Factors associated with breastfeeding initiation and maintenance for Aboriginal and Torres Strait Islander women in Australia: A systematic review and narrative analysis. |
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| Institution: | 1. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia;2. School of Nursing and Midwifery, Griffith University, Meadowbrook, Queensland, Australia;3. Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia;4. Maternity Services, Royal Women’s Hospital, Parkville, Victoria, Australia;5. Deakin University, Global Obesity Centre, Institute for Health Transformation, Geelong, Victoria, Australia;6. Centre for Health Equity, The University of Melbourne, Melbourne, Victoria, Australia;7. NGANGK YIRA: Murdoch University Research Centre for Aboriginal Health and Social Equity, Australia;8. The Lowitja Institute, Australia;1. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW, Australia;2. Education Queensland, QLD 4564, Australia;3. MAK Consulting, Bruce, ACT 2617, Australia;4. Canberra Mothercraft Society, PO Box 126, Curtin, 2605 ACT, Australia;5. School of Nursing and Midwifery, Griffith University, 68 University Drive, Meadowbrook, QLD 4131, Australia;6. Transforming Maternity Care Collaborative, Australia;7. School of Law, University of Sydney, Camperdown, NSW 2006, Australia;8. Human Rights in Childbirth;9. BWLaw, Australia;1. Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia;2. School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia;3. The Royal Women’s Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia;1. Department of Gynaecology, Royal Children’s Hospital, Melbourne, Australia;2. Department of Midwifery, School of Nursing and Midwifery, College of Medicine, Health and Wellbeing, University of Newcastle, Australia;3. Centre for Midwifery, Child and Family Health, University of Technology Sydney, Australia;4. Reproductive Development Laboratory, Murdoch Children’s Research Institute Melbourne, Australia;5. Department of Paediatrics, University of Melbourne, Australia;1. University of Brighton, UK;2. Royal College of Midwives, UK;3. NHS Improvement, UK;4. University Hospitals Sussex NHS Foundation Trust, UK;5. Birmingham Women’s & Children’s NHS Foundation Trust, UK;6. Powys Teaching Health Board, UK;7. East Sussex Hospitals NHS Trust, UK;8. University of Oxford, UK;9. Freelance visual artist and researcher (narrative specialist) |
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| Abstract: | BackgroundAustralian Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) women breastfeed at lower rates than non-Aboriginal women. Little is known about factors associated with breastfeeding specific to Aboriginal women and infants.AimDetermine the protective and risk factors associated with breastfeeding for Aboriginal women in Australia.MethodsCINAHL, Medline, EMBASE, SCOPUS, PsycINFO, and the Cochrane library were searched for peer-reviewed literature published between 1995 and 2021. Quantitative studies written in English reporting protective and risk factors associated with breastfeeding for Aboriginal women or women having an Aboriginal infant were included. Ten percent of papers were co-screened, and two reviewers completed data extraction. Narrative data synthesis was used.FindingsThe initial search identified 12,091 records, with 31 full text studies retrieved, and 17 reports from 14 studies met inclusion criteria. Protective factors included living in a remote area, attending an Aboriginal-specific service, attending a regional service, higher levels of education attainment, increased maternal age, living in larger households, being partnered, and having a higher reported number of stressful events and social health issues. The identified risk factors were smoking in pregnancy, admission to SCN or NICU, and being multiparous.ConclusionThis review identified factors associated with breastfeeding for Aboriginal women. Government focus, support, and consistent funding are required to plan and implement evidence-based interventions and services for Aboriginal women and infants in urban, rural, remote, and very remote locations. Rigorous research is required to understand the Aboriginal-specific factors associated with breastfeeding to improve rates and health outcomes for Aboriginal women and infants. |
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| Keywords: | Aboriginal Torres Strait Islander Indigenous Peoples Breast Feeding Systematic Review Infant Feeding |
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