Qiu Liqian, Zhao Yun, Binns Colin W, Lee Andy H, Xie Xing
Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China.
School of Public Health, Curtin University, Perth, WA, Australia.
Int Breastfeed J. 2009 Jan 28;4:1. doi: 10.1186/1746-4358-4-1.
Rates of exclusive breastfeeding in China are relatively low and below national targets. The aim of this study was to document the factors that influence exclusive breastfeeding initiation in Zhejiang, PR China.
A cohort study of infant feeding practices was undertaken in Zhejiang Province, an eastern coastal region of China. A total of 1520 mothers who delivered in four hospitals located in city, suburb and rural areas during late 2004 to 2005 were enrolled in the study. Multivariate logistic regression analysis was used to explore factors related to exclusive breastfeeding initiation.
On discharge from hospital, 50.3% of the mothers were exclusively breastfeeding their infants out of 96.9% of the mothers who had earlier initiated breastfeeding. Exclusive breastfeeding was positively related to vaginal birth, baby's first feed being breast milk, mother living in the suburbs or rural areas, younger age of mother, lower maternal education level and family income.
The exclusive breastfeeding rate in Zhejiang is only 50.3% on discharge and does not reach Chinese or international targets. A number of behaviours have been identified in the study that could be potentially incorporated into health promotion activities.
中国的纯母乳喂养率相对较低，未达到国家目标。本研究旨在记录影响中国浙江省纯母乳喂养开始的因素。
在中国东部沿海地区的浙江省进行了一项关于婴儿喂养方式的队列研究。2004年末至2005年期间，共有1520名在城市、郊区和农村地区的四家医院分娩的母亲参与了该研究。采用多因素逻辑回归分析来探究与纯母乳喂养开始相关的因素。
在出院时，在早期开始母乳喂养的96.9%的母亲中，有50.3%的母亲正在对其婴儿进行纯母乳喂养。纯母乳喂养与顺产、婴儿的首次喂养为母乳、母亲居住在郊区或农村地区、母亲年龄较小、母亲教育水平较低以及家庭收入较低呈正相关。
浙江省出院时的纯母乳喂养率仅为50.3%，未达到中国或国际目标。本研究中已确定了一些行为，这些行为有可能纳入健康促进活动中。
