Chen Yi-Chun, Chie Wei-Chu, Kuo Shu-Chen, Lin Yu-Hsuan, Lin Shio-Jean, Chen Pau-Chung
School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan.
Qual Life Res. 2007 Oct;16(8):1281-8. doi: 10.1007/s11136-007-9233-1. Epub 2007 Jul 7.
This study compared the health-related quality of life (HRQOL) of mothers using different infant feeding methods.
We used the Medical Outcomes Study 36-item Short-Form (SF-36) to measure the HRQOL of 1,747 mothers and used the scores to look for associations with infant feeding methods (not breastfeeding, breastfeeding for <1 month, breastfeeding 1-5 months, and still breastfeeding at the 6th month). The mothers were chosen via a stratified sampling from the Taiwan national birth registration data between November and December 2003.
HRQOL and breastfeeding duration were positively associated. Of the eight unadjusted domain scores of the SF-36, general health perception and mental health were significantly different among these four different infant feeding groups (P < 0.05). After controlling for potential confounding factors, mothers who breastfed for 6 months or longer had a higher HRQOL score than the other mothers. In addition, their physical functioning, general health perception and mental health scores were higher than those of mothers who did not breastfeed (P < 0.05). Mother's family income and parity and child's health status were also associated with mother's quality of life.
Compared to the other mothers, mothers who breastfed for six moths or longer had better HRQOL. However, the limitation that this study was cross-sectional in design should be considered and further studies are needed.
本研究比较了采用不同婴儿喂养方式的母亲的健康相关生活质量(HRQOL)。
我们使用医学结局研究36项简表(SF - 36)来测量1747名母亲的HRQOL,并利用得分来寻找与婴儿喂养方式(非母乳喂养、母乳喂养<1个月、母乳喂养1 - 5个月以及在第6个月时仍在母乳喂养)之间的关联。这些母亲是通过分层抽样从2003年11月至12月台湾地区国家出生登记数据中选取的。
HRQOL与母乳喂养持续时间呈正相关。在SF - 36的八个未经调整的领域得分中,这四个不同婴儿喂养组之间的总体健康感知和心理健康存在显著差异(P < 0.05)。在控制了潜在的混杂因素后,母乳喂养6个月或更长时间的母亲的HRQOL得分高于其他母亲。此外,她们的身体功能、总体健康感知和心理健康得分高于未进行母乳喂养的母亲(P < 0.05)。母亲的家庭收入、胎次以及孩子的健康状况也与母亲的生活质量相关。
与其他母亲相比,母乳喂养6个月或更长时间的母亲具有更好的HRQOL。然而,应考虑到本研究为横断面设计这一局限性,并且需要进一步的研究。