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产后访视时 Hispanic 和非 Hispanic 妇女的母乳喂养实践。

Breastfeeding Practices Among Hispanic and Non-Hispanic Women at the Postpartum Visit.

机构信息

1 Community Memorial Health System, Ventura, CA, USA.

2 Health Science Program, California State University, Channel Islands, Camarillo, CA, USA.

出版信息

J Hum Lact. 2018 Aug;34(3):485-493. doi: 10.1177/0890334418774765. Epub 2018 May 22.

DOI:10.1177/0890334418774765
PMID:29787690
Abstract

BACKGROUND

Breastfeeding is an active area in public health advocacy. Despite documented benefits for infants and mothers, exclusive breastfeeding is not universal. Ethnicity, among other variables, has been shown to influence breastfeeding practice. Research aim: Our study aimed to determine which variables are associated with infant feeding patterns at the postpartum visit; compare the sociodemographic variables associated with infant feeding patterns between Hispanic and non-Hispanic mothers; and determine the odds of exclusive breastfeeding, mixed feeding, and exclusive formula feeding associated with sociodemographic characteristics.

METHODS

A retrospective, cross-sectional two-group comparison design was used. Hispanic and non-Hispanic women's ( N = 666) infant feeding patterns at 6-week postpartum were analyzed. Group comparisons were made of the demographic characteristics and infant feeding practice.

RESULTS

Thirty-four percent of Hispanic participants reported exclusive breastfeeding compared with 59% of non-Hispanic White participants. Language and body mass index were significantly associated with infant feeding patterns among Hispanic participants. Compared with non-Hispanic White participants, Hispanic participants had increased odds of reporting mixed feeding and exclusive formula feeding.

CONCLUSION

Breastfeeding initiatives should target English-speaking Hispanic mothers and obese Hispanic mothers to align breastfeeding rates with medical recommendations. Healthcare providers may benefit from additional training to address barriers to breastfeeding among obese women and to provide culturally sensitive support that encourages continued breastfeeding in this population.

摘要

背景

母乳喂养是公共卫生倡导的一个活跃领域。尽管有文件证明对婴儿和母亲都有好处,但纯母乳喂养并非普遍现象。种族等变量已被证明会影响母乳喂养的实践。研究目的:我们的研究旨在确定哪些变量与产后访视时的婴儿喂养模式相关;比较西班牙裔和非西班牙裔母亲的婴儿喂养模式相关的社会人口学变量;并确定与社会人口学特征相关的纯母乳喂养、混合喂养和纯配方奶喂养的几率。

方法

采用回顾性、横断面两组比较设计。分析了 6 周产后西班牙裔和非西班牙裔白人妇女(N=666)的婴儿喂养模式。对人口统计学特征和婴儿喂养实践进行了组间比较。

结果

34%的西班牙裔参与者报告纯母乳喂养,而非西班牙裔白人参与者为 59%。语言和体重指数与西班牙裔参与者的婴儿喂养模式显著相关。与非西班牙裔白人参与者相比,西班牙裔参与者报告混合喂养和纯配方奶喂养的几率更高。

结论

母乳喂养计划应针对讲英语的西班牙裔母亲和肥胖的西班牙裔母亲,使母乳喂养率与医疗建议保持一致。医疗保健提供者可能受益于额外的培训,以解决肥胖妇女母乳喂养的障碍,并提供文化上敏感的支持,鼓励在这一人群中继续母乳喂养。

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