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Breast feeding and early adolescent behaviour, self-esteem and depression: Hong Kong's 'Children of 1997' birth cohort.

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اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Kwok MK;Kwok MK; Leung GM; Schooling CM
  • المصدر:
    Archives of disease in childhood [Arch Dis Child] 2013 Nov; Vol. 98 (11), pp. 887-94. Date of Electronic Publication: 2013 Sep 03.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BMJ Pub. Group [etc.] Country of Publication: England NLM ID: 0372434 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-2044 (Electronic) Linking ISSN: 00039888 NLM ISO Abbreviation: Arch Dis Child Subsets: MEDLINE
    • بيانات النشر:
      Publication: London :, BMJ Pub. Group [etc.]
      Original Publication: London : British Medical Association
    • الموضوع:
      Self Concept*; Adolescent Behavior/*ethnology ; Breast Feeding/*ethnology ; Depression/*ethnology; Adolescent ; Adolescent Behavior/psychology ; Adult ; Asian People/psychology ; Asian People/statistics & numerical data ; Breast Feeding/psychology ; Breast Feeding/statistics & numerical data ; Cohort Studies ; Confounding Factors, Epidemiologic ; Depression/etiology ; Female ; Hong Kong/epidemiology ; Humans ; Male ; Psychiatric Status Rating Scales ; Psychometrics ; Socioeconomic Factors ; Time Factors ; Young Adult
    • نبذة مختصرة :
      Objective: Breast feeding may contribute to neurological development and hence mental health. However, associations from Western populations are unclear, and most likely confounded by socioeconomic position (SEP), making evidence from other sociocultural settings valuable. We examined whether breast feeding was associated with early adolescent emotional and behavioural problems, self-esteem and depressive symptoms in a non-Western developed setting, where socioeconomic patterning of breast feeding differs from but other postnatal characteristics are similar to Western settings.
      Design: The adjusted associations of breast feeding with emotional and behavioural problems assessed from parent-reported Rutter z-score at ~11 years (n=5598, 67% follow-up), self-reported self-esteem z-score at ~11 years (n=6937, 84%) and depressive symptoms assessed from self-reported Patient Health Questionnaire-9 z-score at ~13 years (n=5797, 70%) were examined using multivariable linear regression in a population-representative Hong Kong Chinese birth cohort, 'Children of 1997'.
      Results: Mothers from families with higher education tended to start but not sustain breast feeding, whereas migrant mothers tended to start and sustain breast feeding. Breast feeding for 3+ months had mostly null associations with Rutter score, self-esteem or depressive symptoms adjusted for sex, age, survey mode, SEP, parents' age, birth weight-for-gestational age, birth order and secondhand smoke exposure, although partial breast feeding for any length of time or exclusive breast feeding for <3 months was associated with poorer behaviour (higher Rutter z-score (0.10, 95% CI 0.05 to 0.16)) and lower self-esteem (-0.09, 95% CI -0.14 to -0.04).
      Conclusions: In a non-Western developed setting, breast feeding was inconsistently associated with several early adolescent mental health measures suggesting a reflection of setting specific unmeasured confounding.
    • Contributed Indexing:
      Keywords: adolescent behavior; breastfeeding; cohort studies; depression; self-esteem
    • الموضوع:
      Date Created: 20130905 Date Completed: 20131210 Latest Revision: 20221207
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.1136/archdischild-2013-304250
    • الرقم المعرف:
      24001956