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Associations of breastfeeding duration and the total number of children breastfed with self-reported osteoarthritis in Korea women 50 years and older: a cross-sectional study
Dajeong Ham, Sanghyuk Bae
Epidemiol Health. 2023;45:e2023044.   Published online April 13, 2023
  • 3,077 View
  • 98 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Osteoarthritis is the most common joint disease, with a higher prevalence among women than men. The present study aimed to examine the associations of breastfeeding duration and the total number of children breastfed with osteoarthritis in Korean women aged 50 years and older.
In this cross-sectional study, we used representative data from the Korea National Health and Nutrition Examination Survey, phases 5 through 7 (2010-2018). Our analysis included 10,102 women aged ≥50 years. Osteoarthritis experience was defined as whether a physician had ever diagnosed osteoarthritis. Breastfeeding duration was categorized as 1-6 months, 7-24 months, and ≥25 months. The total number of children breastfed was categorized as 1-2, 3-4, and ≥5. The covariates were health behavior characteristics and risks of diseases (smoking, drinking, physical activity, body mass index, diabetes, hypertension, oral contraceptive use, and menopause) as well as socioeconomic characteristics (income, educational level, and occupation). A multiple logistic regression model was used to investigate associations between osteoarthritis and aspects of breastfeeding experience.
Compared to the non-breastfeeding group, the breastfeeding group had an odds ratio (OR) of 1.55 (95% confidence interval [CI], 1.18 to 2.03) for osteoarthritis. Those who reported breastfeeding for >25 months had an OR of 1.56 (95% CI, 1.19 to 2.06).
The advantages of breastfeeding are already well known, but the present study suggests that women who breastfeed children for a longer time may have a higher risk of osteoarthritis after middle age.
Korean summary
골관절염은 가장 흔한 관절 질환이며 유병률은 여성에서 더 높다. 본 연구는 국민건강영양조사의 50세 이상 여성 10,130명을 대상으로 모유수유경험과 골관절염의 유병율 사이의 연관성을 분석하였다. 모유 수유의 이점은 이미 잘 알려져 있지만, 모유 수유 기간이 길수록 골관절염에 걸릴 가능성이 더 높음을 관찰하였다.
Key Message
Osteoarthritis is one of the most common disorders in elderly women and identifying risk factors may contribute to screening and early treatment. In the present article, we analyzed the association of breastfeeding and related factors with prevalent osteoarthritis in Korea National Health and Nutrition Examination Survey. The advantages of breastfeeding are already well known, but we observed that the longer the breastfeeding duration was the more likely the woman has osteoarthritis.
Determinants of early initiation of breastfeeding in Peru: analysis of the 2018 Demographic and Family Health Survey
Akram Hernández-Vásquez, Horacio Chacón-Torrico
Epidemiol Health. 2019;41:e2019051.   Published online December 25, 2019
  • 12,645 View
  • 280 Download
  • 7 Web of Science
  • 9 Crossref
AbstractAbstract PDF
Early initiation of breastfeeding (EIBF) is one of the most cost-effective strategies to reduce neonatal mortality. We sought to determine the prevalence and determinants of EIBF in Peru.
We performed a cross-sectional analytical study of the 2018 Peruvian Demographic and Family Health Survey as a secondary data source. In total, 19,595 children born during the 5 years prior to the survey were included in the study. The dependent variable (EIBF status), socio-demographic variables, and pregnancy-related variables were analyzed using a multivariate logistic regression model to identify the determinants of EIBF.
The prevalence of EIBF in the study population was 49.7%. Cesarean deliveries were associated with a lower likelihood of EIBF (adjusted odds ratio [aOR], 0.06; 95% confidence interval [CI], 0.05 to 0.07) than were vaginal deliveries. Newborns born at public health centers (aOR, 1.37; 95% CI, 1.15 to 1.65) had a higher rate of EIBF than those not born at public or private health centers. Women from the jungle region (aOR, 2.51; 95% CI, 2.17 to 2.89) had higher odds of providing EIBF than those from the coast. Mothers with more than a secondary education (aOR, 0.65; 95% CI, 0.55 to 0.76) were less likely to breastfeed during the first hour of the newborn’s life than women with primary or no education.
More than half of Peruvian children do not breastfeed during the first hour after birth. The major determinants of EIBF status were the delivery mode and the region of maternal residence. Strategies are needed to promote early breastfeeding practices.


Citations to this article as recorded by  
  • Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries
    Carlos Javier Avendaño-Vásquez, Magda Liliana Villamizar-Osorio, Claudia Jazmin Niño-Peñaranda, Judith Medellín-Olaya, Nadia Carolina Reina-Gamba
    World Journal of Clinical Pediatrics.2024;[Epub]     CrossRef
  • Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: analysis of census data from programme evaluation in three remote districts of the Loreto region
    Stefan Reinders, Magaly M. Blas, Melissa Neuman, Luis Huicho, Carine Ronsmans
    The Lancet Regional Health - Americas.2023; 18: 100404.     CrossRef
  • Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital
    Siddika Songül Yalçin
    Revista de Salud Pública.2023; 25(1): 1.     CrossRef
  • Strong Negative Association between Cesarean Delivery and Early Initiation of Breastfeeding Practices among Vietnamese Mothers—A Secondary Analysis of the Viet Nam Sustainable Development Goal Indicators on Children and Women Survey
    Tam Thi Thanh Nguyen, Kimihiro Nishino, Lan Thi Huong Le, Souphalak Inthaphatha, Eiko Yamamoto
    Nutrients.2023; 15(21): 4501.     CrossRef
  • The effect of skin-to-skin contact on early initiation of breastfeeding among women in Vietnam
    Hoang Thi Nam Giang, Le Tho Minh Hieu, Do Thi Thuy Duy, Mai Thi Phuong, Tran Dinh Trung
    Pediatrics & Neonatology.2023;[Epub]     CrossRef
  • Effects of maternal education on early initiation and exclusive breastfeeding practices in sub-Saharan Africa: a secondary analysis of Demographic and Health Surveys from 2015 to 2019
    Wako Golicha Wako, Zelalem Wayessa, Anteneh Fikrie
    BMJ Open.2022; 12(3): e054302.     CrossRef
  • Timing of Breastfeeding Initiation Mediates the Association between Delivery Mode, Source of Breastfeeding Education, and Postpartum Depression Symptoms
    Xinran Shen, Shunna Lin, Hui Li, Nubiya Amaerjiang, Wen Shu, Menglong Li, Huidi Xiao, Sofia Segura-Pérez, Rafael Pérez-Escamilla, Xin Fan, Yifei Hu
    Nutrients.2022; 14(14): 2959.     CrossRef
  • Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study
    Sewunet Sako, Girma Gilano, Be'emnet Tekabe, Sintayehu Abebe
    BMJ Open.2022; 12(10): e062905.     CrossRef
  • Socioeconomic determinants and inequalities in exclusive breastfeeding among children in Peru
    Akram Hernández-Vásquez, Rodrigo Vargas-Fernández
    Frontiers in Nutrition.2022;[Epub]     CrossRef
Overall health and drinking behavior among pregnant and breastfeeding women in Korea
Eun Gyeong Kim
Epidemiol Health. 2019;41:e2019036.   Published online September 1, 2019
  • 10,065 View
  • 205 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
The study was to conduct a comparative assessment of drinking behaviors and overall health among pregnant and breastfeeding women.
This study used data collected from the Korean Community Health Survey in 2015. Data obtained from 2,156 pregnant or breastfeeding women were analyzed using descriptive statistics, the t-test, the chi-square test, and the Pearson correlation coefficient.
Current drinking and alcohol consumption were higher among pregnant women than among breastfeeding women. Depression was twice as common among breastfeeding women than among pregnant women, and stress was much higher among breastfeeding women as well. Breastfeeding women also had lower subjective dental health and more unmet medical needs than pregnant women.
Although pregnant women were in better overall health than breastfeeding women, many of them were unable to stop drinking, which is a risky and adverse health behavior that negatively affects maternal and fetal health. In order to reduce drinking among pregnant and breastfeeding women, it is necessary to develop a tailored, standardized educational program and national guidelines.
Korean summary
최근 한국 사회는 출산이 점점 늦어져 고령 임산부가 증가하고 있는 실정이고, 초저출산 시대를 맞이하여 미래세대 인구의 자질향상의 기반이 되는 여성건강은 매우 중요하다고 할 수 있다. 이에 본 연구는 지역사회건강조사(Community Health Survey, CHS)의 조사자료를 활용한 이차분석연구로 임산부와 수유부의 음주 및 건강행태를 파악하고 비교하여 여성건강증진을 위한 근거자료로 활용하고자 수행되었다. 연구결과 현재 음주와 음주량은 임신여성에서, 우울과 스트레스는 수유여성에서 많은 것으로 나타났다.


Citations to this article as recorded by  
  • Maternal tobacco, alcohol and caffeine consumption during the perinatal period: A prospective cohort study in Greece in the midst of COVID-19 pandemic
    Maria Tigka, Dimitra Metallinou, Maria Tzeli, Katerina Lykeridou
    Tobacco Induced Diseases.2023; 21(June): 1.     CrossRef
  • Moderate ethanol exposure during early ontogeny of the rat alters respiratory plasticity, ultrasonic distress vocalizations, increases brain catalase activity, and acetaldehyde-mediated ethanol intake
    Genesis D’aloisio, María Belén Acevedo, Asier Angulo-Alcalde, Verónica Trujillo, Juan Carlos Molina
    Frontiers in Behavioral Neuroscience.2022;[Epub]     CrossRef
  • Alcohol use in pregnancy and its impact on the mother and child
    Ju Lee Oei
    Addiction.2020; 115(11): 2148.     CrossRef
Levels of adherence and factors associated with adherence to option B+ prevention of mother-to-child transmission among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia, 2016
Delelegn Tsegaye, Leul Deribe, Shambel Wodajo
Epidemiol Health. 2016;38:e2016043.   Published online October 13, 2016
  • 14,859 View
  • 395 Download
  • 20 Crossref
AbstractAbstract PDF
The aim of this study was to measure the levels of adherence and to identify factors associated with adherence to option B+ prevention of mother-to-child transmission (PMTCT) among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia.
An institution-based cross-sectional quantitative study design was employed from March 1, 2016 to April 14, 2016, using a standard structured data collection instrument. A sample of 191 human immunodeficiency virus (HIV)-positive pregnant and lactating mothers who were receiving PMTCT follow-up in the selected health facilities participated in the study. The data were entered using EpiData 3.1 and analyzed using SPSS version 21. Bivariate and multivariate logistic regression analyses were employed to identify factors associated with adherence. The p-values <0.05 and 95% confidence intervals (CIs) were used to identify associations between independent predictors and the outcome variable.
The level of adherence to option B+ PMTCT drugs was 87.9%. Women who received in-hospital treatment, who lived in rural areas, and faced challenges in initiating lifelong option B+ treatment on the same-day that they were diagnosed with HIV were less likely to adhere to the treatment (adjusted odds ratios [95% CI] of 0.3 [0.11 to 0.82], 0.26 [0.1 to 0.73], and 0.08 [0.02 to 0.37], respectively).
Collaborative efforts of zonal health departments with health facility administrators and counselors are recommended for effective and efficient interventions focusing on hospitals, rural areas, and patients who face challenges on the day of their diagnosis.


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    BMC Public Health.2024;[Epub]     CrossRef
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    Health Science Reports.2023;[Epub]     CrossRef
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Epidemiol Health : Epidemiology and Health