Document Detail

The impact of maternal employment on breast-feeding duration in the UK Millennium Cohort Study.
MedLine Citation:
PMID:  17381907     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the relationship of maternal employment characteristics, day care arrangements and the type of maternity leave pay to breast-feeding for at least 4 months.
DESIGN: Cohort study.
SETTING: Babies aged 9 months in the Millennium Cohort Study, born between September 2000 and January 2002.
SUBJECTS: A total of 6917 British/Irish white employed mothers with singleton babies.
RESULTS: Mothers employed part-time or self-employed were more likely to breast-feed for at least 4 months than those employed full-time (adjusted rate ratio (aRR) and 95% confidence interval (CI) 1.30 (1.17-1.44) and 1.74 (1.46-2.07), respectively). The longer a mother delayed her return to work postpartum, the more likely she was to breast-feed for at least 4 months (P for trend < 0.001). Mothers were less likely to breast-feed for at least 4 months if they returned to work for financial reasons (aRR 0.86, 95% CI 0.80-0.93) or used informal day care arrangements rather than care by themselves or their partner (aRR 0.81, 95% CI 0.71-0.91). Mothers were more likely to breastfeed for at least 4 months if their employer offered family-friendly (aRR 1.14, 95% CI 1.02-1.27) or flexible work arrangements (aRR 1.24, 95% CI 1.00-1.55), or they received Statutory Maternity Pay (SMP) plus additional pay during their maternity leave rather than SMP alone (aRR 1.13, 95% CI 1.02-1.26). These findings were independent of confounding factors, such as socio-economic status and maternal education.
CONCLUSIONS: Current policies may encourage mothers to enter or return to employment postpartum, but this may result in widening inequalities in breast-feeding and persistence of low rates. Policies should aim to increase financial support and incentives for employers to offer supportive work arrangements.
Summer Sherburne Hawkins; Lucy Jane Griffiths; Carol Dezateux; Catherine Law;
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Publication Detail:
Type:  Journal Article     Date:  2007-03-07
Journal Detail:
Title:  Public health nutrition     Volume:  10     ISSN:  1368-9800     ISO Abbreviation:  Public Health Nutr     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-09     Completed Date:  2007-10-23     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  891-6     Citation Subset:  IM    
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MeSH Terms
Breast Feeding / epidemiology*,  psychology,  statistics & numerical data
Child Day Care Centers / utilization*
Cohort Studies
Confidence Intervals
Educational Status
Employment / economics,  statistics & numerical data*
Great Britain / epidemiology
Mothers / psychology
Odds Ratio
Parental Leave*
Socioeconomic Factors
Time Factors
Grant Support
G106/1221//Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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