Newton Kimberly Niles, Chaudhuri Jana, Grossman Xena, Merewood Anne
Breastfeeding Center, Boston Medical Center, Boston, MA 02118, USA.
J Hum Lact. 2009 Feb;25(1):28-33. doi: 10.1177/0890334408329437.
Latina women living in the United States initiate breastfeeding at high rates, but their exclusivity is low. We examined factors associated with exclusive breastfeeding prior to discharge among 349 healthy Latina women giving birth at a Baby-Friendlytrade mark hospital in Massachusetts in 2004 to 2005. Factors associated with exclusive breastfeeding included maternal age <25 years (P = .017), US-born mother (P = .023), and having a Birth Sister(sm) (doula) ( P = .030). In multivariate logistic regression analysis, maternal age <25 years (adjusted odds ratio [AOR] 2.29; 95% confidence interval [CI], 1.28-4.10), US-born mother (AOR 3.16; 95% CI, 1.20-8.29), and Birth Sister involvement (AOR 2.16; 95% CI, 1.18-3.97) remained positively associated with exclusive breastfeeding. Compared with women who gave 4 or more formula feeds, women who gave only 1 to 3 formula feeds were more likely to have a Birth Sister (AOR 1.95; 95% CI, 1.05-3.63), to deliver vaginally (AOR 3.05; 95% CI, 1.32-7.05), and to delay the first formula feed (AOR 1.04; 95% CI, 1.02-1.06).
居住在美国的拉丁裔女性开始母乳喂养的比例很高，但纯母乳喂养率却很低。我们调查了2004年至2005年期间在马萨诸塞州一家获得“爱婴医院”认证的医院分娩的349名健康拉丁裔女性出院前与纯母乳喂养相关的因素。与纯母乳喂养相关的因素包括产妇年龄<25岁（P = 0.017）、在美国出生的母亲（P = 0.023）以及有“生育姐妹”（导乐）（P = 0.030）。在多因素逻辑回归分析中，产妇年龄<25岁（调整后的优势比[AOR] 2.29；95%置信区间[CI]，1.28 - 4.10）、在美国出生的母亲（AOR 3.16；95% CI，1.20 - 8.29）以及有“生育姐妹”参与（AOR 2.16；95% CI，1.18 - 3.97）仍与纯母乳喂养呈正相关。与喂养4次或更多次配方奶的女性相比，仅喂养1至3次配方奶的女性更有可能有“生育姐妹”（AOR 1.95；95% CI，1.05 - 3.63）、经阴道分娩（AOR 3.05；95% CI，1.32 - 7.05）以及延迟首次喂养配方奶（AOR 1.04；95% CI，1.02 - 1.06）。
