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Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland

Laura Galante Orcid Logo, Mirkka Lahdenperä Orcid Logo, Samuli Rautava, Jaana Pentti, Helena Ollila, Saija Tarro, Jussi Vahtera Orcid Logo, Carlos Gonzales-Inca, Mika Kivimäki, Virpi Lummaa Orcid Logo, Hanna Lagström Orcid Logo

The Journal of Nutrition, Volume: 152, Issue: 7, Pages: 1721 - 1728

Swansea University Author: Laura Galante Orcid Logo

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DOI (Published version): 10.1093/jn/nxac069

Abstract

Background: Many environmental factors are known to hinder breastfeeding, yet the role of the family living environment in this regard is still poorly understood. Objectives: We used data from a large cohort to identify associations between neighborhood characteristics and breastfeeding behavior. Me...

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Published in: The Journal of Nutrition
ISSN: 0022-3166 1541-6100
Published: Elsevier BV 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa68012
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Methods: Our observational study included 11,038 children (0&#x2013;2 years) from the Southwest Finland Birth Cohort. Participant information was obtained from the Medical Birth Register and municipal follow-up clinics. Neighborhood socioeconomic disadvantage, greenness, and population density were measured for a period of 5 years prior to childbirth within the residential neighborhood on a 250 &#xD7; 250-m grid. Any breastfeeding and breastfeeding at 6 months were the primary outcomes. Binary logistic regression models were adjusted for maternal health and socioeconomic factors. Results: Adjusted analyses suggest that mothers living in less populated areas were less likely to display any breastfeeding (OR: 0.46; 95% CI: 0.36, 0.59) and breastfeeding at 6 months (OR: 0.37; 95% CI: 0.34, 0.40). Mothers living in highly disadvantaged neighborhoods were less likely to display any breastfeeding if the neighborhood was less populated (OR: 0.54; 95% CI: 0.30, 0.95) but more likely to breastfeed at 6 months if the neighborhood was highly populated (OR: 3.74; 95% CI: 1.92, 7.29). Low greenness was associated with higher likelihood of any breastfeeding (OR: 3.82; 95% CI: 1.53, 9.55) and breastfeeding at 6 months (OR: 4.41; 95% CI: 3.44, 5). Conclusions: Our results suggest that neighborhood characteristics are associated with breastfeeding behavior in Finland. 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spelling 2025-02-12T13:47:05.0756408 v2 68012 2024-10-18 Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland d1c6c22f6a863ef2050ed9768566884b 0000-0002-6190-7955 Laura Galante Laura Galante true false 2024-10-18 MEDS Background: Many environmental factors are known to hinder breastfeeding, yet the role of the family living environment in this regard is still poorly understood. Objectives: We used data from a large cohort to identify associations between neighborhood characteristics and breastfeeding behavior. Methods: Our observational study included 11,038 children (0–2 years) from the Southwest Finland Birth Cohort. Participant information was obtained from the Medical Birth Register and municipal follow-up clinics. Neighborhood socioeconomic disadvantage, greenness, and population density were measured for a period of 5 years prior to childbirth within the residential neighborhood on a 250 × 250-m grid. Any breastfeeding and breastfeeding at 6 months were the primary outcomes. Binary logistic regression models were adjusted for maternal health and socioeconomic factors. Results: Adjusted analyses suggest that mothers living in less populated areas were less likely to display any breastfeeding (OR: 0.46; 95% CI: 0.36, 0.59) and breastfeeding at 6 months (OR: 0.37; 95% CI: 0.34, 0.40). Mothers living in highly disadvantaged neighborhoods were less likely to display any breastfeeding if the neighborhood was less populated (OR: 0.54; 95% CI: 0.30, 0.95) but more likely to breastfeed at 6 months if the neighborhood was highly populated (OR: 3.74; 95% CI: 1.92, 7.29). Low greenness was associated with higher likelihood of any breastfeeding (OR: 3.82; 95% CI: 1.53, 9.55) and breastfeeding at 6 months (OR: 4.41; 95% CI: 3.44, 5). Conclusions: Our results suggest that neighborhood characteristics are associated with breastfeeding behavior in Finland. Unravelling breastfeeding decisions linked to the living environment could help identify interventions that will allow the appropriate support for all mothers and infants across different environmental challenges. Journal Article The Journal of Nutrition 152 7 1721 1728 Elsevier BV 0022-3166 1541-6100 human milk; health inequalities; early life nutrition; environmental health; social disadvantage; nursing behavior; lactation; mother-infant dyad 1 7 2022 2022-07-01 10.1093/jn/nxac069 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee 2025-02-12T13:47:05.0756408 2024-10-18T08:55:59.3567987 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Laura Galante 0000-0002-6190-7955 1 Mirkka Lahdenperä 0000-0003-0062-6284 2 Samuli Rautava 3 Jaana Pentti 4 Helena Ollila 5 Saija Tarro 6 Jussi Vahtera 0000-0002-6036-061x 7 Carlos Gonzales-Inca 8 Mika Kivimäki 9 Virpi Lummaa 0000-0002-2128-7587 10 Hanna Lagström 0000-0002-5069-6582 11 68012__33200__154dafefda1f46e2ad96703b90a4fbfa.pdf 68012.VoR.pdf 2024-12-20T11:41:19.6571550 Output 1671610 application/pdf Version of Record true Copyright: The Author(s) 2022. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/
title Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
spellingShingle Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
Laura Galante
title_short Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
title_full Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
title_fullStr Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
title_full_unstemmed Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
title_sort Neighborhood Disadvantage, Greenness, and Population Density as Predictors of Breastfeeding Practices: A Population Cohort Study from Finland
author_id_str_mv d1c6c22f6a863ef2050ed9768566884b
author_id_fullname_str_mv d1c6c22f6a863ef2050ed9768566884b_***_Laura Galante
author Laura Galante
author2 Laura Galante
Mirkka Lahdenperä
Samuli Rautava
Jaana Pentti
Helena Ollila
Saija Tarro
Jussi Vahtera
Carlos Gonzales-Inca
Mika Kivimäki
Virpi Lummaa
Hanna Lagström
format Journal article
container_title The Journal of Nutrition
container_volume 152
container_issue 7
container_start_page 1721
publishDate 2022
institution Swansea University
issn 0022-3166
1541-6100
doi_str_mv 10.1093/jn/nxac069
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
active_str 0
description Background: Many environmental factors are known to hinder breastfeeding, yet the role of the family living environment in this regard is still poorly understood. Objectives: We used data from a large cohort to identify associations between neighborhood characteristics and breastfeeding behavior. Methods: Our observational study included 11,038 children (0–2 years) from the Southwest Finland Birth Cohort. Participant information was obtained from the Medical Birth Register and municipal follow-up clinics. Neighborhood socioeconomic disadvantage, greenness, and population density were measured for a period of 5 years prior to childbirth within the residential neighborhood on a 250 × 250-m grid. Any breastfeeding and breastfeeding at 6 months were the primary outcomes. Binary logistic regression models were adjusted for maternal health and socioeconomic factors. Results: Adjusted analyses suggest that mothers living in less populated areas were less likely to display any breastfeeding (OR: 0.46; 95% CI: 0.36, 0.59) and breastfeeding at 6 months (OR: 0.37; 95% CI: 0.34, 0.40). Mothers living in highly disadvantaged neighborhoods were less likely to display any breastfeeding if the neighborhood was less populated (OR: 0.54; 95% CI: 0.30, 0.95) but more likely to breastfeed at 6 months if the neighborhood was highly populated (OR: 3.74; 95% CI: 1.92, 7.29). Low greenness was associated with higher likelihood of any breastfeeding (OR: 3.82; 95% CI: 1.53, 9.55) and breastfeeding at 6 months (OR: 4.41; 95% CI: 3.44, 5). Conclusions: Our results suggest that neighborhood characteristics are associated with breastfeeding behavior in Finland. Unravelling breastfeeding decisions linked to the living environment could help identify interventions that will allow the appropriate support for all mothers and infants across different environmental challenges.
published_date 2022-07-01T08:20:53Z
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