Chatman Leia M, Salihu Hamisu M, Roofe Michele E A, Wheatle Patrick, Henry Donnadeen, Jolly Pauline E
Department of Maternal and Child Health, University of Alabama at Birmingham, 35294-0022, USA.
Birth. 2004 Dec;31(4):265-71. doi: 10.1111/j.0730-7659.2004.00318.x.
A large number of mothers may not be practicing exclusive breastfeeding in rural Jamaica, although no recent systematic study has been conducted. The impact of knowledge about and attitude toward breastfeeding on the duration of exclusive breastfeeding is also poorly understood. The objective of this study was to gather information about factors that influence exclusive breastfeeding and its duration.
A cross-sectional study was conducted in 11 health centers within the parish of Saint Ann, Jamaica. A pretested questionnaire collected information on breastfeeding knowledge and attitudes toward intention to breastfeed and other relevant sociodemographic characteristics.
Information was documented for 599 mother-child pairs. The prevalence of breastfeeding initiation was 98.2 percent; of mothers who initiated breastfeeding, 22.2 percent practiced it exclusively (at least 6 months). No difference occurred between exclusive and nonexclusive breastfeeding mothers in terms of knowledge about and attitudes toward breastfeeding. Of potential predictors assessed, the male partner's role as the main source of income for the family was the only significant predictor for exclusive breastfeeding. Women whose male partner was the main source of income for the family were twice as likely to exclusively breastfeed their infants compared with the referent group (mothers as main source of income)(OR=2.0; 95% CI=1.4-3.0). In addition, the dominant reason for partial breastfeeding was maternal anxiety that breastmilk alone might not provide sufficient nourishment.
The level of exclusive breastfeeding was extremely low at the study site. Formulation of strategies to aggressively promote exclusive breastfeeding practices is urgently needed there. Such interventions should consider involvement of the male partner, especially, with respect to the financial support, as well as alleviating maternal anxiety regarding nutritional adequacy of breastmilk.
在牙买加农村地区，尽管最近没有进行系统研究，但大量母亲可能没有进行纯母乳喂养。关于母乳喂养的知识和态度对纯母乳喂养持续时间的影响也了解不足。本研究的目的是收集有关影响纯母乳喂养及其持续时间的因素的信息。
在牙买加圣安娜教区的11个健康中心进行了一项横断面研究。一份经过预测试的问卷收集了有关母乳喂养知识、母乳喂养意愿以及其他相关社会人口学特征的信息。
记录了599对母婴的信息。母乳喂养开始率为98.2%；开始母乳喂养的母亲中，22.2%进行纯母乳喂养（至少6个月）。纯母乳喂养和非纯母乳喂养的母亲在母乳喂养知识和态度方面没有差异。在评估的潜在预测因素中，男性伴侣作为家庭主要收入来源是纯母乳喂养的唯一显著预测因素。男性伴侣为家庭主要收入来源的女性纯母乳喂养婴儿的可能性是参照组（母亲为主要收入来源）的两倍（比值比=2.0；95%置信区间=1.4 - 3.0）。此外，部分母乳喂养的主要原因是母亲担心仅靠母乳可能无法提供足够的营养。
研究地点的纯母乳喂养水平极低。迫切需要制定积极促进纯母乳喂养做法的策略。此类干预措施应考虑男性伴侣的参与，特别是在经济支持方面，以及减轻母亲对母乳营养充足性的焦虑。
