Exclusive breastfeeding in rural Western China: does father’s co-residence matter?

Abstract Background China suffers from a low exclusive breastfeeding rate. Though it has been proofed that paternal support benefits breastfeeding a lot, the correlation between father’s co-residence and exclusive breastfeeding in China remain undiscovered. This study is to provide population-based...

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Autores principales:	Jingchun Nie, Lifang Zhang, Shuyi Song, Andrew John Hartnett, Zhuo Liu, Nan Wang, Weiqi Nie, Jie Yang, Ying Li, Yaojiang Shi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Exclusive breastfeeding Breastfeeding family support father’s co-residence Rural western China Maternal decision-making power Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b620bd14246040149017c672b7bef0c9
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spelling	oai:doaj.org-article:b620bd14246040149017c672b7bef0c92021-11-08T10:43:31ZExclusive breastfeeding in rural Western China: does father’s co-residence matter?10.1186/s12889-021-12025-81471-2458https://doaj.org/article/b620bd14246040149017c672b7bef0c92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12025-8https://doaj.org/toc/1471-2458Abstract Background China suffers from a low exclusive breastfeeding rate. Though it has been proofed that paternal support benefits breastfeeding a lot, the correlation between father’s co-residence and exclusive breastfeeding in China remain undiscovered. This study is to provide population-based evidence for the association of paternal co-residence on exclusive breastfeeding in rural western China. We also attempt to detect how the process works by examining the correlation between the father’s co-residence and breastfeeding family support as well as maternal decision-making power. Methods A cross-sectional study was conducted in 13 nationally-designated poverty-stricken counties in the Qinba Mountains area in 2019. Data on breastfeeding practices, the status of fathers co-residence, breastfeeding family support, and maternal decision-making power were collected via structured questionnaires from 452 caregivers-infant pairs. Multivariate regressions were conducted to explore the correlation between paternal co-residence and exclusive breastfeeding. Results The exclusive breastfeeding (0–6 months) rate was 16% in rural western China. Fathers’ co-residence was associated with a lower exclusive breastfeeding rate (OR = 0.413, 95% CI = 0.227–0.750, P = 0.004) and the rate did not improve when the father was the secondary caregiver. Even ruling out support from grandmothers, the association was still negative. Paternal co-residence did not improve maternal perceived breastfeeding family support, neither practically nor emotionally (β =0.109, P = 0.105; β =0.011,P = 0.791, respectively) and it reduced maternal decision-making power (β = − 0.196, P = 0.007). Conclusions Fathers’ co-residence is negatively associated with the exclusive breastfeeding rates in rural western China. More skill-based practical and emotional strategies should be considered on father’s education to help them better involvement and show more respect to mothers’ decisions.Jingchun NieLifang ZhangShuyi SongAndrew John HartnettZhuo LiuNan WangWeiqi NieJie YangYing LiYaojiang ShiBMCarticleExclusive breastfeedingBreastfeeding family supportfather’s co-residenceRural western ChinaMaternal decision-making powerPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Exclusive breastfeeding Breastfeeding family support father’s co-residence Rural western China Maternal decision-making power Public aspects of medicine RA1-1270
spellingShingle	Exclusive breastfeeding Breastfeeding family support father’s co-residence Rural western China Maternal decision-making power Public aspects of medicine RA1-1270 Jingchun Nie Lifang Zhang Shuyi Song Andrew John Hartnett Zhuo Liu Nan Wang Weiqi Nie Jie Yang Ying Li Yaojiang Shi Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
description	Abstract Background China suffers from a low exclusive breastfeeding rate. Though it has been proofed that paternal support benefits breastfeeding a lot, the correlation between father’s co-residence and exclusive breastfeeding in China remain undiscovered. This study is to provide population-based evidence for the association of paternal co-residence on exclusive breastfeeding in rural western China. We also attempt to detect how the process works by examining the correlation between the father’s co-residence and breastfeeding family support as well as maternal decision-making power. Methods A cross-sectional study was conducted in 13 nationally-designated poverty-stricken counties in the Qinba Mountains area in 2019. Data on breastfeeding practices, the status of fathers co-residence, breastfeeding family support, and maternal decision-making power were collected via structured questionnaires from 452 caregivers-infant pairs. Multivariate regressions were conducted to explore the correlation between paternal co-residence and exclusive breastfeeding. Results The exclusive breastfeeding (0–6 months) rate was 16% in rural western China. Fathers’ co-residence was associated with a lower exclusive breastfeeding rate (OR = 0.413, 95% CI = 0.227–0.750, P = 0.004) and the rate did not improve when the father was the secondary caregiver. Even ruling out support from grandmothers, the association was still negative. Paternal co-residence did not improve maternal perceived breastfeeding family support, neither practically nor emotionally (β =0.109, P = 0.105; β =0.011,P = 0.791, respectively) and it reduced maternal decision-making power (β = − 0.196, P = 0.007). Conclusions Fathers’ co-residence is negatively associated with the exclusive breastfeeding rates in rural western China. More skill-based practical and emotional strategies should be considered on father’s education to help them better involvement and show more respect to mothers’ decisions.
format	article
author	Jingchun Nie Lifang Zhang Shuyi Song Andrew John Hartnett Zhuo Liu Nan Wang Weiqi Nie Jie Yang Ying Li Yaojiang Shi
author_facet	Jingchun Nie Lifang Zhang Shuyi Song Andrew John Hartnett Zhuo Liu Nan Wang Weiqi Nie Jie Yang Ying Li Yaojiang Shi
author_sort	Jingchun Nie
title	Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
title_short	Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
title_full	Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
title_fullStr	Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
title_full_unstemmed	Exclusive breastfeeding in rural Western China: does father’s co-residence matter?
title_sort	exclusive breastfeeding in rural western china: does father’s co-residence matter?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b620bd14246040149017c672b7bef0c9
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Exclusive breastfeeding in rural Western China: does father’s co-residence matter?

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