Breastfeeding, pregnant, and non-breastfeeding nor pregnant women's food consumption: A matched within-household analysis in India
| Autor: | Fledderjohann, Jasmine, Vellakkal, Sukumar, Stuckler, David |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Rural Population
MEDICINE (ALL) Women's health Breastfeeding India Article Pregnancy Obstetrics and Gynaecology Animals Humans NBP Non-breastfeeding non-pregnant women OBSTETRICS AND GYNECOLOGY Nutrition Family Characteristics Diet Vegetarian BREASTFEEDING INDIA NUTRITION PREGNANCY WOMEN'S HEALTH MEDICINE (ALL) OBSTETRICS AND GYNECOLOGY MATERNITY AND MIDWIFERY Feeding Behavior Maternal Nutritional Physiological Phenomena Health Services Health Surveys Diet Religion MATERNITY AND MIDWIFERY Breast Feeding Social Class NRHM National Rural Health Mission NFHS National Family Health Survey Female |
| Zdroj: | Sexual & Reproductive Healthcare |
| ISSN: | 1877-5756 |
| Popis: | Highlights • Mothers require additional calories to support healthy breastfeeding. It is unclear whether this additional intake need is being met, especially in India where undernutrition is high • We matched women within households to compare food consumption frequency • Breastfeeding women are not nutritionally advantaged in the household across food items, and are disadvantaged in their access to milk • Breastfeeding women's nutrition should receive greater programmatic attention in India Objective Promoting breastfeeding is major maternal and child health goal in India. It is unclear whether mothers receive additional food needed to support healthy breastfeeding. Methods Using the latest National Family and Health Survey (2005–2006), we applied multilevel linear regression models to document correlates of nutrition for (n = 20,764) breastfeeding women. We then compared consumption of pulses, eggs, meat, fish, dairy, fruit, and vegetables across a sample of breastfeeding, non-breastfeeding/pregnant (NBP), and pregnant women (n = 3,409) matched within households and five-year age bands. We tested whether breastfeeding women had greater advantages in the 18 high-focus states of India's National Rural Health Mission (NRHM). Results Vegetarianism, caste, and religion were the strongest predictors of breastfeeding women's nutrition. Breastfeeding women had no nutritional advantage compared to NBP women, and were disadvantaged in their consumption of milk (b = −0.14) in low-focus states. Pregnant women were similarly disadvantaged in their consumption of milk in low-focus states (b = −0.32), but consumed vegetables more frequently (b = 0.12) than NBP women in high-focus states. Conclusions Breastfeeding women do not receive nutritional advantages compared to NBP women. Targeted effort is needed to assess and improve nutritional adequacy for breastfeeding Indian women. |
| Databáze: | OpenAIRE |
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