Robbins Jessica M, Thomas Deepam, Torcato Brian R, Lisi Louise M, Robbins Susan W
Philadelphia Department of Public Health, Philadelphia, PA 19146, USA.
J Health Care Poor Underserved. 2011 May;22(2):473-81. doi: 10.1353/hpu.2011.0062.
In order to determine the proportion of infants seen in safety-net health clinics whose mothers initiated and sustained breastfeeding and to assess predictors of breastfeeding in this largely minority patient population, charts were reviewed for infants treated in the eight Philadelphia Health Centers. Breastfeeding was initiated by 42%; 7.5% breastfed for 180 or more days. Race/ethnicity, mother's age, birth weight, and prematurity were not associated with breastfeeding initiation or maintenance. There were differences in initiation rates between patients born in different hospitals, and between patients seen in different health centers. Hospital and health center differences in breastfeeding initiation and health center differences in breastfeeding maintenance may reflect practice variations and unmeasured differences in patient populations. While breastfeeding rates in this population remain far below targets, the substantial proportion of mothers who did breastfeed and large variations between facilities demonstrate that breastfeeding is possible and can be successfully promoted among economically disadvantaged mothers.
为了确定在安全网健康诊所就诊的婴儿中，其母亲开始并持续进行母乳喂养的比例，并评估这一主要为少数族裔的患者群体中母乳喂养的预测因素，我们查阅了费城八个健康中心治疗的婴儿的病历。42%的母亲开始进行母乳喂养；7.5%的母亲母乳喂养180天及以上。种族/族裔、母亲年龄、出生体重和早产与母乳喂养的开始或持续无关。在不同医院出生的患者之间，以及在不同健康中心就诊的患者之间，母乳喂养的开始率存在差异。医院和健康中心在母乳喂养开始方面的差异以及健康中心在母乳喂养持续方面的差异可能反映了实践差异以及患者群体中未测量的差异。虽然该人群的母乳喂养率仍远低于目标，但进行母乳喂养的母亲比例相当大，且不同机构之间差异很大，这表明母乳喂养是可行的，并且可以在经济弱势的母亲中成功推广。
