Electronic Theses and Dissertations

Identifier

1054

Author

Pei Lin Chen

Date

2014

Date of Award

4-28-2014

Document Type

Thesis

Degree Name

Master of Public Health

Major

Public Health

Concentration

Epidemiology

Committee Chair

Wilfried Karmaus

Committee Member

Vikki Nolan

Committee Member

Hongmei Zhang

Abstract

GER is a frequently reported health concern in neonates, which may motivate changes in infant feeding modes and addition of solid food as a milk thickening agent to sooth reflux symptom, We analysed repeated measurements in the Infant Feeding Study II, 0505/0607, United States. A delayed model, taking the time order into account, showed that any combination of infant feeding with formula was a risk for reflux. Addition of solid food was not protective. The proportion of solid food use during the infancy increased from month 2 to month 12. Considering a reverse association (reflux -> feeding), preceding reflux significantly reduced direct breastfeeding (RR = 0.79, 95% CI [0.66, 0.94], p = .009). Hence, there seems to be a risk that mothers of infants with reflux stop protective breastfeeding in the following month.

Comments

Data is provided by the student.

Library Comment

dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.

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