Rigotti Renata Ribeiro, de Oliveira Maria Inês Couto, Boccolini Cristiano Siqueira
Universidade Federal Fluminense, Niterói, RJ, Brasil,
Departamento de Epidemiologia e Bioestatística, Instituto de Saúde Coletiva, Universidade Federal Fluminense.
Cien Saude Colet. 2015 Apr;20(4):1235-44. doi: 10.1590/1413-81232015204.00782014.
The World Health Organization recommends breastfeeding for two years or more and advises against bottle feeding and pacifier use.
Investigate the association between bottle feeding and pacifier use, and breastfeeding in the second half-year of life.
Survey in a municipality of Rio de Janeiro state, in 2006, interviewing those responsible for 580 children aged 6-11 months. Bottle feeding and pacifier use, and variables which in the bivariate analysis were associated with the outcome 'absence of breastfeeding' (≥ 0.20), were selected for multiple analysis. Adjusted prevalence ratios were obtained by a Poisson regression model.
40% of the children 6-11 months were not being breastfed, 47% used a pacifier and 57% used a bottle. Pacifier use (PR = 3.245; CI95%: 2.490-4.228) and bottle feeding (PR = 1.605; CI95%: 1.273-2.023) were shown to be strongly associated with the outcome, and also with: mother's low schooling (PR = 0.826; CI95%: 0.689-0.990); low birth weight (PR = 1.488; CI95%: 1.159-1.910); mother not being the baby carer (PR = 1.324; CI95%: 1.080-1.622); and increasing age of the baby in days (PR = 1.004; CI95%: 1.002-1.006).
The use of pacifiers and bottles can reduce continued breastfeeding. Stronger discouragement of these artifacts should be adopted in public health policies.
世界卫生组织建议母乳喂养两年或更长时间，并反对奶瓶喂养和使用安抚奶嘴。
调查奶瓶喂养和使用安抚奶嘴与生命后半期母乳喂养之间的关联。
2006年在里约热内卢州的一个市镇进行调查，对580名6至11个月大儿童的负责人进行访谈。选择奶瓶喂养和使用安抚奶嘴，以及在双变量分析中与“未进行母乳喂养”结果（≥0.20）相关的变量进行多变量分析。通过泊松回归模型获得调整后的患病率比值。
6至11个月大的儿童中有40%未进行母乳喂养，47%使用安抚奶嘴，57%使用奶瓶。结果表明，使用安抚奶嘴（PR = ³.²⁴⁵；95%CI：².⁴⁹⁰ - ⁴.²²⁸）和奶瓶喂养（PR = ¹.⁶⁰⁵；95%CI：¹.²⁷³ - ².⁰²³）与该结果密切相关，并且还与以下因素相关：母亲受教育程度低（PR = ⁰.⁸²⁶；95%CI：⁰.⁶⁸⁹ - ⁰.⁹⁹⁰）；低出生体重（PR = ¹.⁴⁸⁸；95%CI：¹.¹⁵⁹ - ¹.⁹¹⁰）；母亲不是婴儿照料者（PR = ¹.³²⁴；95%CI：¹.⁰⁸⁰ - ¹.⁶²²）；以及婴儿日龄增加（PR = ¹.⁰⁰⁴；95%CI：¹.⁰⁰² - ¹.⁰⁰⁶）。
使用安抚奶嘴和奶瓶会减少持续母乳喂养。公共卫生政策应更有力地劝阻使用这些用品。
