2023-09-28 14:46:10 +00:00
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abstract: 'Introduction Among all barriers to breastfeeding, the need to work has
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been cited as one of the top reasons for not breastfeeding overall and
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for early weaning among mothers who seek to breastfeed. We aimed to
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examine whether extending the duration of paid maternity leave available
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to new mothers affected early initiation of breastfeeding, exclusive
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breastfeeding under 6 months and breastfeeding duration in low-income
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and middle-income countries (LMICs).
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Methods We merged longitudinal data measuring national maternity leave
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policies with information on breasffeeding related to 992 419 live
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births occurring between 1996 and 2014 in 38 LMICs that participated in
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the Demographic and Health Surveys. We used a difference-in-differences
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approach to compare changes in the prevalence of early initiation and
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exclusive breastfeeding, as well as the duration of breasffeeding, among
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treated countries that lengthened their paid maternity leave policy
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between 1995 and 2013 versus control countries that did not. Regression
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models included country and year fixed effects, as well as measured
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individual-level, household-level and country-level covariates. All
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models incorporated robust SEs and respondent-level sampling weights.
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Results A 1-month increase in the legislated duration of paid maternity
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leave was associated with a 7.4 percentage point increase (95\% CI 3.2
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to 11.7) in the prevalence of early initiation of breasffeeding, a 5.9
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percentage point increase (95\% CI 2.0 to 9.8) in the prevalence of
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exclusive breastfeeding and a 2.2- month increase (95\% CI 1.1 to 3.4)
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in breasffeeding duration.
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Conclusion Extending the duration of legislated paid maternity leave
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appears to promote breasffeeding practices in LMICs. Our findings
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suggest a potential mechanism to reduce barriers to breasffeeding for
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working mothers.'
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affiliation: 'Chai, Y (Corresponding Author), Univ Calif Los Angeles, Dept Epidemiol,
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Fielding Sch Publ Hlth, Los Angeles, CA 90095 USA.
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Chai, Yan; Heymann, Jody, Univ Calif Los Angeles, Dept Epidemiol, Fielding Sch Publ
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Hlth, Los Angeles, CA 90095 USA.
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Nandi, Arijit, MGill Univ, Dept Epidemiol Biostat \& Occupat Hlth, Montreal, PQ,
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Canada.
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Nandi, Arijit, MGill Univ, Inst Hlth \& Social Policy, Montreal, PQ, Canada.'
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article-number: e001032
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author: Chai, Yan and Nandi, Arijit and Heymann, Jody
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author-email: yc448@ucla.edu
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author_list:
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- family: Chai
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given: Yan
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- family: Nandi
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given: Arijit
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- family: Heymann
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given: Jody
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da: '2023-09-28'
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doi: 10.1136/bmjgh-2018-001032
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files: []
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issn: 2059-7908
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journal: BMJ GLOBAL HEALTH
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keywords-plus: 'WORKING MOTHERS; UNITED-STATES; FAMILY LEAVE; EMPLOYMENT; HEALTH;
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ASSOCIATION; PROMOTION; IMPACT; POLICY; INTELLIGENCE'
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language: English
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month: SEP
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number: '5'
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number-of-cited-references: '64'
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orcid-numbers: Heymann, Jody/0000-0003-0008-4198
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papis_id: c70d76196af750cc65d3566d50f50f10
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ref: Chai2018doesextending
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times-cited: '65'
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title: Does extending the duration of legislated paid maternity leave improve breastfeeding
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practices? Evidence from 38 low-income and middle-income countries
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000457716300040
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usage-count-last-180-days: '1'
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usage-count-since-2013: '10'
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volume: '3'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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