Tang Li, Binns Colin W, Luo Chunming, Zhong Zhiqing, Lee Andy H
School of Public Health, Curtin University, Perth, Western Australia, Australia.
Asia Pac J Clin Nutr. 2013;22(3):443-8. doi: 10.6133/apjcn.2013.22.3.20.
This study aimed to investigate the rate of breastfeeding at discharge and associated influencing factors in rural China. A prospective cohort study of infant feeding practices was undertaken during 2010-2011 in Jiangyou city, Sichuan Province of China. Logistic regression analysis was performed to ascertain pertinent factors affecting the prevalence of any breastfeeding at discharge. The participants consisted of 695 mothers aged 18-44 years. The breastfeeding rate at discharge was 93.5% (95% CI: 91.7-95.3). Perceived paternal breastfeeding preference was positively associated with actual breastfeeding at discharge (OR=4.46, 95% CI: 2.15-9.28). Other significant determinants were 'receiving breastfeeding support' from staff during hospital stay (OR=3.41, 95% CI: 1.58-7.34) and making the decision on feeding method during pregnancy or after childbirth (OR=0.46, 95% CI: 0.22-0.93). In conclusion, provision of comprehensive breastfeeding support in hospital and education programs targeting expectant and future parents are recommended to further increase the rate of breastfeeding at discharge in rural areas of China.
本研究旨在调查中国农村地区出院时的母乳喂养率及相关影响因素。2010年至2011年期间，在中国四川省江油市开展了一项关于婴儿喂养方式的前瞻性队列研究。采用逻辑回归分析来确定影响出院时纯母乳喂养率的相关因素。研究对象为695名年龄在18至44岁之间的母亲。出院时的母乳喂养率为93.5%（95%置信区间：91.7 - 95.3）。父亲对母乳喂养的支持态度与出院时的实际母乳喂养呈正相关（比值比=4.46，95%置信区间：2.15 - 9.28）。其他重要的决定因素包括住院期间从医护人员处“获得母乳喂养支持”（比值比=3.41，95%置信区间：1.58 - 7.34）以及在孕期或产后决定喂养方式（比值比=0.46，95%置信区间：0.22 - 0.93）。总之，建议在中国农村地区的医院提供全面的母乳喂养支持，并针对准父母开展教育项目，以进一步提高出院时的母乳喂养率。
