Influence of moving to the UK on maternal health behaviours: prospective cohort study.

Abstract:

OBJECTIVE:To compare health behaviours during pregnancy (smoking and alcohol consumption) and after birth (initiation and duration of breast feeding) between British/Irish white mothers and mothers from ethnic minority groups; and, in mothers from ethnic minority groups, to examine whether indicators of acculturation (generational status, language spoken at home, length of residency in the United Kingdom) were associated with these health behaviours. DESIGN:Prospective nationally representative cohort study. SETTING:England. PARTICIPANTS:6478 British/Irish white mothers and 2110 mothers from ethnic minority groups. MAIN OUTCOME MEASURES:Any smoking during pregnancy; any alcohol consumption during pregnancy; initiation of breast feeding; breast feeding for at least four months. RESULTS:Compared with British/Irish white mothers, mothers from ethnic minority groups were less likely to smoke (15% v 37%) or consume alcohol (14% v 37%) during pregnancy but more likely to initiate breast feeding (86% v 69%) and breast feed for at least four months (40% v 27%). Among mothers from ethnic minority groups, first and second generation mothers were more likely to smoke during pregnancy (odds ratio 3.85, 95% confidence interval 2.50 to 5.93, and 4.70, 2.49 to 8.90, respectively), less likely to initiate breast feeding (0.92, 0.88 to 0.97, and 0.86, 0.75 to 0.99), and less likely to breast feed for at least four months (0.72, 0.62 to 0.83, and 0.52, 0.30 to 0.89) than immigrants, after adjustment for sociodemographic characteristics. There were no consistent differences in alcohol consumption. Among immigrants, for every additional five years spent in the UK the likelihood of mothers smoking during pregnancy increased by 31% (4% to 66%) and they were 5% (0% to 10%) less likely to breast feed for at least four months. CONCLUSIONS:After immigration, maternal health behaviours worsen with length of residency in the UK. Health professionals should not underestimate women's likelihood of engaging in risky health behaviours because of their ethnicity.

journal_name

BMJ

authors

Hawkins SS,Lamb K,Cole TJ,Law C,Millennium Cohort Study Child Health Group.

doi

10.1136/bmj.39532.688877.25

subject

Has Abstract

pub_date

2008-05-10 00:00:00

pages

1052-5

issue

7652

eissn

0959-8138

issn

1756-1833

pii

bmj.39532.688877.25

journal_volume

336

pub_type

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