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    Maternal education and breastfeeding practices in China: A systematic review and meta-analysis

    Access Status
    Fulltext not available
    Authors
    Zhao, J.
    Zhao, Y.
    Du, M.
    Binns, Colin
    Lee, A.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Zhao, J. and Zhao, Y. and Du, M. and Binns, C. and Lee, A. 2017. Maternal education and breastfeeding practices in China: A systematic review and meta-analysis. Midwifery. 50: pp. 62-71.
    Source Title
    Midwifery
    DOI
    10.1016/j.midw.2017.03.011
    ISSN
    0266-6138
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/51964
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 Elsevier LtdObjective to examine the association between maternal education and breastfeeding prevalence in China. Methods a systematic review and meta-analysis was conducted based on the literature of observational studies retrieved from electronic databases of CNKI, Medline, Embase, CINHAL, ProQuest and Science Direct. Maternal education was recoded into two binary categorical variables using different cut-off points. Both fixed and random effect models were used to estimate the pooled association between maternal education and breastfeeding prevalence in China. Visual inspection of Galbraith plot for heterogeneity detection, sensitivity analysis and publication bias test were performed. Findings a total of 31 studies were included in the systematic review, and 15 and 26 studies were suitable for meta-analysis in terms of two different cutoff points of maternal education respectively. In the group using 6-year education cut-off (Group 1), the odds of breastfeeding was 10% (pooled OR=0.90, 95% CI: 0.83, 0.97) lower in mothers who had been educated for ‘more than 6 years’ compared to mothers with ‘6 years or less’ education. In the group using 12-year education cut-off (Group 2), the odds of breastfeeding was 9% (pooled OR=0.91, 95% CI: 0.86, 0.96) lower in mothers who had ‘more than 12 years’ education compared to mothers who attained ‘12 years or less’ education. There was substantial heterogeneity across the studies in both groups. Through meta-regression analysis, sample size of studies was detected contributing to the heterogeneity in Group 1; however none of study level factors were found to be a source of heterogeneity in Group 2. Conclusion in the Chinese culture and employment environment, mothers who have attained a higher level of education are less likely to breastfeed their babies compared to mothers with lower education levels.

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