No widening socioeconomic gap within a general decline in Swedish breastfeeding
2016 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 42, no 3, 415-423 p.Article in journal (Refereed) PublishedText
AimTo study potential socioeconomic differences within the general decline in breastfeeding over time. MethodsData was collected for 51415 infants born 2004-2010 from the databases of statistics of the Preventive Child Health Care Services in Uppsala and Orebro counties in Sweden and socioeconomic indicators from Swedish national registers. Breastfeeding data (breastfed/not breastfed) from 1week, 4months and 6months of age were used as the main outcome variables. Educational level of the mother was defined as the highest level on a three-grade scale, low, medium and high. Family type was defined as whether the mother was single or married/cohabiting. Family disposable income was divided into quartiles where quartile 1 included the 25% children in families with the lowest incomes. Analyses were conducted by logistic regression models using the methodology of generalized estimating equations (GEE). An exchangeable correlation structure was used to control for the dependence among infants with the same mother. ResultsBreastfeeding rate in Sweden has declined gradually since the late 1990s. The results indicated that overall breastfeeding rates over the study period were influenced by socioeconomic status in a gradient manner but no widening socioeconomic gap was detected. Rather the interaction analyses showed a narrowing socioeconomic gap over the study period between high and low educational level and single versus cohabiting mothers at 4months. The narrowing socioeconomic gap between the educational level categories was also detectable at 6months. ConclusionNo increase in socioeconomic gap was detected within the general decline in Swedish breastfeeding. However, there are reasons to maintain and strengthen the overall breastfeeding supportive measures including extended support for vulnerable groups.
Place, publisher, year, edition, pages
2016. Vol. 42, no 3, 415-423 p.
breastfeeding, child public health, infant, mother, socioeconomic status
IdentifiersURN: urn:nbn:se:uu:diva-297805DOI: 10.1111/cch.12327ISI: 000374754400013PubMedID: 26918563OAI: oai:DiVA.org:uu-297805DiVA: diva2:943502