Wallenborn Jordyn T, Masho Saba W, Ratliff Scott
Division of Epidemiology, Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, 23298-0212, USA.
Matern Child Health J. 2017 Mar;21(3):554-561. doi: 10.1007/s10995-016-2139-1.
Objectives Despite the benefits of breastfeeding, less than a fifth of American mothers breastfeed for the recommended duration. Paternal support plays a major role in maternal and child health outcomes; however, the influence of paternal pregnancy intention on breastfeeding duration is under investigated. This study examines the relationship between fathers' pregnancy intention and breastfeeding duration. Methods Data from the 2011-2013 National Survey of Family Growth were analyzed using cross-sectional methodology. Women who were pregnant, never received medical help to become pregnant, whose partner was aged 18-49 years, and who responded to questions related to paternal pregnancy intention and breastfeeding were included in the analysis (N = 2089). Multinomial logistic regression, odds ratios and 95 % confidence intervals were calculated. There was a statistically significant interaction between father's age and father's pregnancy intention (P = 0.0385) and all models were stratified by paternal age. Results Fathers aged 18-24 years with a mistimed pregnancy were 2.3 times more likely to have a child who was never breastfed, (AOR 2.27, 95 % CI 1.39-3.70) and 1.7 times more likely to have a child who was breastfed 6 months or less (AOR 1.69, 95 % CI 1.28-2.23) compared to fathers with an intended pregnancy. No statistically significant association was observed among fathers aged 25-49 years. Conclusion Findings from this study show a relationship between mistimed pregnancies and breastfeeding duration among younger fathers. Healthcare professionals should develop breastfeeding interventions targeting fathers and young families.
目标 尽管母乳喂养有诸多益处，但美国只有不到五分之一的母亲按照建议时长进行母乳喂养。父亲的支持对母婴健康结果起着重要作用；然而，父亲怀孕意愿对母乳喂养时长的影响尚待研究。本研究探讨父亲的怀孕意愿与母乳喂养时长之间的关系。方法 使用横断面研究方法分析2011 - 2013年全国家庭成长调查的数据。分析纳入了怀孕、未接受医疗助孕、伴侣年龄在18 - 49岁且回答了与父亲怀孕意愿和母乳喂养相关问题的女性（N = 2089）。计算多项逻辑回归、比值比和95%置信区间。父亲年龄与父亲怀孕意愿之间存在统计学显著交互作用（P = 0.0385），所有模型按父亲年龄分层。结果 与有计划怀孕的父亲相比，年龄在18 - 24岁且怀孕时机不当的父亲，其孩子从未接受母乳喂养的可能性高2.3倍（调整后比值比2.27，95%置信区间1.39 - 3.70），孩子接受母乳喂养6个月或更短时间的可能性高1.7倍（调整后比值比1.69，95%置信区间1.28 - 2.23）。在年龄为25 - 49岁的父亲中未观察到统计学显著关联。结论 本研究结果表明，年轻父亲中怀孕时机不当与母乳喂养时长之间存在关联。医疗保健专业人员应针对父亲和年轻家庭制定母乳喂养干预措施。
