Breastfeeding rates of 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. School of Nursing and Midwifery, La Trobe University, Bundoora, 3086, Australia;4. Maternity Services, Royal Women’s Hospital, Parkville, Victoria, Australia;5. Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, 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, Perth, Western Australia;8. The Lowitja Institute, Melbourne, Victoria, 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. School of Nursing Midwifery and Social Work, University of Queensland, Level 3 Chamberlain Building, St Lucia, Queensland, Australia;2. Central Coast Local Health District, Holden Street, Gosford, NSW 2250, Australia;3. North Sydney Local Health District, Coronation Street, Mona Vale, NSW 1660, Australia;4. School of Health Sciences, University of Skovde, Box 408, SE541 28, Sweden;5. Molly Wardaguga Research Centre, College of Nursing & Midwifery, Charles Darwin University, Level 11, East Building, 410 Ann St, Brisbane, Queensland, 4000, Australia;1. CNHS, Flinders University, Australia;2. Arctic University of Norway, Rural and Remote Arctic Health, Campus Hammersfest, Norway;1. University College South Denmark, Degnevej 16, 6705 Esbjerg Ø, Denmark;2. University of Southern Denmark, Department of Clinical Research, Winsløwparken 19, 5000 Odense, Denmark;3. Aarhus University Hospital, Unit for Perinatal Loss, Palle Juul-Jensens Blvd. 99, DK- 8200 Aarhus N, Denmark;4. University of Southern Denmark, Department of Public Health, J.B. Winsløwsvej 9B, 5000 Odense, Denmark;1. Central Clinical School, Faculty of Medicine and Health, and Charles Perkins Centre, University of Sydney, Australia;2. Department of Women’s Health, Neonatology and Paediatrics, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;3. Child Population and Translational Health Research, The Children’s Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Australia;4. Department of Endocrinology, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;1. School of Nursing and Midwifery, Western Sydney University, Locked bag 1797, Penrith, NSW 2751, Australia;2. Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW, Australia;3. Graduate Research School and the Centre for Research in Mathematics and Data Science, Western Sydney University, Australia |
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| Abstract: | BackgroundAustralian Aboriginal and Torres Strait Islander (referred to hereafter as Aboriginal) women breastfeed at lower rates than non-Aboriginal women, and rates vary across and within Aboriginal populations.AimTo determine rates of breastfeeding initiation and maintenance and compare individually collected survey data with existing routinely collected state and national breastfeeding data for Aboriginal women.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 and reporting breastfeeding for Aboriginal women or women having an Aboriginal infant were included. Screening and quality assessment included co-screening 10% of papers. Two reviewers completed data extraction. A proportional meta-analysis was undertaken for breastfeeding initiation and narrative data synthesis used to summarise breastfeeding maintenance.FindingsThe initial search identified 12,091 records, with 31 full text studies retrieved, and 27 reports from 22 studies met inclusion criteria. Breastfeeding initiation was 78% (95% CI 0.71, 0.84), however, rates were lower than non-Aboriginal women. Maintenance ranged between one week and five years. Rates and definitions varied significantly between studies, with inconsistencies in government collection and reporting of breastfeeding.ConclusionSignificant variation in definitions and reporting make comparisons difficult. Breastfeeding rates were below recommended targets. Future pattern and trend analyses require standardised measures and definitions. Current collection and reporting of breastfeeding data, particularly routinely collected state-based data, is inadequate to present an accurate picture of current breastfeeding in Australia for Aboriginal women and infants, and to effectively inform interventions and policies. |
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| Keywords: | Aboriginal Torres Strait Islander Indigenous Peoples Breast Feeding Infant Feeding Systematic Review |
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