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Factors Associated with the Initiation and Duration of Breastfeeding by Chinese Mothers in Perth, Western Australia

School of Public Health, Curtin University of Technology, Perth, Western Australia, Department of Public Health, Medical School of Xi’an Jiao Tong University, China

Min Zhang, PhD, GradDip Sc, BM

School of Public Health, Curtin University of Technology, Perth, Western Australia

Jane A. Scott, PhD, MPH, GradDip Diet, BappSc

Division of Developmental Medicine, University of Glasgow, Scotland

Colin W. Binns, PhD, MPH, MBBS, FRACGP, FACOM, FAFPHM

School of Public Health, Curtin University of Technology, Perth, Western Australia

To identify determinants of the initiation and duration of breastfeeding by Chinese Australian mothers, a cross-sectional survey of 506 Mandarin-speaking women in Perth, Western Australia, was conducted. Doctors’ support of breastfeeding was positively associated with the initiation of breastfeeding both in the mothers’ home countries (odds ratio [OR], 9.94; 95% confidence interval [CI], 3.17-31.18) and in Australia (OR, 16.78; 95% CI, 7.12-39.55) and with duration. Mother’s level of education was positively associated with the initiation of breastfeeding in the mother’s home country (OR, 3.04; 95% CI, 1.36-6.80) and positively associated with the duration of breastfeeding both in the mother’s home country and Australia. Father’s preference for breastfeeding was positively associated with the initiation of breast-feeding of the mother giving birth in Australia (OR, 4.96; 95% CI, 1.93-12.66). Health professionals can provide invaluable support for mothers initiating and continuing breastfeeding in this population. Prenatal education also needs to emphasize the ways in which fathers can support and contribute to breastfeeding.

Key Words: breastfeeding initiation • breastfeeding duration • Chinese women • immigrant

Journal of Human Lactation, Vol. 20, No. 2, 188-195 (2004)
DOI: 10.1177/0890334404263992


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