Pager Sylvia R, Davis James, Harrigan Rosanne
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, 1380 Lusitana St, Ste 90, Honolulu, HI 96813, USA.
Ethn Dis. 2008 Spring;18(2 Suppl 2):S2-215-8.
The purpose of this study, conducted in a multiethnic population in Hawaii, was to estimate the prevalence of breastfeeding at six months of age, exclusive and otherwise, as well as to identify positively and negatively associated factors.
A content-valid survey was conducted among a random stratified sample, and a printed questionnaire was sent to mothers of infants aged 7-10 months. A response rate of 70% yielded 701 completed surveys.
At six months after birth, some breastfeeding was practiced by 54% of respondents. The rate of exclusive breastfeeding was approximately 16% at six months. Race and ethnicity assessment showed that Whites had the highest rates and Filipinos the lowest. Formula use in the hospital was most significantly associated with lower breastfeeding rates at six months.
Exclusive breastfeeding for six months, even in a state with extremely high initiation rates, is seldom achieved. Formula use in the maternity units should be reduced, and intensive targeted study and education of the Filipino community should be undertaken.
本研究在夏威夷的一个多民族人群中开展，旨在估算六个月大婴儿的母乳喂养率（包括纯母乳喂养率及其他情况），并确定相关的正面和负面因素。
对一个随机分层样本进行了内容有效的调查，并向7至10个月大婴儿的母亲发送了印刷问卷。70%的回复率产生了701份完整的调查问卷。
在出生六个月后，54%的受访者进行了某种形式的母乳喂养。六个月时的纯母乳喂养率约为16%。种族和民族评估显示，白人的母乳喂养率最高，菲律宾人的最低。在医院使用配方奶与六个月时较低的母乳喂养率最显著相关。
即使在一个母乳喂养起始率极高的州，六个月纯母乳喂养也很少能实现。应减少产科病房配方奶的使用，并对菲律宾社区进行有针对性的深入研究和教育。
