Breastfeeding behavior among adolescents: initiation, duration, and exclusivity.

TitleBreastfeeding behavior among adolescents: initiation, duration, and exclusivity.
Publication TypeJournal Article
Year of Publication2013
AuthorsSipsma, H. L., Magriples U., Divney A., Gordon D., Gabzdyl E., & Kershaw T.
JournalJ Adolesc Health
Date Published2013 Sep
KeywordsAdolescent, Breast Feeding, Demography, Female, Humans, Longitudinal Studies, Male, Pregnancy, Pregnancy in Adolescence, Risk Factors, Time Factors, Young Adult

<p><b>PURPOSE: </b>Despite a substantial amount of evidence on breastfeeding among non-adolescent mothers, research and strategies uniquely designed to target adolescent mothers are critical because their rates of breastfeeding are disproportionately low and their transition to parenthood is often unlike that of older mothers. Literature to date, however, offers limited evidence for designing effective interventions. Therefore, we aimed to fill this gap in the literature by examining breastfeeding behaviors among a cohort of female adolescents as they transition to parenthood.</p><p><b>METHODS: </b>Data were derived from a longitudinal cohort of pregnant adolescent females (ages 14-21 years) and their male partners, observed from pregnancy through 6 months postpartum. Means and frequencies were used to describe breastfeeding experiences, breastfeeding behaviors, and sociodemographic characteristics. We used multivariate logistic regression and Cox proportional hazards models to identify factors independently associated with breastfeeding initiation, exclusive breastfeeding, and breastfeeding duration.</p><p><b>RESULTS: </b>Approximately 71% initiated breastfeeding. Intending to breastfeed, having had complications in labor and delivery, and lower social support were associated with greater odds of breastfeeding initiation. Of the adolescent mothers who initiated breastfeeding, 84% had stopped by 6 months postpartum; among those, average breastfeeding duration was 5 weeks. Participants who exclusively breastfed had longer breastfeeding duration, and participants who had experienced intimate partner violence had shorter breastfeeding duration. Obese women and women who had more difficulty breastfeeding had lower odds of exclusive breastfeeding.</p><p><b>CONCLUSIONS: </b>Enhanced clinical support and the promotion of exclusive breastfeeding should be considered when designing interventions to improve breastfeeding rates among adolescent mothers.</p>

Alternate JournalJ Adolesc Health
PubMed ID23725911
PubMed Central IDPMC3755029
Grant List1R01MH75685 / MH / NIMH NIH HHS / United States
P30 MH062294 / MH / NIMH NIH HHS / United States
R01 MH075685 / MH / NIMH NIH HHS / United States
T32 MH020031 / MH / NIMH NIH HHS / United States