Dulon M, Kersting M, Schach S
Department of Epidemiology and Medical Statistics, School of Public Health, University of Bielefeld, Germany.
Acta Paediatr. 2001 Aug;90(8):931-5.
Ten years after the German political reunification, specific lifestyle habits still vary between the former Western (FRG) and Eastern (GDR) sectors of Germany. We have analysed data from the first nationwide SuSe Study on breastfeeding 1997-1998 (n = 1593 healthy, term German infants) stratified in a Western (80.3%) and Eastern (19.7%) subgroup. In the Eastern subgroup, breastfeeding was higher for the first 2 wk but decreased more rapidly thereafter. The adjusted relative risk (odds ratios, OR) for short-term breastfeeding was strongly associated (OR >2) with maternal age, supplementary feeding, single parent status, maternal educational status, breastfeeding problems and partner's attitude towards breastfeeding. In the multivariate model, not the geographical location where the mother grew up but the different distribution of risk factors was associated with short-term breastfeeding. Moreover, mothers from both the Western and Eastern sectors mentioned different reasons for giving up breastfeeding.
More breastfeeding promotion is necessary for women from the former GDR.
德国政治统一十年后，德国前西德（联邦德国）和东德（民主德国）地区的特定生活方式习惯仍存在差异。我们分析了1997 - 1998年首次全国性的SuSe母乳喂养研究数据（n = 1593名健康足月儿德国婴儿），该数据分为西德亚组（80.3%）和东德亚组（19.7%）。在东德亚组中，前两周母乳喂养率较高，但之后下降更快。短期母乳喂养的调整后相对风险（比值比，OR）与母亲年龄、补充喂养、单亲状况、母亲教育程度、母乳喂养问题以及伴侣对母乳喂养的态度密切相关（OR > 2）。在多变量模型中，与短期母乳喂养相关的不是母亲成长的地理位置，而是风险因素的不同分布。此外，来自西德和东德地区的母亲放弃母乳喂养的原因各不相同。
对于前民主德国地区的女性，有必要加强母乳喂养推广。
