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昌迪加尔城市贫民窟母乳喂养的社会人口学相关因素

Socio-demographic correlates of breast-feeding in urban slums of Chandigarh.

作者信息

Kumar Dinesh, Agarwal Neeraj, Swami H M

机构信息

Department of Community Medicine, Govt. Medical College and Hospital, Chandigarh, India.

出版信息

Indian J Med Sci. 2006 Nov;60(11):461-6.

Abstract

RESEARCH QUESTION

Whether socio-demographic factors are associated with initiation of breast-feeding in urban slums of Chandigarh.

OBJECTIVES

(1) To study the prevailing breast-feeding practices adopted by mothers, (2) To study the socio-demographic factors associated with initiation of breast-feeding.

STUDY DESIGN

Cross-sectional.

PARTICIPANTS

Mothers of infants willing to participate in the study in the selected area.

SAMPLE SIZE

A total of 270 respondents.

STUDY VARIABLES

Social and demographic characteristics like age, socioeconomic status, educational level, birth interval, parity, gender preference, natal care practices, etc.; and variables related to various aspects of breast-feeding practices like prelacteal feed, initiation of feeding, colostrum feeding, reasons of discarding colostrum, etc.

STATISTICAL ANALYSIS

Chi-square test and odd ratios along with their respective 95% confidence intervals, multiple logistic regression analysis.

RESULTS

Out of all 270 respondents, 159 (58.9%) initiated breast-feeding within 6 h of birth, only 43 (15.9%) discarded colostrum and 108 (40.0%) mothers gave prelacteal feed. Illiterate/just literate mothers who delivered at home were found at significantly higher risk of delay in initiation of breast-feeding on the basis of multiple logistic regression analysis.

SUGGESTIONS

Promotion of institutional deliveries and imparting health education to mothers for protecting and promoting optimal breast-feeding practices are suggested.

摘要

研究问题

在昌迪加尔的城市贫民窟中,社会人口因素是否与母乳喂养的开始有关。

目标

(1)研究母亲们普遍采用的母乳喂养方式;(2)研究与母乳喂养开始相关的社会人口因素。

研究设计

横断面研究。

参与者

在选定区域内愿意参与研究的婴儿的母亲。

样本量

共270名受访者。

研究变量

社会和人口特征,如年龄、社会经济地位、教育水平、生育间隔、胎次、性别偏好、产前护理方式等;以及与母乳喂养方式各个方面相关的变量,如开奶前喂养、开始喂养、初乳喂养、丢弃初乳的原因等。

统计分析

卡方检验、比值比及其各自的95%置信区间、多元逻辑回归分析。

结果

在所有270名受访者中,159名(58.9%)在出生后6小时内开始母乳喂养,只有43名(15.9%)丢弃初乳,108名(40.0%)母亲进行了开奶前喂养。根据多元逻辑回归分析,发现在家分娩的文盲/刚识字的母亲开始母乳喂养延迟的风险显著更高。

建议

建议推广机构分娩,并向母亲们传授健康教育,以保护和促进最佳母乳喂养方式。

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