Leung T F, Tam W H, Hung E C W, Fok T F, Wong G W K
Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
J Paediatr Child Health. 2003 Aug;39(6):460-4. doi: 10.1046/j.1440-1754.2003.00189.x.
The factors accounting for the low 'ever breastfeeding' rate in Hong Kong remain unclear. The objective of this survey was to study the intention and planned duration of breastfeeding in Chinese women in Hong Kong, and to investigate the sociodemographic and atopic factors affecting the intention to breastfeed.
All Chinese mothers who were Hong Kong residents and who delivered their babies in a University teaching hospital were given a self administered and anonymous Chinese questionnaire within 1 day postpartum. The questionnaire included items on sociodemographic data, the presence of allergic diseases in the families, and the intention and planned duration of breastfeeding for their newborn babies.
A total of 1374 eligible questionnaires were collected. About one-third of mothers were born outside Hong Kong and the majority (78%) of them were aged between 25 and 40 years. Logistic regression revealed that only socioeconomic factors, namely older maternal age (odds ratio (OR) 2.10, 95% confidence interval (CI) 1.14-3.89), parity (OR 3.08, 95% CI 1.02-9.27) and higher educational background (OR 2.87, 95% CI 1.92-4.27), significantly affected the intention to breastfeed. In addition, mothers born outside Hong Kong and those with first babies, had a longer intended duration of breastfeeding (P-values < 0.001 and 0.033, respectively). A family history of atopic disorders in parents or siblings did not influence the breastfeeding intention of these Chinese mothers.
Several sociodemographic factors, rather than a history of atopic disorders, of Chinese mothers in Hong Kong affected their intention to breastfeed and the planned duration of breastfeeding.
香港“曾经母乳喂养”率较低的原因尚不清楚。本调查的目的是研究香港中国女性母乳喂养的意愿和计划持续时间，并调查影响母乳喂养意愿的社会人口统计学和特应性因素。
所有在大学教学医院分娩的香港居民中国母亲在产后1天内收到一份自行填写的匿名中文问卷。问卷包括社会人口统计学数据、家庭中过敏性疾病的存在情况，以及她们对新生儿母乳喂养的意愿和计划持续时间。
共收集到1374份合格问卷。约三分之一的母亲在香港以外出生，其中大多数（78%）年龄在25至40岁之间。逻辑回归显示，只有社会经济因素，即母亲年龄较大（优势比（OR）2.10，95%置信区间（CI）1.14 - 3.89）、多胎妊娠（OR 3.08，95% CI 1.02 - 9.27）和较高的教育背景（OR 2.87，95% CI 1.92 - 4.27），对母乳喂养意愿有显著影响。此外，在香港以外出生的母亲和初产妇的母乳喂养计划持续时间更长（P值分别<0.001和0.033）。父母或兄弟姐妹有特应性疾病家族史并不影响这些中国母亲的母乳喂养意愿。
香港中国母亲的一些社会人口统计学因素而非特应性疾病史影响了她们的母乳喂养意愿和计划持续时间。
