dc.contributor.author |
Bennett, D |
|
dc.contributor.author |
Gilchrist, CA |
|
dc.contributor.author |
Menzies, RL |
|
dc.contributor.author |
Harwood, M |
|
dc.contributor.author |
Kingi, TK |
|
dc.contributor.author |
Carr, PA |
|
dc.contributor.author |
Morton, S |
|
dc.contributor.author |
Grant, CC |
|
dc.date.accessioned |
2022-07-25T04:07:25Z |
|
dc.date.available |
2022-07-25T04:07:25Z |
|
dc.date.issued |
2022-05-20 |
|
dc.identifier.citation |
(2022). New Zealand Medical Journal, 135(1555), 73-87. |
|
dc.identifier.issn |
0028-8446 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60503 |
|
dc.description.abstract |
Aim: Breastfeeding is a fundamental aspect of tikanga Māori (Māori cultural traditions/practices) requiring protection and promotion. This study identifies determinants of exclusive breastfeeding in wāhine Māori (Māori women). Methods: Wāhine Māori enrolled in the Growing Up in New Zealand child cohort study participated (n=1060). Exclusive breastfeeding duration was self-reported. Hierarchical regression analyses were framed by a model of Māori health and wellbeing. Results: Most wāhine Māori initiated breastfeeding (96%), with 12% exclusively breastfeeding for six-or-more months. Wāhine Māori had increased odds of exclusively breastfeeding for six-or-more months if they: thought it best to breastfeed for >6 months (adjusted odds ratio (aOR)=1.94, 95% confidence interval (CI)=1.05-3.78); thought returning to work would not (aOR=2.17, 95% CI=1.17-4.24) or may (aOR=4.25, 95% CI=1.86-9.85) limit breastfeeding; were experienced mothers (aOR=2.55, 95% CI=1.35-5.06); or were undecided about vaccination (aOR=3.16, 95% CI=1.55-6.39). Exclusive breastfeeding for six-or-more months was less likely if mothers experienced depression during pregnancy (aOR=0.47, 95% CI=0.20-0.99) or viewed cultural traditions/practices as “fairly important” (aOR=0.53, 95% CI=0.27-0.99), compared to “very important”. Conclusion: Determinants of exclusive breastfeeding in wāhine Māori are knowledge of breast feeding recommendations, return to work, motherhood experience, connection to TeAoMāori(Māoriworldview) and tikangaMāori, antenatal depression and vaccine indecision. Interventions delivered within a Kaupapa Māori framework will best address breastfeeding inequities in Aotearoa New Zealand. |
|
dc.relation.ispartofseries |
New Zealand Medical Journal |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://journal.nzma.org.nz/journal/contribute |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.title |
Determinants of exclusive breastfeeding for wāhine Māori |
|
dc.type |
Journal Article |
|
pubs.issue |
1555 |
|
pubs.begin-page |
73 |
|
pubs.volume |
135 |
|
dc.date.updated |
2022-06-22T22:17:14Z |
|
dc.rights.holder |
Copyright: NZMA |
en |
pubs.author-url |
https://journal.nzma.org.nz/journal-articles/determinants-of-exclusive-breastfeeding-for-wahine-maori |
|
pubs.end-page |
87 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
907747 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Gen.Practice& Primary Hlthcare |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Paediatrics Child & Youth Hlth |
|
dc.identifier.eissn |
1175-8716 |
|
pubs.record-created-at-source-date |
2022-06-23 |
|