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Exclusive and any breast-feeding rates of Pacific infants in Auckland: data from the Pacific Islands Families First Two Years of Life study

Published online by Cambridge University Press:  02 January 2007

Philip J Schluter ,
Sarnia Carter  and
Teuila Percival
Philip J Schluter*
Affiliation:
Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1020, New Zealand
Sarnia Carter
Affiliation:
Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1020, New Zealand
Teuila Percival
Affiliation:
Kidz First Children's Hospital and Community Services, Auckland, New Zealand
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

To present current breast-feeding rates for Pacific infants resident in New Zealand. Reasons for the introduction of complementary liquid foods were also explored.

Design

A longitudinal study using hospital discharge summary records and maternal home interviews undertaken at 6 weeks, 12 and 24 months postpartum. Turnbull's non-parametric survival analysis was used to model exclusive breast-feeding rates.

Setting

Auckland, New Zealand.

Results

The cohort comprised 1376 infants at 6 weeks, 1223 infants at 12 months and 1142 infants at 24 months. Exclusive breast-feeding rates at hospital discharge, 6 weeks, 3 and 6 months postpartum were 84% (95% confidence interval (CI): 80–88%), 49% (95% CI: 43–55%), 37% (95% CI: 32–42%) and 9% (95% CI: 7–11%), respectively. Significant ethnic difference existed, with Samoan mothers having higher exclusive breast-feeding rates than Tongan mothers (P = 0.002). The percentage of infants receiving any breast milk at hospital discharge, 6 weeks, 12 and 24 months was 96% (95% CI: 94–97%), 95% (95% CI: 94–96%), 31% (95% CI: 28–34%) and 15% (95% CI: 13–17%), respectively. Again ethnic differences emerged. Common reasons cited for discontinuation of exclusive breast-feeding included uncertainty of breast milk supply (56%), problems with breasts (30%) and difficulties breast-feeding in work or educational environments (26%). However, 691 (50%) mothers sought no advice about their breast-feeding concerns within the first six weeks of life.

Conclusions

Exclusive breast-feeding rates for Pacific infants are ethnically heterogeneous, have declined since the 1990s and fall short of the World Health Organization recommendations. The principal reasons cited for exclusive breast-feeding discontinuation echo those reported over a decade ago.

Keywords

Breast-feeding ratesPacific infantsEpidemiologyLongitudinal study
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 6 , September 2006 , pp. 692 - 699
Copyright
Copyright © The Authors 2006

References

1American Academy of Pediatics. Breastfeeding and the use of human milk. Pediatrics 2005; 115(2): 496–506.CrossRefGoogle Scholar
2Kramer, M, Kakuma, R. The Optimal Duration of Exclusive Breastfeeding: A Systematic Review. Geneva: World Health Organization, 2002.CrossRefGoogle Scholar
3World Health Organization (WHO). Report of the Expert Consultation on the Optimal Duration of Exclusive Breastfeeding. Geneva: WHO, 2002.Google Scholar
4World Health Organization. Global Data Bank on Breastfeeding and Complementary Feeding [online], 2006. Available at http://www.who.int/nutrition/databases/infantfeeding/en. Accessed 30 05 2006.Google Scholar
5Cook, L, Didham, R, Khawaja, M. On the Demography of Pacific People in New Zealand. Wellington: Statistics New Zealand, 1999.Google Scholar
6Statistics New Zealand. National Pacific Population Projections [2001(base)–2021]: Hot off the Press. Wellington: Statistics New Zealand, 2003.Google Scholar
7Statistics New Zealand. Pacific Progress: A Report on the Economic Status of Pacific Peoples in New Zealand. Wellington: Statistics New Zealand, 2002.Google Scholar
8Essex, C, Smale, P, Geddis, D. Breastfeeding rates in New Zealand in the first 6 months and the reasons for stopping. New Zealand Medical Journal 1995; 108(1007): 355–7.Google ScholarPubMed
9Butler, S, Williams, M, Tukuitonga, C, Paterson, J. Factors associated with not breastfeeding exclusively among mothers of a cohort of Pacific infants in New Zealand. New Zealand Medical Journal 2004; 117(1195): U1171.Google ScholarPubMed
10Turner, N, Hounsell, D, Robinson, E, Tai, A, Whittle, N. Uptake of postnatal services for mothers of newborn babies up to eight weeks of age. New Zealand Medical Journal 1999; 112(1098): 395–8.Google ScholarPubMed
11Vogel, A, Hutchison, B, Mitchell, E. Factors associated with the duration of breastfeeding. Acta Paediatrica 1999; 88(12): 1320–6.CrossRefGoogle ScholarPubMed
12Butler, S, Tukuitonga, C, Paterson, J, Williams, M. Infant feeding and feeding problems experienced by mothers of a birth cohort of Pacific infants in New Zealand. Pacific Health Dialog 2002; 9(1): 34–9.Google ScholarPubMed
13Heath, A-L, Tuttle, C, Simons, M, Cleghorn, C, Parnell, W. A longitudinal study of breastfeeding and weaning practices during the first year of life in Dunedin, New Zealand. Journal of the American Dietetic Association 2002; 102(7): 937–43.CrossRefGoogle ScholarPubMed
14Statistics New Zealand. New Zealand Census of Population and Dwellings 2001: Pacific Peoples. Wellington: Statistics New Zealand, 2002.Google Scholar
15Paterson, J, Tukuitonga, C, Abbott, M, Feehan, M, Silva, P, Percival, T, et al. Pacific Islands Families First Two Years of Life study: design and metholology. New Zealand Medical Journal 2006; 119(1228): U1814.Google Scholar
16Lindsey, J, Ryan, L. Tutorial in biostatistics methods for interval-censored data. Statistics in Medicine 1998; 17(2): 219–38.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
17So, Y. Interval-censored survival data. Paper presented at 19th Annual SAS Users Group, SAS Institute, Cary, NC, USA, 1994.Google Scholar
18SAS Institute Inc. The SAS System for Windows (8.02). Cary, NC: SAS Institute Inc., 2001.Google Scholar
19Statacorp. Stata Statistical Software Release 8.0. [computer package] College Station, TX: Stata Press, 2003.Google Scholar
20 Royal New Zealand Plunket Society. Plunket online, homepage: http://www.plunket.org.nz. Accessed 29 April 2005.Google Scholar
21Sinclair, R. Drop in breastfeeding rates as services cut. New Zealand Doctor 1997; 9(07): 7.Google Scholar
22Ministry of Health. Breastfeeding: A Guide to Action. Wellington: Ministry of Health. 2002.Google Scholar
23Rothman, K, Greenland, S. Modern Epidemiology, 2nd ed. Philadelphia, PA: Lippincott-Raven, 1998.Google Scholar
24Howden-Chapman, P, Tobias, M. Social Inequalities in Health: New Zealand 1999. Wellington: Ministry of Health, 2000.Google Scholar
25Clements, M, Mitchell, E, Wright, S, Esmail, A, Jones, D, Ford, RP. Influences on breastfeeding in southeast England. Acta Paediatrica 1997; 86(1): 51–6.CrossRefGoogle ScholarPubMed
26Ford, R, Mitchell, E, Scragg, R, Stewart, A, Taylor, B, Allen, E. Factors adversely associated with breast feeding in New Zealand. Journal of Paediatrics and Child Health 1994; 30(6): 483–9.CrossRefGoogle ScholarPubMed
27Galtry, J. Breastfeeding and paid employment in New Zealand: what role for nurses? Nursing Praxis in New Zealand 1995; 10(3): 24–32.Google ScholarPubMed
28Milne, K, Kearns, R. Housing status and health implications for Pacific peoples in New Zealand. Pacific Health Dialog 1999; 6(1): 80–6.Google Scholar
29World Health Organization (WHO). Global Strategy for Infant and Young Child Feeding. Geneva: WHO, 2003.Google Scholar