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|Title:||Breastfeeding-Friendly Environmental Factors and Continuing Breastfeeding Until 6 Months Postpartum: 2008–2011 National Surveys in Taiwan|
|Authors:||Chia-Chian Lee;Shu-Ti Chiou;Li-Chuan Chen|
|Abstract:||ABSTRACT: Background: Although policies have been implemented to improve a breastfeeding-friendly environment, few studies have examined the effectiveness of these policies in Taiwan. We examined progress in breastfeeding environmental factors from 2008 through 2011 in Taiwan and their association with continuing exclusive and any breastfeeding until 6 months postpartum. Methods: This study was a secondary data analysis, using four cross-sectional and national surveys of 1,453–12,410 postpartum women in the years 2008 through 2011. Data were collected by telephone interviews, using structured questionnaires with randomly selected postpartum women who gave birth in the indicated years. Results were weighted to enhance representativeness. Logistic regression was used to compute adjusted odds ratios for the use of breastfeeding-friendly services on breastfeeding continuation. Results: The rates of breastfeeding at 6 months postpartum generally increased from 2008 to 2011, despite a drop in 2010. The use of breastfeeding-friendly environmental factors, including breastfeeding rooms in public places or workplaces, breastfeeding consultation phone lines/websites, breastfeeding volunteers, and delivery in baby-friendly hospitals, increased from 2008 to 2011. However, the percentage of women participating in breastfeeding support groups decreased during that period. After controlling for maternal characteristics, use of each of the breastfeeding-friendly environmental factors was significantly and positively associated with continuing breastfeeding until 6 months postpartum. The adjusted odds ratios for breastfeedingfriendly environmental factors ranged from 1.15 to 5.04. Conclusions: The breastfeedingfriendly environment and long-term breastfeeding rates in Taiwan improved from 2008 to 2011, supporting the effectiveness of policy and public health efforts. (BIRTH 42:3 September 2015) Key words: breastfeeding, breastfeeding policies, breastfeeding-friendly environment, national survey Breastfeeding contributes to the health and well-being of mothers and infants. Breastfeeding reduces the risk of ovarian cancer and breast cancer in women and infectious and chronic diseases in infants. In addition, breastfeeding promotes sensory and cognitive development in infants, increases attachment between mother– infant dyads, and is safe for the environment (1). A systematic review showed that infants who were exclusively breastfed for 6 months were less likely to have gastrointestinal infections and showed no differences in Chia-Chian Lee is a master’s degree student at the Institute|
|Appears in Collections:||Birth 2015|
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