Meneses Tatiana Mota Xavier de, Oliveira Maria Inês Couto de, Boccolini Cristiano Siqueira
Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva, Niterói, RJ, Brazil.
Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Departamento de Epidemiologia e Bioestatística, Niterói, RJ, Brazil.
J Pediatr (Rio J). 2017 Jul-Aug;93(4):382-388. doi: 10.1016/j.jped.2016.09.004. Epub 2017 Apr 19.
To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves.
Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05).
7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09).
Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation.
评估巴西里约热内卢初级卫生保健单位母乳捐赠的患病率，并分析与之相关的因素，以增加母乳库储备。
2013年在巴西里约热内卢开展的横断面研究。对在九家提供母乳捐赠服务的初级卫生保健单位就诊的695名1岁以下儿童的母亲进行了具有代表性的抽样访谈。采用分层方法，通过具有稳健方差的泊松回归获得调整患病率比（APR）。最终模型纳入了与母乳捐赠相关的变量（p≤0.05）。
7.3%的母亲曾捐赠母乳。受到医护人员、亲属或朋友鼓励捐赠母乳（APR=7.06）、从初级卫生保健单位获得母乳挤出信息（APR=3.65）以及得到单位专业人员母乳喂养帮助（APR=2.24）与更高的捐赠患病率相关。新生儿入住新生儿科与较低的捐赠患病率相关（APR=0.09）。
对母乳捐赠的鼓励以及初级卫生保健单位专业人员提供的信息和帮助对母乳捐赠行为很重要。
