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Determinants of exclusive breastfeeding cessation in the early postnatal period among culturally and linguistically diverse (CALD) Australian mothers

Title: Determinants of exclusive breastfeeding cessation in the early postnatal period among culturally and linguistically diverse (CALD) Australian mothers
Authors: Ogbo, Felix A. (R18978); Ezeh, Osita K.; Khanlari, Sarah; Naz, Sabrina; Senanayake, Praween; Ahmed, Kedir Y. (S34478); McKenzie, Anne; Ogunsiji, Olayide (R13810); Agho, Kingsley E. (R13260); Page, Andrew (R17219); Ussher, Jane M. (R8741); Perz, Janette M. (R8385); Barnett, Bryanne; Eastwood, John G.
Contributors: Whitlam Institute (Host institution); School of Nursing and Midwifery (Host institution); School of Science and Health (Host institution)
Publisher Information: Switzerland, MDPI
Publication Year: 2019
Collection: University of Western Sydney (UWS): Research Direct
Subject Terms: XXXXXX - Unknown; breastfeeding; multiculturalism; language and languages; variation; Australia
Description: There are limited epidemiological data on exclusive breastfeeding (EBF) among culturally and linguistically diverse (CALD) Australian mothers to advocate for targeted and/or culturally-appropriate interventions. This study investigated the determinants of EBF cessation in the early postnatal period among CALD Australian mothers in Sydney, Australia. The study used linked maternal and child health data from two local health districts in Australia (N = 25,407). Prevalence of maternal breastfeeding intention, skin-to-skin contact, EBF at birth, discharge, and the early postnatal period (1–4 weeks postnatal), were estimated. Multivariate logistic regression models were used to investigate determinants of EBF cessation in the early postnatal period. Most CALD Australian mothers had the intention to breastfeed (94.7%). Skin-to-skin contact (81.0%), EBF at delivery (91.0%), and at discharge (93.0%) were high. EBF remained high in the early postnatal period (91.4%). A lack of prenatal breastfeeding intention was the strongest determinant of EBF cessation (adjusted odds ratio [aOR] = 23.76, 95% CI: 18.63–30.30, for mothers with no prenatal breastfeeding intention and aOR = 6.15, 95% CI: 4.74–7.98, for those undecided). Other significant determinants of EBF cessation included a lack of partner support, antenatal and postnatal depression, intimate partner violence, low socioeconomic status, caesarean birth, and young maternal age (
Document Type: article in journal/newspaper
File Description: print
Language: English
Relation: Nutrients--2072-6643 Vol. 11 Issue. 7 No. 1611
DOI: 10.3390/nu11071611
Availability: https://doi.org/10.3390/nu11071611; http://handle.westernsydney.edu.au:8081/1959.7/uws:52215
Rights: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Accession Number: edsbas.62640C30
Database: BASE