Determinants of Antenatal Education and Breastfeeding Uptake in Refugee-Background and Australian-Born Women.

Autor: Nguyen, Tam Anh, Mohsin, Mohammed, Moussa, Batool, Fisher, Jane, Nadar, Nawal, Hassoun, Fatima, Khalil, Batoul, Youssef, Mariam, Krishna, Yalini, Kalucy, Megan, Rees, Susan
Předmět:
Zdroj: Women (2673-4184); Jun2023, Vol. 3 Issue 2, p263-280, 18p
Abstrakt: Despite the well-established benefits of antenatal education (ANE) and breastfeeding for mothers, there is a paucity of evidence about the uptake of ANE and breastfeeding amongst women from refugee backgrounds or its associations with sociodemographic factors. The current study is a cross-sectional survey at two time points examining the prevalence of ANE attendance, breastfeeding, and intimate partner violence (IPV) amongst 583 women refugees resettled in Australia and a control group of 528 Australian-born women. Multi-logistic regression was used to explore bivariate associations between ANE attendance, breastfeeding, IPV, and sociodemographic characteristics (parity, maternal employment, and education). Refugee-background women compared to Australian-born women have lower ANE utilization (20.4% vs. 24.1%), higher rates of breastfeeding on hospital discharge (89.3% vs. 81.7%), and more IPV reports (43.4% vs. 25.9%). Factors such as nulliparity, higher level of education, and employment predict higher rates of ANE and breastfeeding adoption. In contrast, IPV is a risk factor for ANE underutilization. Further, of the women from refugee backgrounds who accessed ANE services, 70% attended clinics designed for women from non-English-speaking backgrounds. These findings support the need to ensure effective screening and interventions for IPV during antenatal care and to better understand the role of culture as a protective or risk factor for breastfeeding initiation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index