Schluter Philip J, Carter Sarnia, Percival Teuila
Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1020, New Zealand.
Public Health Nutr. 2006 Sep;9(6):692-9. doi: 10.1079/phn2005925.
To present current breast-feeding rates for Pacific infants resident in New Zealand. Reasons for the introduction of complementary liquid foods were also explored.
A longitudinal study using hospital discharge summary records and maternal home interviews undertaken at 6 weeks, 12 and 24 months postpartum. Turnbull's non-parametric survival analysis was used to model exclusive breast-feeding rates.
Auckland, New Zealand.
The cohort comprised 1376 infants at 6 weeks, 1223 infants at 12 months and 1142 infants at 24 months. Exclusive breast-feeding rates at hospital discharge, 6 weeks, 3 and 6 months postpartum were 84% (95% confidence interval (CI): 80-88%), 49% (95% CI: 43-55%), 37% (95% CI: 32-42%) and 9% (95% CI: 7-11%), respectively. Significant ethnic difference existed, with Samoan mothers having higher exclusive breast-feeding rates than Tongan mothers (P = 0.002). The percentage of infants receiving any breast milk at hospital discharge, 6 weeks, 12 and 24 months was 96% (95% CI: 94-97%), 95% (95% CI: 94-96%), 31% (95% CI: 28-34%) and 15% (95% CI: 13-17%), respectively. Again ethnic differences emerged. Common reasons cited for discontinuation of exclusive breast-feeding included uncertainty of breast milk supply (56%), problems with breasts (30%) and difficulties breast-feeding in work or educational environments (26%). However, 691 (50%) mothers sought no advice about their breast-feeding concerns within the first six weeks of life.
Exclusive breast-feeding rates for Pacific infants are ethnically heterogeneous, have declined since the 1990s and fall short of the World Health Organization recommendations. The principal reasons cited for exclusive breast-feeding discontinuation echo those reported over a decade ago.
呈现居住在新西兰的太平洋岛屿裔婴儿目前的母乳喂养率。同时探讨引入补充性流质食物的原因。
一项纵向研究，利用医院出院小结记录以及产后6周、12个月和24个月时对母亲进行的家访。采用特恩布尔非参数生存分析对纯母乳喂养率进行建模。
新西兰奥克兰。
该队列在6周时包括1376名婴儿，12个月时包括1223名婴儿，24个月时包括1142名婴儿。出院时、产后6周、3个月和6个月时的纯母乳喂养率分别为84%（95%置信区间（CI）：80 - 88%）、49%（95% CI：43 - 55%）、37%（95% CI：32 - 42%）和9%（95% CI：7 - 11%）。存在显著的种族差异，萨摩亚母亲的纯母乳喂养率高于汤加母亲（P = 0.002）。出院时、6周、12个月和24个月时接受任何母乳的婴儿百分比分别为96%（95% CI：94 - 97%）、95%（95% CI：94 - 96%）、31%（95% CI：28 - 34%）和15%（95% CI：13 - 17%）。种族差异再次显现。报告的停止纯母乳喂养的常见原因包括母乳供应不确定（56%）、乳房问题（30%）以及在工作或教育环境中母乳喂养困难（26%）。然而，691名（50%）母亲在婴儿出生后的前六周内未就其母乳喂养问题寻求任何建议。
太平洋岛屿裔婴儿的纯母乳喂养率在种族上存在差异，自20世纪90年代以来有所下降，未达到世界卫生组织的建议。报告的停止纯母乳喂养的主要原因与十多年前的情况相似。
