Shaikh Ulfat, Alpert Patricia T
Department of Pediatrics at the University of Nevada School of Medicine, Las Vegas, USA.
J Hum Lact. 2004 Feb;20(1):56-61. doi: 10.1177/0890334403260617.
Reports of vitamin D deficiency rickets, although rare in the United States, have increased over the past few years, including in children living in climates with abundant sunshine. The purpose of this study was to describe vitamin D recommendation practices among pediatric health care providers in Las Vegas, Nevada. Of the 155 providers surveyed, 52.3% did not recommend vitamin D for exclusively breastfed babies. Providers who were more likely to recommend supplementation were doctors of medicine, were female, specialized in pediatrics, were of Hispanic ethnicity, had previously practiced and trained in states less sunny than Nevada, had graduated from training 21 or more years previously, had taken histories of infants' sun exposure, and had clinical experience with cases of rickets. Providers demonstrated a knowledge deficitforquestions that dealt with preventive measures.
维生素D缺乏性佝偻病的报告，尽管在美国很少见，但在过去几年中有所增加，包括生活在阳光充足气候地区的儿童。本研究的目的是描述内华达州拉斯维加斯儿科医疗服务提供者中维生素D推荐的做法。在接受调查的155名提供者中，52.3%没有为纯母乳喂养的婴儿推荐维生素D。更有可能推荐补充剂的提供者是医学博士、女性、儿科专科医生、西班牙裔、以前在内华达州阳光不如现在充足的州执业和接受培训、21年或更早以前完成培训、询问过婴儿日照情况以及有佝偻病病例临床经验的人。提供者在涉及预防措施的问题上表现出知识欠缺。
