Journal
ANNALS OF EPIDEMIOLOGY
Volume 26, Issue 1, Pages 21-27Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.annepidem.2015.10.001
Keywords
Asthma; Breastfeeding; Children; Cohort study; Socioeconomic position; Wheeze
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Funding
- Health Care and Promotion Fund, Health and Welfare Bureau, Government of the Hong Kong SAR (HCPF) - Health and Health Services Research Fund, Government of the Hong Kong SAR (HHSRF) [216106, 03040771]
- research fund for the Control of Infectious Diseases, Government of the Hong Kong SAR (RFCID) [04050172]
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Purpose: Observationally in Western settings, breastfeeding is associated with less childhood wheezing disorders but may be confounded by socioeconomic position. We examined the association of breastfeeding with asthma and other wheezing disorders in a developed non-Western setting with unique social patterning of breastfeeding. Methods: Using Cox regression, we examined the adjusted associations of breastfeeding with public hospital admissions for asthma, bronchitis, and bronchiolitis (International Classification of Diseases, Ninth Version. Clinical Modification: 466, 490, and 493) from 3 months to 12 years in a population-representative birth cohort of 8327 Hong Kong Chinese children. Results: We did not find an association of exclusive breastfeeding for 3 months or more, compared with never breastfeeding, with hospitalization for asthma, bronchitis, and bronchiolitis to 12 years (hazard ratio [HR], 0.89; 95% confidence interval [CI], 0.63-1.25) nor for partial breastfeeding for any length of time or exclusive breastfeeding for less than 3 months (HR, 1.02; 95% CI, 0.86-1.21), adjusted for infant and parental characteristics and socioeconomic position. We also did not find an association of exclusive breastfeeding for 3 months or more with hospitalization for asthma only (International Classification of Diseases, Ninth Version. Clinical Modification: 493) (HR, 1.27; 95% CI, 0.82-1.98). Conclusions: In a large population-representative Chinese birth cohort, we did not find an association of breastfeeding with childhood hospitalizations for asthma and other wheezing disorders. (C) 2016 Elsevier Inc. All rights reserved.
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