Williams P L, Innis S M, Vogel A M, Stephen L J
Department of Paediatrics, Faculty of Medicine, University of British Columbia, Vancouver.
Can J Public Health. 1999 Mar-Apr;90(2):114-9. doi: 10.1007/BF03404113.
This study describes factors influencing infant feeding choices of 434 mothers with 9-month-old infants in Vancouver. Consistent with Social Cognitive Theory, both internal personal and socio-environmental factors influence infant feeding choices. Mothers attributed the choice to breastfeed primarily to personal choice, whereas the choice to formula feed was attributed to socio-environmental factors. Among mothers who breastfed < 3 months, the choice to wean was primarily attributed to concern for baby's nutrition; compared to returning to work, concern about milk supply and concern for baby's nutrition among those who breastfed > or = 3 to < 6 months; and returning to work and personal choice among those who breastfed > or = 6 months. Among Caucasian mothers, the choice to wean was primarily attributed to returning to work, compared to concern for baby's nutrition among non-Caucasian mothers. Initiatives to facilitate further advances in breastfeeding promotion could address three areas: 1) prenatal intentions, 2) early postpartum concerns, and 3) later issues surrounding returning to work and infant nutrition.
本研究描述了影响温哥华434名有9个月大婴儿的母亲喂养选择的因素。与社会认知理论一致,个人内在因素和社会环境因素都会影响婴儿喂养选择。母亲们将母乳喂养的选择主要归因于个人选择,而选择配方奶喂养则归因于社会环境因素。在母乳喂养时间不足3个月的母亲中,断奶的选择主要归因于对婴儿营养的担忧;与重返工作岗位相比,母乳喂养3至6个月的母亲更担心乳汁供应和婴儿营养;而母乳喂养6个月及以上的母亲则归因于重返工作岗位和个人选择。在白人母亲中,断奶的选择主要归因于重返工作岗位,而非白人母亲则更担心婴儿营养。促进母乳喂养进一步发展的举措可涉及三个方面:1)产前意愿,2)产后早期担忧,3)后期与重返工作岗位和婴儿营养相关的问题。