Yale School of Public Health, 135 College Street, New Haven, CT 06510, USA.
Matern Child Nutr. 2013 Apr;9(2):188-98. doi: 10.1111/j.1740-8709.2011.00344.x. Epub 2011 Jul 25.
We sought to assess the relationship between acculturative type and breastfeeding outcomes among low-income Latinas, utilising a multidimensional assessment of acculturation. We analysed data derived from a breastfeeding peer counselling randomised trial. Acculturation was assessed during pregnancy using a modified Acculturation Rating Scale for Mexican Americans scale. Analyses were restricted to Latinas who completed the acculturation scale and had post-partum breastfeeding data (n = 114). Cox survival analyses were conducted to evaluate differences in breastfeeding continuation and exclusivity by acculturative type. Participants were classified as integrated-high (23.7%, n = 27), traditional Hispanic (36.8%, n = 42), integrated-low (12.3%, n = 14) and assimilated (27.2%, n = 31). The integrated-low group was significantly more likely to continue breastfeeding than the traditional Hispanic, assimilated, and integrated-high groups (P < 0.05, P < 0.05, and P < 0.01, respectively). The traditional Hispanic group was marginally more likely to continue breastfeeding than the integrated-high group (P = 0.06). Breastfeeding continuation rates vary significantly between acculturative types in this multinational, low-income Latina sample. Multidimensional assessments of acculturation may prove useful in better tailoring future breastfeeding promotion interventions.
我们旨在评估在利用多维文化适应评估的情况下，低收入拉丁裔的文化适应类型与母乳喂养结果之间的关系。我们分析了来自母乳喂养同伴咨询随机试验的数据。在怀孕期间使用改良的墨西哥裔美国人文化适应评定量表评估文化适应。分析仅限于完成文化适应量表并有产后母乳喂养数据的拉丁裔女性（n=114）。采用 Cox 生存分析评估不同文化适应类型的母乳喂养持续时间和排他性的差异。参与者被分类为整合型高（23.7%，n=27）、传统西班牙裔（36.8%，n=42）、整合型低（12.3%，n=14）和同化型（27.2%，n=31）。与传统西班牙裔、同化和整合型高组相比，整合型低组持续母乳喂养的可能性显著更高（P<0.05，P<0.05 和 P<0.01）。传统西班牙裔组持续母乳喂养的可能性略高于整合型高组（P=0.06）。在这个多国家、低收入拉丁裔样本中，不同文化适应类型之间的母乳喂养持续率存在显著差异。文化适应的多维评估可能有助于更好地调整未来的母乳喂养促进干预措施。
