Leahy-Warren Patricia, Mulcahy Helen, Phelan Agnes, Corcoran Paul
Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College, Cork, Ireland.
National Suicide Research Foundation, Cork, Ireland / Department of Epidemiology and Public Health, University College Cork, Ireland.
Midwifery. 2014 Mar;30(3):345-52. doi: 10.1016/j.midw.2013.01.008. Epub 2013 Mar 6.
The aim of this research was to identify factors associated with mothers breast feeding and to identify, for those who breast fed, factors associated with breast feeding for as long as planned.
breast feeding rates in Ireland are amongst the lowest in Europe. Research evidence indicates that in order for mothers to be successful at breast feeding, multiplicities of supports are necessary for both initiation and duration. The nature of these supports in tandem with other influencing factors requires analysis from an Irish perspective.
cross-sectional study involving public health nurses and mothers in Ireland. This paper presents the results of the mothers' evaluation.
mothers (n=1715) with children less than three years were offered a choice of completing the self-report questionnaires online or by mail. Data were analysed and reported using descriptive and inferential statistics.
four in every five participants breast fed their infant and two thirds of them breast fed as long as planned. The multivariate logistic regression analysis identified that third level education, being a first time mother or previously having breast fed, participating online, having more than two public health nurse visits, and having a positive infant feeding attitude were independently and statistically significantly associated with breast feeding. Among mothers who breast fed, being aged at least 35 years, participating online, having a positive infant feeding attitude and high breast feeding self-efficacy were independently and statistically significantly associated with breast feeding for as long as planned.
findings from this study reinforce health inequalities therefore there needs to be a renewed commitment to reducing health inequalities in relation to breast feeding.
this study has identified factors associated with initiation and duration of breast feeding that are potentially modifiable through public health interventions.
本研究的目的是确定与母亲母乳喂养相关的因素，并为那些进行母乳喂养的母亲确定与按计划进行母乳喂养相关的因素。
爱尔兰的母乳喂养率在欧洲处于最低水平。研究证据表明，为使母亲成功进行母乳喂养，在开始和持续阶段都需要多种支持。从爱尔兰的角度来看，这些支持的性质以及其他影响因素需要进行分析。
涉及爱尔兰公共卫生护士和母亲的横断面研究。本文展示了母亲评估的结果。
向有三岁以下儿童的母亲（n = 1715）提供在线或邮寄方式完成自我报告问卷的选择。使用描述性和推断性统计分析并报告数据。
五分之四的参与者对其婴儿进行母乳喂养，其中三分之二按计划进行母乳喂养。多变量逻辑回归分析确定，高等教育、初为人母或曾进行过母乳喂养、在线参与、接受超过两次公共卫生护士访视以及对婴儿喂养态度积极与母乳喂养独立且在统计学上显著相关。在进行母乳喂养的母亲中，年龄至少35岁、在线参与、对婴儿喂养态度积极以及母乳喂养自我效能高与按计划进行母乳喂养独立且在统计学上显著相关。
本研究结果强化了健康不平等现象，因此需要重新致力于减少与母乳喂养相关的健康不平等。
本研究确定了与母乳喂养开始和持续时间相关的因素，这些因素有可能通过公共卫生干预措施进行调整。
