published_or_final_version / Public Health / Master / Master of Public Health

Wong Hing-yan, Esther. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 264-278 (2nd gp.)). / Abstracts in English and Chinese. / Acknowledgements --- p.I / Contents --- p.III / List of Tables --- p.VIII / List of Figures --- p.X / List of abbreviations --- p.XI / Abstract --- p.XII / Chapter 1 --- Introduction and Study Hypothesis --- p.1 / Chapter 1.1 --- Introduction and Overview --- p.1 / Chapter 1.2 --- Study Aim and Hypothesis --- p.2 / Chapter 2 --- Literature Review --- p.4 / Chapter 2.1 --- Definition of Breastfeeding --- p.4 / Chapter 2.2 --- Definition of the Exclusive Breastfeeding --- p.5 / Chapter 2.3 --- Benefits of Breastfeeding --- p.6 / Chapter 2.4 --- Current Status of Breastfeeding Globally and in Hong Kong --- p.10 / Chapter 2.4.1 --- Breastfeeding Globally --- p.10 / Chapter 2.4.2 --- Statistics on Global BF Practice --- p.11 / Chapter 2.4.3 --- Breastfeeding in Hong Kong --- p.15 / Chapter 2.4.4 --- Summary and Conclusions --- p.21 / Chapter 2.5 --- Factors Infuencing Breastfeeding --- p.22 / Chapter 2.5.1 --- Social Demographic Factors --- p.22 / Chapter 2.5.2 --- Psychosocial Factors --- p.31 / Chapter 2.5.3 --- Health Services Related Factors --- p.45 / Chapter 2.5.4 --- Cultural Practices --- p.51 / Chapter 2.5.5 --- Summary and Conclusions --- p.62 / Chapter 2.6 --- Strategies to Promote Breastfeeding --- p.62 / Chapter 2.6.1 --- Breastfeeding Policy Recommendations --- p.63 / Chapter 2.6.2 --- Baby Friendly Hospital Initiative --- p.66 / Chapter 2.6.3 --- International Code of Marketing of Breast Milk Substitutes --- p.69 / Chapter 2.6.4 --- Breastfeeding Consultant Programmes --- p.72 / Chapter 2.6.5 --- Breastfeeding Peer Counsellor Programmes --- p.73 / Chapter 2.7 --- Peer Counsellor Programmes --- p.75 / Chapter 2.7.1 --- Adult Learning Model --- p.76 / Chapter 2.7.2 --- Learning Breastfeeding --- p.77 / Chapter 2.7.3 --- Peer Counselling on Learning Breastfeeding --- p.79 / Chapter 2.7.4 --- Historical Review of Peer Counselling Programmes --- p.81 / Chapter 2.7.5 --- Peer Counselling Programmes in Other Countries --- p.82 / Chapter 2.7.6 --- Peer Counselling Programme in Hong Kong --- p.91 / Chapter 3 --- Methodology --- p.95 / Chapter 3.1 --- Sampling --- p.95 / Chapter 3.1.1 --- Study Population --- p.95 / Chapter 3.1.2 --- Sample Sources --- p.95 / Chapter 3.1.3 --- Inclusion / Exclusion Criteria --- p.95 / Chapter 3.1.4 --- Sample Size Determination --- p.96 / Chapter 3.2 --- Study Design --- p.97 / Chapter 3.2.1 --- Ward Allocation --- p.97 / Chapter 3.2.2 --- Peer Counsellor --- p.97 / Chapter 3.2.3 --- Sampling Method --- p.100 / Chapter 3.3 --- Subject Recruitment --- p.101 / Chapter 3.3.1 --- Pilot Study --- p.101 / Chapter 3.3.2 --- Recruitment --- p.103 / Chapter 3.3.3 --- Recruitment Interview --- p.107 / Chapter 3.3.4 --- Follow-up Interviews --- p.107 / Chapter 3.4 --- Data Collection --- p.108 / Chapter 3.4.1 --- Recruitment Data Collection --- p.109 / Chapter 3.4.2 --- Follow-up Data Collection --- p.109 / Chapter 3.4.3 --- Final Evaluation --- p.112 / Chapter 3.4.4 --- Data Collection on Termination of Breastfeeding --- p.112 / Chapter 3.4.5 --- Evaluation from Peer Counsellors --- p.114 / Chapter 3.4.6 --- Tools / Questionnaire Design and Its Validity --- p.115 / Chapter 3.4.7 --- Content of the Study Booklet --- p.116 / Chapter 3.4.8 --- Data Validity --- p.123 / Chapter 3.5 --- Data Entry & Analyses --- p.123 / Chapter 3.5.1 --- Data Entry --- p.123 / Chapter 3.5.2 --- Data Analyses --- p.123 / Chapter 4 --- Results --- p.127 / Chapter 4.1 --- Overview --- p.127 / Chapter 4.2 --- Sample Characteristics and Demographic Background --- p.127 / Chapter 4.2.1 --- Subject Profile --- p.127 / Chapter 4.2.2 --- Sample Characteristics --- p.131 / Chapter 4.2.3 --- Sample Characteristics Compared with HK Census Information --- p.137 / Chapter 4.3 --- Main study Findings --- p.138 / Chapter 4.3.1 --- Infant Feeding Categories at Follow-Ups --- p.138 / Chapter 4.3.2 --- BF duration --- p.140 / Chapter 4.3.3 --- BF exclusivity --- p.144 / Chapter 4.3.4 --- Relationship between BF Duration and BF Exclusivity --- p.155 / Chapter 4.3.5 --- Reasons for Giving Formula Supplement to BF Infants --- p.158 / Chapter 4.3.6 --- Termination of BF --- p.162 / Chapter 4.4 --- Subsidiary Results --- p.169 / Chapter 4.4.1 --- Overview --- p.169 / Chapter 4.4.2 --- Rationale for Regrouping Study Mothers --- p.169 / Chapter 4.4.3 --- "Characteristics Differences of Mothers from the ""Short-term Breastfeeders"" Group and Mothers from the ""Long-term Breastfeeders"" Group""" --- p.171 / Chapter 4.4.4 --- "Characteristics Differences between ""Short-term Breastfeeders"" and ""Prolonged Breastfeeders""" --- p.176 / Chapter 4.4.5 --- Cox Proportional Hazard Regression Analysis and BF Duration --- p.181 / Chapter 4.4.6 --- BF Duration and Working Mothers --- p.184 / Chapter 4.4.7 --- Formula Advertisement and BF --- p.187 / Chapter 4.4.8 --- Knowledge of BF --- p.189 / Chapter 4.5 --- Evaluation of Breastfeeding Experience --- p.193 / Chapter 4.5.1 --- Mothers' Evaluation of the Overall BF Experience --- p.194 / Chapter 4.5.2 --- Mothers' Evaluation of PC Support Intervention --- p.196 / Chapter 4.5.3 --- Peer Counsellors' Consultation Log Sheets --- p.198 / Chapter 4.5.4 --- Peer Counselors' Evaluation --- p.199 / Chapter 5 --- Discussion --- p.204 / Chapter 5. 1 --- Main Result Interpretation --- p.204 / Chapter 5.1.1 --- BF Duration --- p.204 / Chapter 5.1.2 --- BF Exclusivity --- p.205 / Chapter 5.1.3 --- BF Duration and BF Exclusivity --- p.210 / Chapter 5.1.4 --- Possible Explanations of the Study Results --- p.210 / Chapter 5.1.5 --- Similarities between Mclnnes' Peer Counseling Study and the Present Study --- p.213 / Chapter 5.2 --- Study Limitations --- p.216 / Chapter 5.2.1 --- Study Sample --- p.216 / Chapter 5.2.2 --- Data Validity and Recall Bias --- p.219 / Chapter 5.3 --- Common Reasons for Termination --- p.220 / Chapter 5.4 --- Implications of the Study Result and Future Direction --- p.221 / Chapter 5.5 --- Subsidiary Result Interpretation --- p.227 / Chapter 5.5.1 --- Factors that Have Positive Influences on BF --- p.228 / Chapter 5.5.2 --- Factors that Have No Particular Influences on BF --- p.243 / Chapter 5.5.3 --- Factors that Have Negative Influences on BF --- p.246 / Chapter 5.5.4 --- Future Directions --- p.261 / Conclusion --- p.262 / References --- p.264 / Appendices --- p.279