A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol
Abstract Background Socio-economic inequities can strongly influence suboptimal infant feeding outcomes. Factors such as lack of knowledge about breastfeeding, low family income, low educational attainment, social and economic status, cultural norms and ethnicity may negatively affect success with o...
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doaj-c305ed0d9a214858ba2f3f6ca177d7772021-05-02T11:30:43ZengBMCInternational Journal for Equity in Health1475-92762021-05-0120111110.1186/s12939-021-01430-5A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocolWen Shu0Menglong Li1Nubiya Amaerjiang2Xin Fan3Shunna Lin4Sofia Segura-Pérez5Rafael Pérez-Escamilla6Yifei Hu7Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical UniversityDepartment of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical UniversityDepartment of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical UniversityDepartment of Child Healthcare, Chongqing Health Center for Women and ChildrenDepartment of Pediatrics, Tianhe District Maternal and Child Hospital of GuangzhouNutrition Unit, Hispanic Health CouncilYale School of Public Health, Yale UniversityDepartment of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical UniversityAbstract Background Socio-economic inequities can strongly influence suboptimal infant feeding outcomes. Factors such as lack of knowledge about breastfeeding, low family income, low educational attainment, social and economic status, cultural norms and ethnicity may negatively affect success with offering breastfeeding following a responsive feeding approach (ie. responsive breastfeeding). Such inequities can indeed shorten breastfeeding duration, and negatively affect behavioral and cognitive infant outcomes. In China, there is a dearth of studies focusing on breastfeeding from the responsive and health equity perspective. Objective The aim of this article is to present a protocol of an ongoing longitudinal cohort study investigating factors associated with responsive breastfeeding behaviors, and the child’s behavioral and cognitive development from birth to12 months post-partum in five centers in China. The study seeks to identify breastfeeding barriers and facilitators from a health equity perspective. Methods We are enrolling 700 women and their singleton full term infants in Chongqing, Huizhou and Guangzhou urban and rural areas. The study questionnaires will be administrated within 72 h, 30 days, 3, 6, 9, and 12 months post-partum during the baby’s vaccination visits. We will investigate the difference between urban and rural areas sociodemographic characteristics, breastfeeding knowledge, attitudes and practice, postnatal depression, maternal emotion regulation and parenting stress, and anthropometric and cognitive development indicators of the infants at each time-point. Conclusion Our article illustrates how a cohort study can be designed to understand the barriers and facilitators of responsive breastfeeding taking equity principles into account to help promote infants’ growth and development in China.https://doi.org/10.1186/s12939-021-01430-5BreastfeedingInfant growth and developmentInfant behavior and cognitionParenting stressHealth equityResponsive breastfeeding |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wen Shu Menglong Li Nubiya Amaerjiang Xin Fan Shunna Lin Sofia Segura-Pérez Rafael Pérez-Escamilla Yifei Hu |
spellingShingle |
Wen Shu Menglong Li Nubiya Amaerjiang Xin Fan Shunna Lin Sofia Segura-Pérez Rafael Pérez-Escamilla Yifei Hu A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol International Journal for Equity in Health Breastfeeding Infant growth and development Infant behavior and cognition Parenting stress Health equity Responsive breastfeeding |
author_facet |
Wen Shu Menglong Li Nubiya Amaerjiang Xin Fan Shunna Lin Sofia Segura-Pérez Rafael Pérez-Escamilla Yifei Hu |
author_sort |
Wen Shu |
title |
A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol |
title_short |
A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol |
title_full |
A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol |
title_fullStr |
A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol |
title_full_unstemmed |
A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol |
title_sort |
multi-center longitudinal study on responsive breastfeeding in china from the perspective of health equity: research protocol |
publisher |
BMC |
series |
International Journal for Equity in Health |
issn |
1475-9276 |
publishDate |
2021-05-01 |
description |
Abstract Background Socio-economic inequities can strongly influence suboptimal infant feeding outcomes. Factors such as lack of knowledge about breastfeeding, low family income, low educational attainment, social and economic status, cultural norms and ethnicity may negatively affect success with offering breastfeeding following a responsive feeding approach (ie. responsive breastfeeding). Such inequities can indeed shorten breastfeeding duration, and negatively affect behavioral and cognitive infant outcomes. In China, there is a dearth of studies focusing on breastfeeding from the responsive and health equity perspective. Objective The aim of this article is to present a protocol of an ongoing longitudinal cohort study investigating factors associated with responsive breastfeeding behaviors, and the child’s behavioral and cognitive development from birth to12 months post-partum in five centers in China. The study seeks to identify breastfeeding barriers and facilitators from a health equity perspective. Methods We are enrolling 700 women and their singleton full term infants in Chongqing, Huizhou and Guangzhou urban and rural areas. The study questionnaires will be administrated within 72 h, 30 days, 3, 6, 9, and 12 months post-partum during the baby’s vaccination visits. We will investigate the difference between urban and rural areas sociodemographic characteristics, breastfeeding knowledge, attitudes and practice, postnatal depression, maternal emotion regulation and parenting stress, and anthropometric and cognitive development indicators of the infants at each time-point. Conclusion Our article illustrates how a cohort study can be designed to understand the barriers and facilitators of responsive breastfeeding taking equity principles into account to help promote infants’ growth and development in China. |
topic |
Breastfeeding Infant growth and development Infant behavior and cognition Parenting stress Health equity Responsive breastfeeding |
url |
https://doi.org/10.1186/s12939-021-01430-5 |
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