Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study

  1. Graus, Teresa M.
  2. Brandstetter, Susanne
  3. Seelbach-Göbel, Birgit
  4. Melter, Michael
  5. Kabesch, Michael
  6. Apfelbacher, Christian
  7. Fill Malfertheiner, Sara ORCID logo
  8. Ambrosch, A.
  9. Arndt, P.
  10. Baessler, A.
  11. Berneburg, M.
  12. Böse-O’Reilly, St.
  13. Brunner, R.
  14. Buchalla, Wolfgang
  15. Franke, A.
  16. Häusler, S.
  17. Heid, I.
  18. Herr, C.
  19. Högler, W.
  20. Kerzel, S.
  21. Koller, M.
  22. Leitzmann, M.
  23. Rothfuß, D.
  24. Rösch, W.
  25. Schaub, B.
  26. Weber, B. H. F.
  27. Weidinger, St.
  28. Wellmann, S.

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1000 Titel
  • Breastfeeding behavior is not associated with health literacy: evidence from the German KUNO-Kids birth cohort study
1000 Autor/in
  1. Graus, Teresa M. |
  2. Brandstetter, Susanne |
  3. Seelbach-Göbel, Birgit |
  4. Melter, Michael |
  5. Kabesch, Michael |
  6. Apfelbacher, Christian |
  7. Fill Malfertheiner, Sara |
  8. Ambrosch, A. |
  9. Arndt, P. |
  10. Baessler, A. |
  11. Berneburg, M. |
  12. Böse-O’Reilly, St. |
  13. Brunner, R. |
  14. Buchalla, Wolfgang |
  15. Franke, A. |
  16. Häusler, S. |
  17. Heid, I. |
  18. Herr, C. |
  19. Högler, W. |
  20. Kerzel, S. |
  21. Koller, M. |
  22. Leitzmann, M. |
  23. Rothfuß, D. |
  24. Rösch, W. |
  25. Schaub, B. |
  26. Weber, B. H. F. |
  27. Weidinger, St. |
  28. Wellmann, S. |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-04-27
1000 Erschienen in
1000 Quellenangabe
  • 304(5):1161-1168
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00404-021-06038-2 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490221/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!Despite the health benefits of full breastfeeding for both infants and mothers, less than 50% of mothers in Germany practice this method for at least 4 months after childbirth. Because of the growing importance of health literacy to improve public health, we investigated the role of maternal health literacy in breastfeeding behavior.!##!Methods!#!We analyzed the data of 1172 mother-child dyads of the KUNO-Kids health study of the University Children's and Maternity Hospital Regensburg. Maternal health literacy was assessed with the HLS-EU-Q47 questionnaire (sub-index health care) up to 48 h after childbirth. Outcome was analyzed 6 months after childbirth and categorized into full breastfeeding for less than 4 months or for at least 4 months. The association between breastfeeding and maternal health literacy was calculated with univariable and multivariable logistic regression analyses.!##!Results!#!38.8% of mothers showed inadequate or limited health literacy. 75.9% of mothers had fully breastfed their child for at least 4 months. Univariable logistic regression analysis showed that health literacy and full breastfeeding for at least 4 months were not associated (OR = 0.995 [CI 0.977-1.015], p = 0.60). After adjusting for all potentially confounding variables with a significant association (p ≤ 0.05) on both health literacy and breastfeeding, the multivariable model showed no association between health literacy and breastfeeding (OR = 0.984 [CI 0.963-1.007], p = 0.170).!##!Conclusion!#!Surprisingly, we found no association between health literacy and breastfeeding behavior in our study. Therefore, future research with comparable measurements of health literacy and breastfeeding is required to validate this result and to identify reasons for early breastfeeding cessation.
1000 Sacherschließung
lokal Infant, Newborn [MeSH]
lokal Female [MeSH]
lokal Feeding Behavior [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Breastfeeding
lokal Health Literacy [MeSH]
lokal Health literacy
lokal Cohort Studies [MeSH]
lokal Health care
lokal Breastfeeding promotion
lokal Infant [MeSH]
lokal Male [MeSH]
lokal Germany [MeSH]
lokal Maternal-Fetal Medicine
lokal Cesarean Section [MeSH]
lokal Breast Feeding [MeSH]
lokal Pregnancy [MeSH]
lokal Mothers/psychology [MeSH]
1000 Liste der Beteiligten
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1000 Erstellt am 2023-05-09T12:55:18.043+0200
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