Breastfeeding
MODULE INFORMATION
PURPOSE OF THE MODULE :
To provide data for on-going evaluation on initiation and duration of breastfeeding of women (age 18-49 who have given birth in the last 5 years).
To provide information regarding the main reasons women stop breastfeeding.
DATE OF DATA DICTIONARY LAST REVISION: January 21, 2004
Feb 6, 2012
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
MODULE QUESTIONS
VARIABLE NAME: rh7
MODULE QUESTION:
How much weight did you gain during your last pregnancy?
Response Options
0 None
1-150 Enter weight in lbs
998 don't know
999 refused
ANALYSIS ISSUES:

Question is only asked of women (rgender=5) age 18-49 who have given birth in the last 5 years (rh2=1)

Question deleted 2002
COMPARABILITY TO OTHER SURVEYS
CCHS (2000/01) Cycle 1.1: None
NPHS (1996/97): None
BRFSS (1998): None
VALIDITY/RELIABILITY TESTS : None
COGNITIVE TESTING RESULTS: None
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
VARIABLE NAME: rh8
MODULE QUESTION:
(For your last baby), did you breastfeed or try to breastfeed your child, even if only for a short time?
Response Options
1 yes
5 no
8 don't know
9 refused
ANALYSIS ISSUES:

Question is only asked of women (rgender=5) age 18-49 who have given birth in the last 5 years (rh2=1)
COMPARABILITY TO OTHER SURVEYS
CCHS (2000/01) Cycle 1.1: - BF_Q02, (For your last baby), did you breastfeed or try to breastfeed your child, even if only for a short time
NPHS (1996/97): SGH2-Q4, GHS6_24 (For your last baby), did you breastfeed or try to breastfeed your child, even if only for a short time?
BRFSS (1998): None
VALIDITY/RELIABILITY TESTS : None
COGNITIVE TESTING RESULTS : None
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
VARIABLE NAME: rh9
MODULE QUESTION:
Are you still breastfeeding?
Response Options
1 yes
5 no
8 don't know
9 refused
ANALYSIS ISSUES:

Question is only asked of women (rgender=5) age 18-49 who have given birth in the last 5 years (rh2=1)

asked only if rh8=1
COMPARABILITY TO OTHER SURVEYS
CCHS (2000/01) Cycle 1.1: BF_Q03, Same as RRFSS
NPHS (1996/97) AGH2-Q5, GHP6_25, Same as RRFSS
BRFSS (1998): None
VALIDITY/RELIABILITY TESTS : None
COGNITIVE TESTING RESULTS: None
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
VARIABLE NAME: rh10DAY, rh10WEEK, rh10month, rh10YEAR
MODULE QUESTION:
How long did you breastfeed (your last child)?
Response Options day Enter number of DAYS week Enter number of WEEKS month Enter number of MONTHS year Enter number of YEARS
998 don't know
999 refused
ANALYSIS ISSUES:

Question is only asked of women (rgender=5) age 18-49 who have given birth in the last 5 years (rh2=1)

asked only if rh8=1 and rh9=5

In 2010, variable rh10mnth was renamed rh10month. Please take this into consideration and rename rh10month to rh10mnth to be consistent with previous years data before merging datasets
COMPARABILITY TO OTHER SURVEYS
CCHS (2000/01) Cycle 1.1: BF_Q4, How long did you breastfeed (your last child)?
NPHS (1996/97): AGH2-Q6, GHP6_26 How long did you breastfeed (your last child)?
BRFSS (1998): None
VALIDITY/RELIABILITY TESTS : None
COGNITIVE TESTING RESULTS: None
DATE OF LAST DATA DICTIONARY REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
VARIABLE NAME: rh11
MODULE QUESTION:
What was the MAIN reason that you stopped?
Response Options
1 advice of doctor
2 advice of partner
3 baby did not want to breastfeed
4 difficulty with BF techniques (includes mastitis)
5 breastfeeding inconvenient; baby preferred bottle
7 fatigue
8 not enough milk anymore (child weaned him/herself)
9 planned to stop at this time/done it long enough
10 returned to work/school
11 pain while breastfeeding: sore nipples/engorged breasts
12 wanted to drink alcohol
13 mom ill or on medication for illness
14 baby ill or physically challenged (e.g. tongue tied)
15 not enough time/too busy
16 baby teething/biting mom
17 dried up/stopped producing
18 got pregnant had another baby
97 other (specify)
98 don't know
99 refused
ANALYSIS ISSUES:

Question is only asked of women (rgender=5) age 18-49 who have given birth in the last 5 years (rh2=1)

Response items change in wave 6 – previous options listed below:
Response Options
1 advice of doctor
2 advice of partner
3 chid weaned him/herself
4 difficulty with BF techniques
5 formula feeding preferred
6 illness
7 inconvenience/fatigue
8 not enough milk
9 planned to stop at this time/done it long enough
10 returned to work/school
11 sore nipples/engorged breasts/mastitis
97 other (specify)
98 don't know
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
COMPARABILITY TO OTHER SURVEYS
CCHS (2000/01) Cycle 1.1: BF_Q05 – What is the main reason that you stopped – response options different
NPHS (1996/97): AGH2-Q9, GHP6_29 - What is the main reason that you stopped –
(response options different)
BRFSS (1998): None
VALIDITY/RELIABILITY TESTS : None
COGNITIVE TESTING RESULTS: None
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
MODULE INDICATORS
BREASTFEEDING INITIATION
INDICATOR DESCRIPTION:
% of women (18-49) who initiated breastfeeding
INDICATOR OBJECTIVES:
To increase to 50% the percentage of infants breastfed up to six months by the year
2010 (MHPSG, 1997).
To monitor the number of women who initiated breastfeeding
.
ANALYSIS CHECK LIST:

Only asked of women who have given birth in the past 5 years (rh2=1)
METHOD OF CALCULATION:
# females (18-49) who breastfed their baby (rh8=1)
Number of females (18-49) who have given birth in the past 5 years
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
DURATION OF BREASTFEEDING
INDICATOR DESCRIPTION:
% of women age 18-49 who breastfed for less than 1 week, at least 1month, at least 3 months and at least 6 months
INDICATOR OBJECTIVES:
To increase to 50% the percentage of infants breastfed up to six months by the year
2010 (MHPSG, 1997).
To monitor breastfeeding duration among women age 18-49
ANALYSIS CHECK LIST:

To calculate Breastfeeding duration must derive a new variable that combines variables DAYS, WEEKS, MONTHS,

Only asked of women who have given birth in the past 5 years (rh2=1)

Includes women who breastfed (rh8=1) but are not currently breastfeeding
(rh9=5)
METHOD OF CALCULATION:
# females(18-49) who stopped breastfeeding < 7 days
# of females (18-49) who have given birth in the past 5 years & breastfed their baby
[(rh2=1) and (rh8=1) and (rh9=5)]
# females(18-49) who stopped breastfeeding >=30 days
# of females (18-49) who have given birth in the past 5 years & breastfed their baby
[(rh2=1) and (rh8=1) and (rh9=5)]
# females(18-49) who stopped breastfeeding >=90 days
# of females (18-49) who have given birth in the past 5 years & breastfed their baby
[(rh2=1) and (rh8=1) and (rh9=5)]
# females(18-49) who stopped breastfeeding >= 180 days
# of females (18-49) who have given birth in the past 5 years & breastfed their baby
[(rh2=1) and (rh8=1) and (rh9=5)]
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System

Breastfeeding
MODULE INDICATORS
MAIN REASONS WOMEN STOPPED BREASTFEEDING
INDICATOR DESCRIPTION:
% of women (18-49) who stopped breastfeeding by reason for stopping
INDICATOR OBJECTIVES:
To determine the main reason women stop breastfeeding
.
ANALYSIS CHECK LIST:

Note differences in response categories between wave 1-6 & wave 7-24 as outlined in variable description

Includes women who breastfed (rh8=1) but are not currently breastfeeding
(rh9=5)
METHOD OF CALCULATION:
# females (18-49) who stopped breastfeeding by reason
# of females (18-49) who have given birth in the past 5 years & breastfed their baby
[(rh2=1) and (rh8=1) and (rh9=1)]
DATE OF LAST REVISION: November 25, 2002
RRFSS – Rapid Risk Factor Surveillance System