title: Prediction of duration of breastfeeding among migrant and Canadian-born women: results from a multi-center study.
abstract: OBJECTIVE
  To examine and compare predictors of breastfeeding duration among migrant and Canadian-born women.
  
  
  METHODS
  As part of a longitudinal study, a sample of 1503 mothers was recruited from 12 hospitals in Canada who completed questionnaires at 1 and 16 weeks postpartum. Following bivariate analysis, multivariate logistic regression analyses were completed to examine and compare predictors of continued breastfeeding at 16 weeks postpartum among migrant and Canadian-born women.
  
  
  RESULTS
  Among migrant women, factors predictive of breastfeeding duration included maternal age ≥ 35 years, primiparity, and breast engorgement pain at 1 week postpartum. Factors predictive of discontinued breastfeeding in this group included maternal age <20 years, higher gender-related development index of country of origin, no previous breastfeeding experience, breastfeeding duration of peers <6 months, planned duration of exclusive breastfeeding <6 months, and not exclusively breastfeeding at 1 week postpartum. Among Canadian-born women, factors predictive of breastfeeding duration included residence in Vancouver and maternal age ≥ 35 years. Factors predictive of discontinued breastfeeding included residence in Toronto, maternal age <20 years, smoking at 16 weeks postpartum, primiparity, planned duration of exclusive breastfeeding <6 months, and not exclusively breastfeeding at 1 week postpartum.
  
  
  CONCLUSIONS
  Although certain predictors for breastfeeding duration were similar between migrant and Canadian-born women, several were dissimilar, suggesting that these groups might benefit from different strategies to optimize breastfeeding outcomes.
authors.affiliation: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada; Women's College Research Institute, Toronto, Ontario, Canada. cindylee.dennis@utoronto.ca
authors.forename: Cindy-Lee
authors.initials: CL
authors.lastname: Dennis
authors.forename: Anita
authors.initials: A
authors.lastname: Gagnon
authors.forename: Andraea
authors.initials: A
authors.lastname: Van Hulst
authors.forename: Geoff
authors.initials: G
authors.lastname: Dougherty
authors.forename: Olive
authors.initials: O
authors.lastname: Wahoush
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000706:statistics & numerical data*; D002170:Canada; D005260:Female; D005544:Forecasting; D006801:Humans; D008137:Longitudinal Studies; D008425:Maternal Behavior; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014171:Transients and Migrants; D055815:Young Adult