Graus, Teresa M. and Brandstetter, Susanne and Seelbach-Gobel, Birgit and Melter, Michael and Kabesch, Michael and Apfelbacher, Christian and Fill Malfertheiner, Sara and Ambrosch, A. and Arndt, P. and Baessler, A. and Berneburg, M. and Bose-O'Reilly, St. and Brunner, R. and Buchalla, Wolfgang and Franke, A. and Hausler, S. and Heid, I. and Herr, C. and Hogler, W. and Kerzel, S. and Koller, M. and Leitzmann, M. and Rothfuss, D. and Rosch, W. and Schaub, B. and Weber, B. H. F. and Weidinger, St. and Wellmann, S. (2021) Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 304 (5). pp. 1161-1168. ISSN 0932-0067, 1432-0711
Full text not available from this repository. (Request a copy)Abstract
Purpose Despite the health benefits of full breastfeeding for both infants and mothers, less than 50% of mothers in Germany practice this method for at least 4 months after childbirth. Because of the growing importance of health literacy to improve public health, we investigated the role of maternal health literacy in breastfeeding behavior. Methods We analyzed the data of 1172 mother-child dyads of the KUNO-Kids health study of the University Children's and Maternity Hospital Regensburg. Maternal health literacy was assessed with the HLS-EU-Q47 questionnaire (sub-index health care) up to 48 h after childbirth. Outcome was analyzed 6 months after childbirth and categorized into full breastfeeding for less than 4 months or for at least 4 months. The association between breastfeeding and maternal health literacy was calculated with univariable and multivariable logistic regression analyses. Results 38.8% of mothers showed inadequate or limited health literacy. 75.9% of mothers had fully breastfed their child for at least 4 months. Univariable logistic regression analysis showed that health literacy and full breastfeeding for at least 4 months were not associated (OR = 0.995 [CI 0.977-1.015], p = 0.60). After adjusting for all potentially confounding variables with a significant association (p <= 0.05) on both health literacy and breastfeeding, the multivariable model showed no association between health literacy and breastfeeding (OR = 0.984 [CI 0.963-1.007], p = 0.170). Conclusion Surprisingly, we found no association between health literacy and breastfeeding behavior in our study. Therefore, future research with comparable measurements of health literacy and breastfeeding is required to validate this result and to identify reasons for early breastfeeding cessation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PUBLIC-HEALTH; DURATION; VERSION; TREND; Health literacy; Health care; Breastfeeding; Breastfeeding promotion |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe) Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Aug 2022 06:46 |
| Last Modified: | 09 Aug 2022 06:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46157 |
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