Factors influencing breastfeeding rates in south-western Sydney.

Aim: To explore the socio-demographic factors and other maternal characteristics that influence breastfeeding initiation rates. In particular, this paper aims to (i) estimate the rate of breastfeeding by maternal socio-demographic factors and other maternal characteristics at first well-baby visit; and (ii) investigate the relationship between breastfeeding rates and these maternal factors. Methods: Cross-sectional data were obtained for 9618 babies in south-western Sydney in New South Wales from the Ingleburn Baby Information Systems database from January 2000 to June 2004 and included information on breastfeeding status, socio-demographic factors and other maternal characteristics. Results: At first visit, 59.8% of mothers were breastfeeding. The factors that increased the risk for NOT breastfeeding on multivariate analysis were being Australian-born (OR = 1.67, 95% CI 1.45–1.89, P < 0.001), unmarried (OR = 1.79, 95% CI 1.52–2.11, P < 0.001), living in disadvantaged accommodation (OR = 1.90, 95% CI 1.60–2.26, P < 0.001), having lower levels of education (OR = 1.88, 95% CI 1.38–2.54, P < 0.001) and current smoking (OR = 1.72, 95% CI 1.51–1.96, P < 0.001). Conclusion: The results from this large population-based study suggest that breastfeeding rates are significantly influenced by socio-demographic factors and maternal characteristics. Consequently, subgroups of the population ‘at risk’ for not breastfeeding can be identified and targeted for further strategies to promote breastfeeding. [ABSTRACT FROM AUTHOR]