Show simple item record

dc.contributor.authorWright, C.
dc.contributor.authorParkinson, K.
dc.contributor.authorScott, Jane
dc.identifier.citationWright, C. and Parkinson, K. and Scott, J. 2006. Breast-feeding in a UK urban context: Who breast-feeds, for how long and does it matter?. Public Health Nutrition. 9 (6): pp. 686-691.

Objective: To investigate what factors relate most strongly to breast-feeding duration in order to successfully support breast-feeding mothers. Design: Prospective birth cohort study using questionnaires, routinely collected weights and health check at age 13 months. Setting: Gateshead, UK. Subjects: Parents of 923 term infants born in a defined geographical area and recruited shortly after birth, 50% of whom were breast-feeding initially. Results: Only 225 (24%) infants were still breast-fed at 6 weeks, although 136 (15%) continued beyond 4 months. Infants in the most affluent quintile were three times more likely to be initially breast-fed (P , 0.001) and five times more likely to still be feeding at 4 months (P ¼ 0.001) compared with infants in the most deprived quintile. A third of breast-fed infants were given supplementary feeds in the maternity unit and this was associated with a 10-fold increase in odds of giving up breast-feeding by discharge (P ¼ 0.001). Frequent feeding was reported as a reason for giving up in 70% of mothers at 6 weeks and 55% at 4 months. Those infants who stopped breastfeeding earliest showed the most rapid weight gain and were tallest at age 13 months. Non-breast-fed infants had 50% more family doctor contacts up to age 4 months (P ¼ 0.005). Conclusions: Initiation of breast-feeding in urban Britain remains strongly determined by socio-economic background and early cessation seems to be related to frequent feeding and rapid growth as well as a continuing failure to eradicate health practices that undermine breast-feeding. Those infants not receiving breast milk suffered increased morbidity, but the apparent association between breast-feeding duration and growth probably reflects reverse causation.

dc.publisherCambridge University Press
dc.titleBreast-feeding in a UK urban context: Who breast-feeds, for how long and does it matter?
dc.typeJournal Article
dcterms.source.titlePublic Health Nutrition
curtin.accessStatusOpen access via publisher

Files in this item


This item appears in the following Collection(s)

Show simple item record