This new Paradigm II conceptual model was part of a larger modeling effort that included input from multiple experts in fields from genetics to sociology, taking a team and transdisciplinary approach to the common problem of describing breast cancer etiology for the population of California women in 2010. Recent literature was reviewed with an emphasis on systematic reviews when available and larger epidemiologic studies when they were not. Environmental chemicals with strong animal data on etiology were also included. RESULTS The resulting model illustrates factors with their strength of association and the quality of the available data. The published evidence supporting each relationship is made available herein, and also in an online dynamic model that allows for manipulation of individual factors leading to breast cancer (https://cbcrp.org/causes/). CONCLUSIONS The Paradigm II model illustrates known etiologic factors in breast cancer, as well as gaps in knowledge and areas where better quality data are needed. IMPACT The Paradigm II model can be a stimulus for further research and for better understanding of breast cancer etiology.
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Affiliation(s)
- Robert A Hiatt
- Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, California. .,Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California
| | | | - Kaya Balke
- Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California
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Odeniyi AO, Embleton N, Ngongalah L, Akor W, Rankin J. Breastfeeding beliefs and experiences of African immigrant mothers in high-income countries: A systematic review. MATERNAL AND CHILD NUTRITION 2020; 16:e12970. [PMID: 32141195 PMCID: PMC7296807 DOI: 10.1111/mcn.12970] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 01/02/2020] [Accepted: 01/23/2020] [Indexed: 12/29/2022]
Abstract
Breastfeeding provides optimal nutrition for the healthy growth of infants and is associated with reduced risks of infectious diseases, child and adult obesity, type 2 diabetes, and other chronic diseases. Migration has been shown to influence breastfeeding especially among migrants from low-and-middle-income countries. This mixed-methods systematic review aimed to identify, synthesise, and appraise the international literature on the breastfeeding knowledge and experiences of African immigrant mothers residing in high-income countries. MEDLINE, CINAHL, Embase, PsychINFO, Scopus, and Web of Knowledge databases were searched from their inception to February 2019. Grey literature, reference, and citation searches were carried out and relevant journals hand-searched. Data extraction and quality assessment were independently carried out by two reviewers. An integrated mixed-methods approach adopting elements of framework synthesis was used to synthesise findings. The initial searches recovered 8,841 papers, and 35 studies were included in the review. Five concepts emerged from the data: (a) breastfeeding practices, showing that 90% of African mothers initiated breastfeeding; (b) knowledge, beliefs, and attitudes, which were mostly positive but included a desire for bigger babies; (c) influence of socio-demographic, economic, and cultural factors, leading to early supplementation; (d) support system influencing breastfeeding rates and duration; and (e) perception of health professionals who struggled to offer support due to culture and language barriers. African immigrant mothers were positive about breastfeeding and willing to adopt best practice but faced challenges with cultural beliefs and lifestyle changes after migration. African mothers may benefit from more tailored support and information to improve exclusive breastfeeding rates.
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Affiliation(s)
- Adefisayo O Odeniyi
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Nicholas Embleton
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.,Newcastle Neonatal Service, Royal Victoria Infirmary, Newcastle upon Tyne, UK
| | - Lem Ngongalah
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Wanwuri Akor
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Judith Rankin
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
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9
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Paul JA, Chateau J, Green C, Warda L, Heaman M, Katz A, Perchuk C, Larocque L, Lee JB, Nickel NC. Evaluating the Manitoba Infant Feeding Database: a Canadian infant feeding surveillance system. Canadian Journal of Public Health 2019; 110:649-656. [PMID: 31102235 PMCID: PMC6964465 DOI: 10.17269/s41997-019-00211-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 03/28/2019] [Indexed: 12/01/2022]
Abstract
Objective The Manitoba Infant Feeding Database (MIFD) is being piloted as a surveillance system leveraging infant vaccination visits as a point of contact to collect infant feeding data during the first year of life. The objective of this study was to assess data quality and acceptability of the MIFD as a sustainable population-based surveillance system. Methods Internal completeness and internal validity were measured to assess data quality. Internal completeness was defined as the number of completed data fields out of the total number of data fields. Internal validity was defined as the proportion of translation errors from one level of the system, the paper questionnaire, to the next, the electronic database. A survey assessed staff’s acceptance of data collection and submission processes. Results A total of 947 records were reviewed. Data were 98.5% complete. Discrepancies were noted in 13.5% of data. The survey response rate was 78.4%. Nearly all respondents reported that the MIFD data collection tool was easy to use (96.6% agreed or strongly agreed). Whereas some challenges were identified, the majority were willing to continue with the MIFD data collection tool and process (93.1%). Conclusion Results from this evaluation suggest that the MIFD data collection process worked well; however, data validation will require human resources. The MIFD approach provides a sustainable mechanism for collecting data on infant feeding for surveillance and research purposes.
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Affiliation(s)
- Julia A Paul
- Public Health Agency of Canada, Canadian Field Epidemiology Program, Ottawa, Canada
| | - Joanne Chateau
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Chris Green
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.,Winnipeg Regional Health Authority, Population and Public Health, Winnipeg, Canada
| | - Lynne Warda
- Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.,Winnipeg Regional Health Authority, Injury Prevention and Child Health, Public Health Program, Winnipeg, Canada
| | - Maureen Heaman
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Alan Katz
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.,Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Carolyn Perchuk
- Winnipeg Regional Health Authority, Population and Public Health, Winnipeg, Canada
| | | | - Janelle Boram Lee
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Nathan C Nickel
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
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Dennis CL, Shiri R, Brown HK, Santos HP, Schmied V, Falah-Hassani K. Breastfeeding rates in immigrant and non-immigrant women: A systematic review and meta-analysis. MATERNAL AND CHILD NUTRITION 2019; 15:e12809. [PMID: 30884175 DOI: 10.1111/mcn.12809] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 02/28/2019] [Accepted: 03/06/2019] [Indexed: 11/30/2022]
Abstract
Breastfeeding benefits mothers and infants. Although immigration in many regions has increased in the last three decades, it is unknown whether immigrant women have better breastfeeding outcomes than non-immigrants. The aim of this study was to conduct a systematic review and meta-analysis to determine whether breastfeeding rates differ between immigrant and non-immigrant women. We searched Medline, Embase, PsycINFO, CINAHL and Google Scholar, 1950 to 2016. We included peer-reviewed cross-sectional and cohort studies of women aged ≥16 years that assessed and compared breastfeeding rates in immigrant and non-immigrant women. Two independent reviewers extracted data using predefined standard procedures. The analysis included 29 studies representing 1,539,659 women from 14 countries. Immigrant women were more likely than non-immigrants to initiate any (exclusive or partial) breastfeeding (pooled adjusted prevalence ratio 1.13, 95% confidence interval [CI] 1.07-1.19; 11 studies). Exclusive breastfeeding initiation was higher but borderline significant (adjusted prevalence ratio 1.20, 95% CI 1.00-1.45; 5 studies, p = 0.056). Immigrant women were more likely than non-immigrants to continue any breastfeeding between 12- and 24-week postpartum (pooled adjusted risk ratio 2.04, 95% CI 1.79-2.32; 3 studies) and > 24 weeks (adjusted risk ratio 1.33, 95% CI 1.02-1.73; 6 studies) but not exclusive breastfeeding. Immigrant women are more likely than non-immigrants to initiate and maintain any breastfeeding, but exclusive breastfeeding remains a challenge for both immigrants and non-immigrants. Social and cultural factors need to be considered to understand the extent to which immigrant status is an independent predictor of positive breastfeeding practices.
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Affiliation(s)
- Cindy-Lee Dennis
- Faculty of Nursing, University of Toronto, Toronto, Canada.,St. Michael's Hospital, Toronto, Canada
| | - Rahman Shiri
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Hilary K Brown
- Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Hudson P Santos
- School of Nursing, University of North Carolina, Chapel Hill, USA
| | - Virginia Schmied
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
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11
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Sarki M, Parlesak A, Robertson A. Comparison of national cross-sectional breast-feeding surveys by maternal education in Europe (2006-2016). Public Health Nutr 2019; 22:848-861. [PMID: 30516455 PMCID: PMC6474715 DOI: 10.1017/s1368980018002999] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
OBJECTIVE Breast-feeding is an important determinant of health of mothers and their offspring. The present study aimed to compare breast-feeding rates across Europe disaggregated by maternal education and establish what proportion achieves at least 50 % exclusive breast-feeding (EBF) at 6 months.Design/SettingSecondary analysis of national or sub-national studies' breast-feeding data for EU Member States plus Norway and Iceland, published in 2006-2016. Nineteen EU Member States plus Norway reported rates of EBF and any breast-feeding disaggregated by maternal education, of which only thirteen could be matched to the International Standard Classification of Education.ParticipantsMothers and their infants aged 0-12 months. RESULTS Data on EBF rates at 6 and 4 months were found in only four and six countries, respectively. At 6 months, EBF rates of 49 % in Slovakia and 44 % in Hungary were closest to WHO's target of at least 50 % EBF. At 4 months, mothers with high education level in Denmark, the Netherlands and Germany had the highest EBF rates (71, 52 and 50 %, respectively). Mothers with low education level were less likely to initiate breast-feeding and cessation occurred early. The inequality gap ranged from 63 % in Irish mothers to no gap or very low levels of inequality in Poland, Sweden and Norway. CONCLUSIONS More mothers with high, compared with low, education initiate breast-feeding and practise EBF for longer. More European policies should be targeted to protect, support and promote breast-feeding, especially among mothers with only mandatory education.
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Affiliation(s)
- Mahesh Sarki
- Global Health, University of Copenhagen, Copenhagen, Denmark
| | - Alexandr Parlesak
- Global Nutrition and Health, University College Copenhagen, Sigurdsgade 26, 2200 København N, Denmark
| | - Aileen Robertson
- Global Nutrition and Health, University College Copenhagen, Sigurdsgade 26, 2200 København N, Denmark
- Corresponding author: Email
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12
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Sudo K, Hamamoto Y. Health behaviors of foreign mothers in Japan regarding their young children and the factors that affect these behaviors: A qualitative study. Jpn J Nurs Sci 2019; 16:420-432. [PMID: 30688004 DOI: 10.1111/jjns.12251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 08/29/2018] [Accepted: 11/06/2018] [Indexed: 11/27/2022]
Abstract
AIM The number of foreign residents in Japan is increasing and these residents therefore should no longer be disregarded as members of Japanese society. The purpose of this study was to elucidate the health behaviors of foreign mothers in Japan regarding their children and the factors that affected these behaviors. METHODS A qualitative descriptive research design was used, involving a content analysis. Six focus group interviews were conducted with a total of 24 foreign mothers who were members of childrearing circles. RESULTS The health behaviors were classified as "Gathering information about child health management," "Preventing obstructions to child health care," "Perceiving the child's health condition," "Deciding to take the child to a healthcare facility," "Selecting adequate healthcare facilities," and "Managing at home when the child is sick." The factors that affected the health behaviors were classified as "Japanese culture and customs," "Child's health condition," "Culture and customs of the mother's native country," "Family," "Mother's health perception," "Healthcare facility and healthcare provider," "Friends," "Mother's health condition," "Internet," "Becoming accustomed to life in Japan," and "Japanese language ability." Gathering information, preventing obstructions to child health care, and perceiving the child's health condition were the most common behaviors. The main factors that affected the health behaviors were the culture and customs of both Japan and the mother's native country and the child's health condition. CONCLUSION It is recommended that healthcare professionals support foreign mothers to gather adequate and appropriate information regarding health, particularly child health, considering not only the culture and customs of the mother's native country, but also of the host country.
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Affiliation(s)
- Kyoko Sudo
- National College of Nursing, Japan, Tokyo, Japan
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13
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Dennis CL, Brown HK, Chung-Lee L, Abbass-Dick J, Shorey S, Marini F, Brennenstuhl S. Prevalence and predictors of exclusive breastfeeding among immigrant and Canadian-born Chinese women. MATERNAL AND CHILD NUTRITION 2018; 15:e12687. [PMID: 30194811 DOI: 10.1111/mcn.12687] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 06/26/2018] [Accepted: 08/23/2018] [Indexed: 01/07/2023]
Abstract
Breastfeeding is the optimal method for infant feeding, yet migrant women may be at risk for suboptimal exclusivity rates. In a cohort of immigrant and Canadian-born Chinese women, our objectives were to (a) describe patterns and prevalence of exclusive breastfeeding at 1, 3, and 6 months postpartum; (b) identify risk and protective factors associated with exclusivity; and (c) examine potentially differential importance of these factors across this 6-month period. This was a prospective study of 565 immigrants and Canadian-born Chinese women (Toronto, Canada). Exclusive breastfeeding was measured at 1, 3, and 6 months postpartum. Predictors comprised fixed (demographics, history of depression, immigrant status, prenatal breastfeeding classes, in-hospital formula supplementation, baseline social support, and baseline acculturative stress) and time-dependent (depression, anxiety, fatigue, and breastfeeding problems) variables. Descriptive statistics, logistic regression, and generalized linear mixed models, respectively, were undertaken to address the objectives. Patterns of breastfeeding practices included exclusive breastfeeding in all time points (26.8%) or none (32.9%) and moving from exclusive to nonexclusive (20.3%) or nonexclusive to exclusive breastfeeding (15.2%). Women less likely to breastfeed exclusively at 1, 3, or 6 months were those whose infants received in-hospital formula supplementation. Exclusivity attrition was higher between 3 and 6 months than 1-3 months. Immigrant status and in-hospital formula supplementation had a significant impact on exclusivity earlier in the postpartum period while breastfeeding problems were associated with decreased exclusivity across time. Proactive preventive efforts are need to maintain breastfeeding exclusivity especially between 3 and 6 months if women are to meet international breastfeeding recommendations.
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Affiliation(s)
- Cindy-Lee Dennis
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Hilary K Brown
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.,Interdiscipinary Centre for Health and Society, University of Toronto Scarborough, Toronto, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
| | | | - Jennifer Abbass-Dick
- Faculty of Health Sciences, University of Ontario Institute of Technology, Toronto, Ontario, Canada
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
| | - Flavia Marini
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
| | - Sarah Brennenstuhl
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
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Kana MA, Rodrigues C, Fonseca MJ, Santos AC, Barros H. Effect of maternal country of birth on breastfeeding practices: results from Portuguese GXXI birth cohort. Int Breastfeed J 2018; 13:15. [PMID: 29643932 PMCID: PMC5891910 DOI: 10.1186/s13006-018-0157-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 03/26/2018] [Indexed: 12/25/2022] Open
Abstract
Background Maternal country of birth has been associated with perinatal health outcomes but less is known regarding breastfeeding practices in contemporary European settings. This study investigated effect of maternal country of birth on breastfeeding initiation and duration by comparing native Portuguese and migrant mothers. Methods We analyzed data of 7065 children of the Generation XXI (GXXI) birth cohort recruited at birth (2005–06) and followed-up 4 years later. Logistic regression was used to assess the effect of maternal country of birth on breastfeeding initiation. Kaplan-Meier estimate was used to compare breastfeeding duration by maternal country of birth and length of residence by migrant mothers in Portugal. Results Breastfeeding initiation and the type of breastfeeding practice were similar for native Portuguese and migrant mothers. The migrants had significantly higher median duration in months of any breastfeeding (Odds Ratio [OR] 6.0, 95% Confidence Interval [CI] 5.4,6.6) and exclusive breastfeeding (OR 4.0, 95% CI 3.8,4.2) than native Portuguese mothers (OR 4.0, 95% CI 3.8,4.2 and OR 3.0, 95% CI 2.9,3.0). Migrant mothers who resided in Portugal for either ≤5 years (OR 5.0, 95% CI 3.9,6.1 and OR 4.0, 95% CI 3.8,4.2) or > 5 years (OR 6.0, 95% CI 5.5,6.5 and OR 4.0, 95% CI 3.7,4.3) years had similar duration of any breastfeeding or exclusive breastfeeding, in both cases higher than the native Portuguese mothers. No significant differences were found when world regions were compared. Conclusions Maternal country of birth does not influence breastfeeding initiation and type of feeding practice. However, migrant mothers have longer breastfeeding duration of either exclusive or any breastfeeding, which was not changed by length of residence in Portugal. Electronic supplementary material The online version of this article (10.1186/s13006-018-0157-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Musa Abubakar Kana
- 1EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal.,2Department of Community Medicine, College of Medicine, Kaduna State University, Kaduna, Nigeria
| | - Carina Rodrigues
- 1EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal
| | - Maria João Fonseca
- 1EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal
| | - Ana Cristina Santos
- 1EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal.,3Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Henrique Barros
- 1EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal.,3Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
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15
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Lok KYW, Bai DL, Chan NPT, Wong JYH, Tarrant M. The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth 2018; 45:94-102. [PMID: 28960460 DOI: 10.1111/birt.12314] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2017] [Revised: 08/20/2017] [Accepted: 08/21/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Researchers have found breastfeeding disparities between immigrant and native-born women in many countries. However, most studies on immigration and breastfeeding practices have been in Western countries. The aim of this study was to examine the effect of length of time since immigration on the breastfeeding practices of Mainland Chinese immigrants living in Hong Kong. METHODS We recruited 2704 mother-infant pairs from the postnatal wards of four public hospitals in Hong Kong. We examined the effect of migration status on the duration of any and exclusive breastfeeding. RESULTS Breastfeeding duration was progressively shorter as the time since immigration increased. When compared with mothers who had lived in Hong Kong for <5 years, Hong Kong-born participants had a 30% higher risk of stopping any breastfeeding (hazard ratio [HR] 1.34 [95% confidence interval {CI} 1.10-1.63]) and exclusive breastfeeding (HR 1.33 [95% CI 1.11-1.58]). In both Hong Kong-born and immigrant participants, breastfeeding cessation was associated with return to work postpartum and the husband's preference for infant formula or mixed feeding. Intention to exclusively breastfeed and to breastfeed for >6 months, and previous breastfeeding experience substantially reduced the risk of breastfeeding cessation for both Hong Kong-born and immigrant participants. CONCLUSIONS Health care professionals should consider immigration history in their assessment of pregnant women and provide culturally adapted breastfeeding support and encouragement to this population.
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Affiliation(s)
| | - Dorothy Li Bai
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Noel P T Chan
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Janet Y H Wong
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Marie Tarrant
- School of Nursing, The University of British Columbia, Okanagan Campus, Canada
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16
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Kersuzan C, Tichit C, Thierry X. Les pratiques d’allaitement des immigrées et des natives en France, à partir de la cohorte Elfe. POPULATION 2018. [DOI: 10.3917/popu.1803.0571] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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17
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Nickel NC, Warda L, Kummer L, Chateau J, Heaman M, Green C, Katz A, Paul J, Perchuk C, Girard D, Larocque L, Enns JE, Shaw S. Protocol for establishing an infant feeding database linkable with population-based administrative data: a prospective cohort study in Manitoba, Canada. BMJ Open 2017; 7:e017981. [PMID: 29061626 PMCID: PMC5665324 DOI: 10.1136/bmjopen-2017-017981] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Revised: 09/11/2017] [Accepted: 09/12/2017] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION Breast feeding is associated with many health benefits for mothers and infants. But despite extensive public health efforts to promote breast feeding, many mothers do not achieve their own breastfeeding goals; and, inequities in breastfeeding rates persist between high and low-income mother-infant dyads. Developing targeted programme to support breastfeeding dyads and reduce inequities between mothers of different socioeconomic status are a priority for public health practitioners and health policy decision-makers; however, many jurisdictions lack the timely and comprehensive population-level data on infant-feeding practices required to monitor trends in breastfeeding initiation and duration. This protocol describes the establishment of a population-based infant-feeding database in the Canadian province of Manitoba, providing opportunities to develop and evaluate breastfeeding support programme. METHODS AND ANALYSIS Routinely collected administrative health data on mothers' infant-feeding practices will be captured during regular vaccination visits using the Teleform fax tool, which converts handwritten information to an electronic format. The infant-feeding data will be linked to the Manitoba Population Research Data Repository, a comprehensive collection of population-based information spanning health, education and social services domains. The linkage will allow us to answer research questions about infant-feeding practices and to evaluate how effective current initiatives promoting breast feeding are. ETHICS AND DISSEMINATION Approvals have been granted by the Health Research Ethics Board at the University of Manitoba. Our integrative knowledge translation approach will involve disseminating findings through government and community briefings, presenting at academic conferences and publishing in scientific journals.
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Affiliation(s)
- Nathan Christopher Nickel
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
- Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Lynne Warda
- Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
- Injury Prevention and Child Health, Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
| | - Leslie Kummer
- Academic General Pediatrics, Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Joanne Chateau
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
| | - Maureen Heaman
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Chris Green
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
- Population & Public Health, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
| | - Alan Katz
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
- Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada
- Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Julia Paul
- Field Services Training Unit, Health Security Infrastructure Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Carolyn Perchuk
- Population & Public Health, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
| | - Darlene Girard
- Population & Public Health, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
| | - Lorraine Larocque
- Department of Public Health, Northern Health Region, Thompson, Manitoba, Canada
| | - Jennifer Emily Enns
- Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
- Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Souradet Shaw
- Department of Surveillance and Epidemiology, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
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18
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Villadsen SF, Mortensen LH, Andersen AMN. Care during pregnancy and childbirth for migrant women: How do we advance? Development of intervention studies – The case of the MAMAACT intervention in Denmark. Best Pract Res Clin Obstet Gynaecol 2016; 32:100-12. [DOI: 10.1016/j.bpobgyn.2015.08.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Revised: 08/13/2015] [Accepted: 08/15/2015] [Indexed: 11/17/2022]
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Breast-feeding and complementary feeding practices in the first 6 months of life among Norwegian-Somali and Norwegian-Iraqi infants: the InnBaKost survey. Public Health Nutr 2015; 19:703-15. [PMID: 26105703 DOI: 10.1017/s1368980015001962] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To examine breast-feeding and complementary feeding practices during the first 6 months of life among Norwegian infants of Somali and Iraqi family origin. DESIGN A cross-sectional survey was performed during March 2013-February 2014. Data were collected using a semi-quantitative FFQ adapted from the second Norwegian national dietary survey among infants in 2006-2007. SETTING Somali-born and Iraqi-born mothers living in eastern Norway were invited to participate. SUBJECTS One hundred and seven mothers/infants of Somali origin and eighty mothers/infants of Iraqi origin participated. RESULTS Breast-feeding was almost universally initiated after birth. Only 7 % of Norwegian-Somali and 10 % of Norwegian-Iraqi infants were exclusively breast-fed at 4 months of age. By 1 month of age, water had been introduced to 30 % of Norwegian-Somali and 26 % of Norwegian-Iraqi infants, and infant formula to 44 % and 34 %, respectively. Fifty-four per cent of Norwegian-Somali and 68 % of Norwegian-Iraqi infants had been introduced to solid or semi-solid foods at 4 months of age. Breast-feeding at 6 months of age was more common among Norwegian-Somali infants (79 %) compared with Norwegian-Iraqi infants (58 %; P=0·001). Multivariate analyses indicated no significant factors associated with exclusive breast-feeding at 3·5 months of age. Factors positively associated with breast-feeding at 6 months were country of origin (Somalia) and parity (>2). CONCLUSIONS Breast-feeding initiation was common among Iraqi-born and Somali-born mothers, but the exclusive breast-feeding period was shorter than recommended in both groups. The study suggests that there is a need for new culture-specific approaches to support exclusive breast-feeding and complementary feeding practices among foreign-born mothers living in Norway.
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Charlton RA, Jordan S, Pierini A, Garne E, Neville AJ, Hansen AV, Gini R, Thayer D, Tingay K, Puccini A, Bos HJ, Nybo Andersen AM, Sinclair M, Dolk H, de Jong-van den Berg LTW. Selective serotonin reuptake inhibitor prescribing before, during and after pregnancy: a population-based study in six European regions. BJOG 2014; 122:1010-20. [DOI: 10.1111/1471-0528.13143] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2014] [Indexed: 02/02/2023]
Affiliation(s)
- RA Charlton
- Department of Pharmacy and Pharmacology; University of Bath; Bath UK
| | - S Jordan
- Department of Nursing; College of Human and Health Sciences; Swansea University; Swansea UK
| | - A Pierini
- Institute of Clinical Physiology - National Research Council (IFC-CNR); Pisa Italy
| | - E Garne
- Paediatric Department; Hospital Lillebaelt; Kolding Denmark
| | - AJ Neville
- IMER (Emilia Romagna Registry of Birth Defects); Azienda Ospedaliero-Universitaria di Ferrara; Ferrara Italy
| | - AV Hansen
- Paediatric Department; Hospital Lillebaelt; Kolding Denmark
| | - R Gini
- Agenzia Regionale di Sanità Della Toscana; Florence Italy
| | - D Thayer
- Centre for Health Information, Research and Evaluation; Swansea University; Swansea UK
| | - K Tingay
- Centre for Health Information, Research and Evaluation; Swansea University; Swansea UK
| | - A Puccini
- Drug Policy Service; Emilia Romagna Region Health Authority; Bologna Italy
| | - HJ Bos
- Pharmacoepidemiology and Pharmacoeconomics Unit; Department of Pharmacy; University of Groningen; Groningen the Netherlands
| | - AM Nybo Andersen
- Department of Public Health; University of Copenhagen; Copenhagen Denmark
| | - M Sinclair
- Maternal, Fetal and Infant Research Centre; University of Ulster; Ulster UK
| | - H Dolk
- Institute of Nursing; University of Ulster; Ulster UK
| | - LTW de Jong-van den Berg
- Pharmacoepidemiology and Pharmacoeconomics Unit; Department of Pharmacy; University of Groningen; Groningen the Netherlands
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