Objective: To explore and compare the predictors for exclusive breast feeding (EBF) among migrant and non-migrant mothers in China.
Design: A large-scale cross-sectional study.
Setting: 12 counties/districts were covered in China.
Participants: A total number of 10 408 mothers were recruited, of whom 3571 mothers of infants aged 0-5 months in urban China were used for analysis.
Outcome: The practice of EBF was calculated based on the foods and drinks consumed in the last 24 hours, as recommended by WHO.
Results: Around 30% of Chinese mothers with infants aged 0-5 months practised EBF in urban areas, with no significant difference between migrant and non-migrant mothers (p=0.433). Among the migrant mothers, factors associated with EBF included residence in big cities (adjusted OR, AOR 1.68 (95% CI 1.20 to 2.34)), premature birth (AOR 0.27 (95% CI 0.09 to 0.81)), knowledge about EBF (AOR 2.00 (95% CI 1.51 to 2.65)), low intention of breast feeding in the first month postpartum (AOR 0.59 (95% CI 0.36 to 0.97)) and mothers working in agriculture-related fields or as casual workers (AOR 1.77 (95% CI 1.18 to 2.64)). Among non-migrant mothers, in addition to similar predictors including residence in big cities (AOR 1.40 (95% CI 1.13 to 1.73)), knowledge about EBF (AOR 1.25 (95% CI 1.02 to 1.53)) and low intention of breast feeding in the first month post partum (AOR 0.46 (95% CI 0.31 to 0.70)], early initiation of breast feeding (EIBF) (AOR 1.78 (95% CI 1.35 to 2.33)) and caesarean delivery (AOR 0.74 (95% CI 0.60 to 0.89)) were also factors associated with EBF.
Conclusions: There was no significant difference in the prevalence of EBF between migrant and non-migrant mothers in urban China. Premature birth and maternal occupation in agriculture-related fields or casual work were distinctive factors associated with EBF for migrants, while EIBF and caesarean delivery were unique predictors for non-migrants.
Trial Registration Number: ChiCTR-ROC-17014148; Pre-results.
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http://dx.doi.org/10.1136/bmjopen-2020-038268 | DOI Listing |
BMC Public Health
November 2024
University of Ghana, Accra, Ghana.
Introduction: Mortality under five years is an important indicator and a significant index for assessing the health and general wellbeing of a country. Even though global efforts to reduce under-five mortality have yielded some positive results, the rates are still high in most low- and middle-income countries. There is general consensus that migration and its associated remittances alleviate poverty at the rural places of origin.
View Article and Find Full Text PDFJ Urban Health
November 2024
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Introduction: In sub-Saharan Africa, migrants are more likely to be HIV seropositive and viremic than non-migrants. However, little is known about HIV prevalence and viremia in non-migrants living in households with in- or out-migration events. We compared HIV outcomes in non-migrating persons in households with and without migration events using data from the Rakai Community Cohort Study (RCCS), an open population-based cohort in Uganda.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
August 2023
Institute of Demography and Socioeconomics, University of Geneva, Geneva, Switzerland.
Background: In the context of increased global mobility, it is fundamental to understand migrants' needs and how governments can ensure equal health opportunities for both regular and irregular migrants simply by applying low-cost primary health care measures. To identify health issues in which to intervene, this study analysed the impact of a mother's lack of legal status, together with available biological and socioeconomic characteristics, on four indicators of adverse perinatal outcomes in Switzerland.
Methods: Based on the exhaustive records of the Swiss Federal Statistical Office (FSO) for its Vital Statistics (BEVNAT), different indicators of birth outcomes, including preterm birth (PTB), low and very low birth weight (LBW and VLBW), and small for gestational age (SGA), were analysed using logistic regressions on live births occurring from 2005 to 2018.
JBI Evid Synth
June 2023
School of Nursing, Queen's University, Kingston, ON, Canada.
Objective: The goal of this review is to gain an understanding of the postnatal experiences of South Asian immigrant women in 4 English-speaking countries: Australia, Canada, the United Kingdom, and the United States.
Introduction: The postnatal period is an important time in the lives of women and their families. Major changes take place during this time as a woman's body gradually returns to its pre-pregnancy state.
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