1 Family Resiliency Center, Department of Human Development and Family Studies, University of Illinois , Urbana-Champaign, Urbana, Illinois.
2 Division of Nutritional Sciences, University of Illinois , Urbana-Champaign, Urbana, Illinois.
Breastfeed Med. 2018 Nov;13(9):598-606. doi: 10.1089/bfm.2018.0056. Epub 2018 Oct 9.
Research consistently supports health benefits of breastfeeding; however, rates in the United States remain below Healthy People 2020 goals. To increase breastfeeding, information and support are needed from multiple sources. Given differences in breastfeeding rates by demographic characteristics, sources of information and support may also differ. In addition, recent research suggests potential differences in health outcomes related to feeding method (direct breastfeeding only, feeding expressed human milk, combination-feeding with formula). This study examined (1) information and support received within Centers for Disease Control and Prevention (CDC)-defined strategies for supporting breastfeeding mothers, (2) differences in rates of information and support received by demographics, and (3) associations with feeding method at 6 weeks postpartum.
A sample of 447 women participating in the Synergistic Theory Research Obesity and Nutrition Group (STRONG) Kids 2 study completed surveys with questions from the CDC Survey on Infant Feeding Practices II related to sources of information and support for breastfeeding and breast pump use, and about demographics and feeding method at 6 weeks postpartum.
Frequencies of supports received within each category indicate that professional supports were the most pervasive, followed by support from friends and relatives. However, women at greater risk for breastfeeding cessation (lower education, Women, Infants, and Children participants, single mothers) received information and support at lower rates. Education and information support was the only source significantly associated with feeding method.
New approaches are needed to increase efficacy of information delivery, especially for at-risk populations, to better meet CDC recommendations.
研究一直支持母乳喂养对健康有益；然而，美国的母乳喂养率仍低于《2020 年健康人》的目标。为了增加母乳喂养，需要来自多个来源的信息和支持。鉴于母乳喂养率因人口统计学特征的不同而有所差异，信息和支持的来源也可能不同。此外，最近的研究表明，与喂养方式（仅直接母乳喂养、喂养挤出的人乳、配方奶混合喂养）相关的健康结果可能存在差异。本研究调查了（1）在疾病预防控制中心（CDC）定义的支持母乳喂养母亲的策略中所获得的信息和支持，（2）不同人口统计学特征获得信息和支持的差异，以及（3）与产后 6 周时喂养方式的关联。
参加协同理论研究肥胖和营养小组（STRONG）Kids 2 研究的 447 名女性完成了 CDC 婴儿喂养实践调查 II 相关的问卷调查，内容包括母乳喂养和吸乳器使用的信息和支持来源，以及产后 6 周时的人口统计学特征和喂养方式。
每个类别中所获得支持的频率表明，专业支持最为普遍，其次是朋友和亲戚的支持。然而，母乳喂养中断风险较高的女性（教育程度较低、妇女、婴儿和儿童参与者、单身母亲）获得信息和支持的比例较低。教育和信息支持是唯一与喂养方式显著相关的来源。
需要新的方法来提高信息传递的效果，特别是针对高风险人群，以更好地符合 CDC 的建议。
