Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid View Full Text


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Article Info

DATE

2018-12

AUTHORS

Juan Luis González-Pascual, Juana María Aguilar-Ortega, Laura Esteban-Gonzalo, Concepción Mesa-Leiva, Santiago Pérez-García, César Cardenete-Reyes

ABSTRACT

Background: Maternal breastfeeding is a practice that is associated with multiple health benefits for mothers and children. One of the lowest rates of breastfeeding has been observed among Chinese women who immigrate to high income countries. At present, there is a lack of comparative information between this group and that of Spanish-born women. Considering the relationship between the attitude of women towards breastfeeding and the initiation of breastfeeding, the aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women. Methods: Cross-sectional study, with between-group comparison, of 73 postpartum Spanish-born and Chinese immigrant women admitted to the maternity units of "12 de Octubre" Hospital (Spain) between April and November 2016. Attitudes toward breastfeeding were analyzed using the Spanish or Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). A wide set of socioeconomic, biological, working and attitudinal conditions were considered as covariates. The association between IIFAS and country of origin was assessed by three multiple linear regression models (B, SE, and 95% confidence interval were calculated). Results: All Chinese women were first generation immigrants. Chinese-born women were four years younger than Spanish-born mothers, had a lower educational level, more frequently had a paid job (mainly self-employed), and planned to return to work almost two months earlier than Spanish-born mothers did. Most Chinese women did not breastfeed exclusively.Chinese immigrant women obtained scores of approximately 9 points less in the Iowa Infant Feeding Attitude Scale (IIFAS) when compared to Spanish-born women [95% CI -15.59, -2.48], after adjusting for the different socioeconomic, educational and work-related factors. Conclusions: Chinese-born women resident in Spain present a lower score on the IIFAS, when compared to Spanish-born women, which implies a more negative attitude towards breastfeeding. The between-groups difference is consistent, even when adjusting for known confounders and other factors which could affect the attitude of the mothers. It is therefore striking that, despite being in Spain, Chinese-born women maintain these preferences/attitudes regarding breastfeeding, compared with Spanish-born women, who obtain overall high scores. More... »

PAGES

45

References to SciGraph publications

  • 2017-02. Exploring Barriers to Breastfeeding Among Chinese Mothers Living in Madrid, Spain in JOURNAL OF IMMIGRANT AND MINORITY HEALTH
  • 2010-12. An exploration of the knowledge and attitudes towards breastfeeding among a sample of Chinese mothers in Ireland in BMC PUBLIC HEALTH
  • 2015-04. Immigrant Status, Acculturation and Risk of Overweight and Obesity in Adolescents Living in Madrid (Spain): The AFINOS Study in JOURNAL OF IMMIGRANT AND MINORITY HEALTH
  • 2015-12. The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia in INTERNATIONAL BREASTFEEDING JOURNAL
  • 2015-12. White rice consumption and risk of esophageal cancer in Xinjiang Uyghur Autonomous Region, northwest China: a case-control study in JOURNAL OF HEALTH, POPULATION AND NUTRITION
  • 2016-12. The influence of grandmothers on breastfeeding rates: a systematic review in BMC PREGNANCY AND CHILDBIRTH
  • 2009-12. Development and evaluation of a Chinese-language newborn feeding hotline: A prospective cohort study in BMC PREGNANCY AND CHILDBIRTH
  • 2015-06. Influence of Cultural Beliefs on Infant Feeding, Postpartum and Childcare Practices among Chinese-American Mothers in New York City in JOURNAL OF COMMUNITY HEALTH
  • 2008-05. Infant Feeding Attitudes and Knowledge among Socioeconomically Disadvantaged Women in Glasgow in MATERNAL AND CHILD HEALTH JOURNAL
  • 2011-12. Breastfeeding initiation in immigrant and non-immigrant women in Spain in EUROPEAN JOURNAL OF CLINICAL NUTRITION
  • 2016-09. Predictors of impaired breastfeeding initiation and maintenance in a diverse sample: what is important? in ARCHIVES OF GYNECOLOGY AND OBSTETRICS
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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30305837


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