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Published in: Journal of Immigrant and Minority Health 3/2020

Open Access 01-06-2020 | Original Paper

Breastfeeding Practices of Ethnic Minorities in China: A Population-Based Cross-Sectional Study of 10,408 Mothers

Authors: Yu Zhang, Hanyu Wang, Yiqing Wang, Kun Tang

Published in: Journal of Immigrant and Minority Health | Issue 3/2020

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Abstract

Heterogeneous characteristics of Chinese ethnic groups and their acculturation might contribute to different breastfeeding patterns. This study aimed to explore the breastfeeding practices of ethnic minorities in China considering migration and acculturation. We included 10,408 mothers from a population-based study in China. Ethnic minority was defined as ethnics other than Han. Logistic regression and adjusted prevalence were employed to analyze the association between ethnicity and breastfeeding outcomes. Both Minority group (where both parents were ethnic minorities) had a higher odds of exclusive breastfeeding and predominant breastfeeding. After stratification, this significantly higher odds of exclusive breastfeeding was solely observed among local mothers (those who never immigrated). Husbands caring for mothers “sitting the month”, which could contribute to exclusive breastfeeding, was more common among local Both Minority group. Parental ethnicities and their acculturation could influence breastfeeding practices in China. Interventions should consider ethnic differences as well as acculturation.
Literature
1.
go back to reference Gartner LM. Breastfeeding and the use of human milk. Pediatrics. 2005;129(3):496–506. Gartner LM. Breastfeeding and the use of human milk. Pediatrics. 2005;129(3):496–506.
2.
go back to reference World Health Organizaton. Tracking progress for breastfeeding policies and programmes. Geneva: World Health Organizaton; 2017. p. 2. World Health Organizaton. Tracking progress for breastfeeding policies and programmes. Geneva: World Health Organizaton; 2017. p. 2.
4.
go back to reference Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.CrossRefPubMed Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.CrossRefPubMed
5.
go back to reference Yang Z, Lai J, Yu D, Duan Y, Pang X, Jiang S, Bi Y, Wang J, Zhao L, Yin S. Breastfeeding rates in China: a cross-sectional survey and estimate of benefits of improvement. Lancet. 2016;388:S47.CrossRef Yang Z, Lai J, Yu D, Duan Y, Pang X, Jiang S, Bi Y, Wang J, Zhao L, Yin S. Breastfeeding rates in China: a cross-sectional survey and estimate of benefits of improvement. Lancet. 2016;388:S47.CrossRef
6.
go back to reference World Health Organization. Acceptable medical reasons for use of breast-milk substitutes. Geneva: World Health Organization; 2009. World Health Organization. Acceptable medical reasons for use of breast-milk substitutes. Geneva: World Health Organization; 2009.
7.
go back to reference Heck KE, Braveman P, Cubbin C, Chávez GF, Kiely JL. Socioeconomic status and breastfeeding initiation among California mothers. Public Health Rep. 2006;121(1):51–9.PubMedPubMedCentralCrossRef Heck KE, Braveman P, Cubbin C, Chávez GF, Kiely JL. Socioeconomic status and breastfeeding initiation among California mothers. Public Health Rep. 2006;121(1):51–9.PubMedPubMedCentralCrossRef
9.
go back to reference Lok KYW, Bai DL, Chan NP, Wong JY, Tarrant M. The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth. 2018;45(1):94–102.CrossRefPubMed Lok KYW, Bai DL, Chan NP, Wong JY, Tarrant M. The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth. 2018;45(1):94–102.CrossRefPubMed
10.
go back to reference Mc Loughlin G. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Int J Nurs Pract. 2018;25(2):e12633.CrossRef Mc Loughlin G. Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Int J Nurs Pract. 2018;25(2):e12633.CrossRef
11.
go back to reference Waits A, Guo CY, Chien LY. Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: the 2011–2016 National Surveys in Taiwan. Birth. 2018;45(2):184–92.CrossRefPubMed Waits A, Guo CY, Chien LY. Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: the 2011–2016 National Surveys in Taiwan. Birth. 2018;45(2):184–92.CrossRefPubMed
12.
go back to reference Sebastian RA, Coronado E, Otero MD, Mckinney CR, Ramos MM. Associations between maternity care practices and 2-month breastfeeding duration vary by race, ethnicity, and acculturation. J Matern Child Health. 2019;23:858–67.CrossRef Sebastian RA, Coronado E, Otero MD, Mckinney CR, Ramos MM. Associations between maternity care practices and 2-month breastfeeding duration vary by race, ethnicity, and acculturation. J Matern Child Health. 2019;23:858–67.CrossRef
13.
go back to reference Bonuck KA, Freeman K, Trombley M. Country of origin and race/ethnicity: impact on breastfeeding intentions. J Hum Lact. 2005;21(21):320–6.CrossRefPubMed Bonuck KA, Freeman K, Trombley M. Country of origin and race/ethnicity: impact on breastfeeding intentions. J Hum Lact. 2005;21(21):320–6.CrossRefPubMed
15.
go back to reference Ladewig EL, Hayes C, Browne J, Layte R, Reulbach U. The influence of ethnicity on breastfeeding rates in Ireland: a cross-sectional study. J Epidemiol Community Health. 2014;68(4):356–62.CrossRefPubMed Ladewig EL, Hayes C, Browne J, Layte R, Reulbach U. The influence of ethnicity on breastfeeding rates in Ireland: a cross-sectional study. J Epidemiol Community Health. 2014;68(4):356–62.CrossRefPubMed
16.
go back to reference Griffiths LJ, Tate AR, Dezateux C. The contribution of parental and community ethnicity to breastfeeding practices: evidence from the Millennium Cohort Study. Int J Epidemiol. 2005;34(6):1378–86.CrossRefPubMed Griffiths LJ, Tate AR, Dezateux C. The contribution of parental and community ethnicity to breastfeeding practices: evidence from the Millennium Cohort Study. Int J Epidemiol. 2005;34(6):1378–86.CrossRefPubMed
17.
go back to reference Singh GK, Kogan MD, Dee DL. Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics. 2007;119:S38–46.CrossRefPubMed Singh GK, Kogan MD, Dee DL. Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics. 2007;119:S38–46.CrossRefPubMed
18.
go back to reference Gibson MV, Diaz VA, Mainous AG, Geesey ME. Prevalence of breastfeeding and acculturation in hispanics: results from NHANES 1999–2000 Study. Birth. 2005;32(2):93–8.CrossRefPubMed Gibson MV, Diaz VA, Mainous AG, Geesey ME. Prevalence of breastfeeding and acculturation in hispanics: results from NHANES 1999–2000 Study. Birth. 2005;32(2):93–8.CrossRefPubMed
20.
go back to reference Mullaney T. Coming to terms with the nation: ethnic classification in modern China. 1st ed. Berkeley: University of California Press; 2010. Mullaney T. Coming to terms with the nation: ethnic classification in modern China. 1st ed. Berkeley: University of California Press; 2010.
21.
go back to reference Mackerras C. Ethnic minorities in China. In: Mackerras C, editor. Ethnicity in Asia. Abingdon: Taylor & Francis; 2003. p. 15–47.CrossRef Mackerras C. Ethnic minorities in China. In: Mackerras C, editor. Ethnicity in Asia. Abingdon: Taylor & Francis; 2003. p. 15–47.CrossRef
22.
go back to reference Qiu H, Wu X, Wu J. Effect of individualized continuous health education on improving the method of the breast-feeding of Uyghur women. J Nongken Med. 2018;39(4):347–9. Qiu H, Wu X, Wu J. Effect of individualized continuous health education on improving the method of the breast-feeding of Uyghur women. J Nongken Med. 2018;39(4):347–9.
23.
go back to reference Li Z, Hu L. Status survey and discussion of infant feeding at 0~23 months from 15 ethnic groups in rural area in Yunnan province. Chin J Child Health Care. 2015;23(2):130–2. Li Z, Hu L. Status survey and discussion of infant feeding at 0~23 months from 15 ethnic groups in rural area in Yunnan province. Chin J Child Health Care. 2015;23(2):130–2.
24.
go back to reference Xing Y, Yan H, Dang S. Knowledge and practice of child feeding among Tibet mothers with small children in Lhasa rural area. Chin J Public Health. 2010;26:945–6. Xing Y, Yan H, Dang S. Knowledge and practice of child feeding among Tibet mothers with small children in Lhasa rural area. Chin J Public Health. 2010;26:945–6.
25.
go back to reference Wu S. Effect of pure breastfeeding on 0 to 6 months infants. Chin Commun Doctors. 2015;31(17):70–2. Wu S. Effect of pure breastfeeding on 0 to 6 months infants. Chin Commun Doctors. 2015;31(17):70–2.
26.
go back to reference Yi B, Yan W, Yihan R, Fenglian X. Levels and reasons for not breastfeeding in Han and Uygur ethnic groups in China. Mod Nurs. 2005;11(13):1005–6. Yi B, Yan W, Yihan R, Fenglian X. Levels and reasons for not breastfeeding in Han and Uygur ethnic groups in China. Mod Nurs. 2005;11(13):1005–6.
27.
go back to reference Lu L, Duan C, Liu T, Jin Y. An analysis of the change of floating population in China and the implication. South China Popul. 2018;33(1):20–9. Lu L, Duan C, Liu T, Jin Y. An analysis of the change of floating population in China and the implication. South China Popul. 2018;33(1):20–9.
28.
go back to reference Sumita M. Communiqué of the National Bureau of Statistics of People’s Republic of China on major figures of the 2010 Population Census (No.1). China Popul Today. 2011;6(2):19–23. Sumita M. Communiqué of the National Bureau of Statistics of People’s Republic of China on major figures of the 2010 Population Census (No.1). China Popul Today. 2011;6(2):19–23.
29.
go back to reference Lung’aho M, Huffman SL, Labbok MH, Sommerfelt E, Baker J. Tool kit for monitoring and evaluating breastfeeding practices and programs. Washington, DC: Wellstart International; 1996. Lung’aho M, Huffman SL, Labbok MH, Sommerfelt E, Baker J. Tool kit for monitoring and evaluating breastfeeding practices and programs. Washington, DC: Wellstart International; 1996.
30.
go back to reference Pillsbury BL. “Doing the month”: confinement and convalescence of Chinese women after childbirth. Soc Sci Med Part B. 1978;12:11–22. Pillsbury BL. “Doing the month”: confinement and convalescence of Chinese women after childbirth. Soc Sci Med Part B. 1978;12:11–22.
31.
go back to reference Santos CAS, Fiaccone RL, Oliveira NF, Cunha S, Barreto ML, do Carmo MBB, Moncayo AL, Rodrigues LC, Cooper PJ, Amorim LD. Estimating adjusted prevalence ratio in clustered cross-sectional epidemiological data. BMC Med Res Methodol. 2008;8(1):80.PubMedPubMedCentralCrossRef Santos CAS, Fiaccone RL, Oliveira NF, Cunha S, Barreto ML, do Carmo MBB, Moncayo AL, Rodrigues LC, Cooper PJ, Amorim LD. Estimating adjusted prevalence ratio in clustered cross-sectional epidemiological data. BMC Med Res Methodol. 2008;8(1):80.PubMedPubMedCentralCrossRef
32.
go back to reference Xu F, Binns C, Nazi G, Lin S, Yun Z, Lee A. A comparison of breastfeeding among Han, Uygur and other ethnic groups in Xinjiang, PR China. BMC Public Health. 2006;6(1):196.PubMedPubMedCentralCrossRef Xu F, Binns C, Nazi G, Lin S, Yun Z, Lee A. A comparison of breastfeeding among Han, Uygur and other ethnic groups in Xinjiang, PR China. BMC Public Health. 2006;6(1):196.PubMedPubMedCentralCrossRef
33.
go back to reference Yu Y. Breastfeeding practices among under-three-year-old infants of three ethnic groups in Hulunbuir. Dis Monit Control. 2016;10(10):801–3. Yu Y. Breastfeeding practices among under-three-year-old infants of three ethnic groups in Hulunbuir. Dis Monit Control. 2016;10(10):801–3.
34.
go back to reference Dang S, Yan H, Wang X, Zheng L, Xie H. Breastfeeding survey in Tibet. Matern Child Health Care China. 2001;16(12):744–7. Dang S, Yan H, Wang X, Zheng L, Xie H. Breastfeeding survey in Tibet. Matern Child Health Care China. 2001;16(12):744–7.
35.
go back to reference Hobbs AJ, Mannion CA, Mcdonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016;16(1):1–9.CrossRef Hobbs AJ, Mannion CA, Mcdonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016;16(1):1–9.CrossRef
36.
go back to reference Xu F, Binns C, Zhang H, Yang G, Zhao Y. Paternal smoking and breastfeeding in Xinjiang, PR China. J Hum Lact. 2010;26(3):242–7.CrossRefPubMed Xu F, Binns C, Zhang H, Yang G, Zhao Y. Paternal smoking and breastfeeding in Xinjiang, PR China. J Hum Lact. 2010;26(3):242–7.CrossRefPubMed
37.
38.
go back to reference Thomas M, Avery V. Infant feeding in asian families: early feeding practices and growth: a survey carried out in England by the Social Survey Division of the Office for National Statistics on Behalf of the Department of Health. Stationery Office; 1997. Thomas M, Avery V. Infant feeding in asian families: early feeding practices and growth: a survey carried out in England by the Social Survey Division of the Office for National Statistics on Behalf of the Department of Health. Stationery Office; 1997.
39.
go back to reference Tzu-Ling C, Chen-Jei T, Yu-Roo C, Kuo-Chiang H, Kuan-Chia L, Li-Yin C. Cultural factors and social support related to breastfeeding among immigrant mothers in Taipei City, Taiwan. J Hum Lact. 2011;27(1):41–8.CrossRef Tzu-Ling C, Chen-Jei T, Yu-Roo C, Kuo-Chiang H, Kuan-Chia L, Li-Yin C. Cultural factors and social support related to breastfeeding among immigrant mothers in Taipei City, Taiwan. J Hum Lact. 2011;27(1):41–8.CrossRef
40.
go back to reference Kyw L, Bai DL, Chan N, Jyh W, Tarrant M. The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth. 2017;45(Suppl 1):94–102. Kyw L, Bai DL, Chan N, Jyh W, Tarrant M. The impact of immigration on the breastfeeding practices of Mainland Chinese immigrants in Hong Kong. Birth. 2017;45(Suppl 1):94–102.
41.
go back to reference Khanal V, Lee AH, Scott JA, Karkee R, Binns CW. Implications of methodological differences in measuring the rates of exclusive breastfeeding in Nepal: findings from literature review and cohort study. BMC Pregnancy Childbirth. 2016;16(1):389.PubMedPubMedCentralCrossRef Khanal V, Lee AH, Scott JA, Karkee R, Binns CW. Implications of methodological differences in measuring the rates of exclusive breastfeeding in Nepal: findings from literature review and cohort study. BMC Pregnancy Childbirth. 2016;16(1):389.PubMedPubMedCentralCrossRef
Metadata
Title
Breastfeeding Practices of Ethnic Minorities in China: A Population-Based Cross-Sectional Study of 10,408 Mothers
Authors
Yu Zhang
Hanyu Wang
Yiqing Wang
Kun Tang
Publication date
01-06-2020
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2020
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-019-00918-1

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