Identifying Factors Associated With Breastfeeding Length Among Filipino Migrant Women in South Korea

IF 2.9 3区 医学 Q3 NUTRITION & DIETETICS
Winny Dhestina, Heejin Lee, Sherlyn Mae P. Provido, Grace H. Chung, Sangmo Hong, Sung Hoon Yu, Chang Beom Lee, Jung Eun Lee, Zhaoli Dai
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Abstract

Background

Migrant women becoming mothers often face social, economic, and family challenges that can affect their dietary and breastfeeding practices. This study identified factors associated with breastfeeding length in migrant women.

Methods

The study sample involved 504 migrant women from the Filipino Women's Diet and Health Study (FiLWHEL) in 2014–2016. Two-hundred-seventy women who had completed information on demographic characteristics, 24-h dietary recall, breastfeeding, parity, and health conditions were included in the analysis. Multivariable logistic and linear regression models were applied to identify significant factors associated with breastfeeding length cross-sectionally.

Results

The median (interquartile range [IQR]) for age was 35 (30, 40) years, and the mean body mass index (BMI) was 23.8 kg/m2; 62 women (23%) were breastfeeding for at least 1 year, with the median (IQR) length of 4 (1, 10) months per child. The median (IQR) of the total intake of fruits, vegetables, nuts, and legumes was 165.5 (76.9, 265.9) g/day. Women who consumed the highest tertile of fruits, vegetables, nuts, and legumes compared to those in the lowest tertile were more likely to breastfeed for at least 12 months (adjusted-OR [95% CI]: 2.24 [1.08–4.67]), primarily driven by vegetable consumption (adjusted-OR [95% CI]: 2.34 [1.11–4.93]). Additionally, women in the highest tertile of these food groups or earned an annual income of 20–40 M KRW (~15–30 K USD) appeared to breastfeed longer compared to their counterparts (p < 0.05).

Conclusions

This study suggests that dietary quality and income may impact breastfeeding duration for migrant women in South Korea.

Abstract Image

背景 移民妇女在成为母亲后往往会面临社会、经济和家庭方面的挑战,这些挑战可能会影响她们的饮食和母乳喂养习惯。本研究确定了与移民妇女母乳喂养时间长短相关的因素。 方法 研究样本包括 504 名来自 2014-2016 年菲律宾妇女饮食与健康研究(FiLWHEL)的移民妇女。有270名妇女填写了人口统计学特征、24小时饮食回忆、母乳喂养、准生证和健康状况等信息,并被纳入分析。采用多变量逻辑回归和线性回归模型来确定与母乳喂养时间长短相关的重要因素。 结果 年龄中位数(四分位数间距 [IQR])为 35(30,40)岁,平均体重指数(BMI)为 23.8 kg/m2;62 名妇女(23%)母乳喂养至少 1 年,每个孩子的母乳喂养时间中位数(IQR)为 4(1,10)个月。水果、蔬菜、坚果和豆类总摄入量的中位数(IQR)为每天 165.5(76.9,265.9)克。与摄入量最低的妇女相比,水果、蔬菜、坚果和豆类摄入量最高的妇女更有可能母乳喂养至少 12 个月(调整后的 OR [95%CI]:2.24 [1.08-4.67]),这主要是由于蔬菜摄入量的影响(调整后的 OR [95%CI]:2.34 [1.11-4.93])。此外,与同类妇女相比,这些食物类别中最高三分位数或年收入在 2 000-4 000 万韩元(约合 15-30 K 美元)的妇女似乎母乳喂养时间更长(p < 0.05)。 结论 本研究表明,饮食质量和收入可能会影响韩国移民妇女的母乳喂养时间。
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来源期刊
CiteScore
5.30
自引率
15.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.
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