Association between Support from a Health Professional and Breastfeeding Knowledge and Practices Among Obese Women: Evidence from the Infant Practices Study II

被引:29
作者
Jarlenski, Marian [1 ]
McManus, Jenny [2 ]
Diener-West, Marie [3 ]
Schwarz, Eleanor Bimla [4 ]
Yeung, Edwina [5 ]
Bennett, Wendy L. [6 ,7 ]
机构
[1] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Hlth Policy & Management, Pittsburgh, PA USA
[2] Sexual Hlth Innovat, New York, NY USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD USA
[4] Calif State Univ Sacramento, Davis Sch Med, Dept Internal Med, Sacramento, CA 95819 USA
[5] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Epidemiol Branch, Div Intramural Populat Hlth Res, Bethesda, MD USA
[6] Johns Hopkins Univ, Sch Med, Dept Med, Div Gen Internal Med, Baltimore, MD 21205 USA
[7] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD USA
关键词
UNITED-STATES; DURATION; CARE; LACTATION; WEIGHT;
D O I
10.1016/j.whi.2014.08.002
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Obese women are less likely to initiate and continue breastfeeding. We described barriers to breastfeeding and examined the association between support from a health professional and breastfeeding knowledge and practices, by prepregnancy obesity status. Methods: Using data from the Infant Feeding Practices Study II, a cohort of U. S. women (N = 2,997), we performed descriptive statistics to describe barriers to breastfeeding by prepregnancy obesity status. We conducted multivariable regression to examine the association of breastfeeding support from a physician or nonphysician health professional with knowledge of the recommended duration of breastfeeding, breastfeeding initiation, and breastfeeding duration, and whether breastfeeding support had different associations with outcomes by prepregnancy obesity status. Average marginal effects were calculated from regression models to interpret results as percentage-point changes. Findings: Believing that formula was as good as breast milk was the most commonly cited reason for not initiating breastfeeding, and milk supply concerns were cited as reasons for not continuing breastfeeding. Physician breastfeeding support was associated with a 9.4 percentage-point increase (p < .05) in breastfeeding knowledge among obese women, although no increase was observed among nonobese women. Breastfeeding support from a physician or nonphysician health professional was associated with a significantly increased probability of breastfeeding initiation (8.5 and 12.5 percentage points, respectively) and breastfeeding for 6 months (12.5 and 8.4 percentage points, respectively), without differential associations by prepregnancy obesity. Conclusions: Support for exclusive breastfeeding is an important predictor of breastfeeding initiation and duration among obese and nonobese women. Health educational interventions tailored to obese women might improve their breastfeeding initiation and continuation. Copyright (C) 2014 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.
引用
收藏
页码:641 / 648
页数:8
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