title: Immigrant status as important determinant of breastfeeding practice in southern Europe.
abstract: OBJECTIVE
  Breastfeeding is universally accepted as the optimal way to nourish infants. There is evidence that socio-demographic factors, including immigrant status, are related to infant feeding practices. The aim of the present study was to identify the factors which are associated with breastfeeding initiation and duration, with special focus on the role of immigrant status of the mother in breastfeeding practice. A sample of mothers giving birth and living in Athens, Greece, was investigated.
  
  
  METHODS
  428 mothers (438 infants) were recruited in the maternity ward of a Tertiary University Hospital, and were interviewed using a structured questionnaire. Monthly telephone interviews were subsequently conducted until the sixth postpartum month. Multivariate logistic regression models were used to quantify the association of socio-demographic parameters with breastfeeding initiation. Cox regression analysis was employed to assess related factors that might influence breastfeeding duration.
  
  
  RESULTS
  Being an immigrant was positively associated with exclusive as well as partial breastfeeding initiation (OR 7.97, 95% CI 1.02-62.19). Immigrant mothers were also 0.35 times less likely (95% Ci 0.21-0.58) to stop breastfeeding earlier, compared to the native ones. Several other factors were deemed important either for breastfeeding initiation or its duration but not for both aspects of breastfeeding practice.
  
  
  CONCLUSIONS
  Maternal immigrant status was found to be consistently associated with breastfeeding initiation and duration in this study sample. Health professionals, health policy makers and politicians should remain attuned to the cultural backgrounds which have created strong breastfeeding traditions, to further promote breastfeeding practice in Western countries.
authors.forename: Evangelia-Filothei
authors.initials: EF
authors.lastname: Tavoulari
authors.forename: Vassiliki
authors.initials: V
authors.lastname: Benetou
authors.forename: Petros V
authors.initials: PV
authors.lastname: Vlastarakos
authors.forename: George
authors.initials: G
authors.lastname: Kreatsas
authors.forename: Athena
authors.initials: A
authors.lastname: Linos
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000208:ethnology*; D054242:Emigrants and Immigrants; D005060:Europe; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016016:Proportional Hazards Models; D011795:Surveys and Questionnaires