Akter Shamima, Rahman M Mizanur
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh.
J Health Popul Nutr. 2010 Dec;28(6):595-601. doi: 10.3329/jhpn.v28i6.6608.
The purpose of this study was to assess the duration of breastfeeding and the sociodemographic factors affecting it. Data for the study were drawn from the Bangladesh Demographic and Health Survey 2004. In total 5,364 mothers were included in the study. The life table and Cox's proportional hazards model were employed for the analysis of breastfeeding-related data, which showed that the average duration of breastfeeding was 31.9 months. Cox regression analysis revealed that the duration of breastfeeding was positively associated with maternal age, contraceptive-use, work status, and religion and was negatively associated with age at marriage, parity, delivery status, region, and maternal education. Younger mothers, having higher education, higher maternal parity, caesarean-section birth, being a Muslim, and mothers who have not used any contraceptive were associated with lower duration of breastfeeding. The findings suggest that health institutions can play a significant role in promoting breastfeeding in Bangladesh. Educational campaigns that stress the benefits of lactation are important strategies for encouraging mothers to breastfeed longer.
本研究的目的是评估母乳喂养的持续时间以及影响母乳喂养的社会人口学因素。该研究的数据取自2004年孟加拉国人口与健康调查。共有5364名母亲纳入本研究。采用生命表和考克斯比例风险模型对母乳喂养相关数据进行分析,结果显示母乳喂养的平均持续时间为31.9个月。考克斯回归分析表明,母乳喂养持续时间与母亲年龄、避孕措施使用情况、工作状况及宗教信仰呈正相关,与结婚年龄、胎次、分娩状况、地区及母亲受教育程度呈负相关。年轻母亲、受过高等教育、较高的母亲胎次、剖宫产分娩、为穆斯林以及未使用任何避孕措施的母亲,其母乳喂养持续时间较短。研究结果表明,卫生机构在孟加拉国促进母乳喂养方面可发挥重要作用。强调哺乳益处的教育活动是鼓励母亲延长母乳喂养时间的重要策略。