Cernigliaro Achille, Palmeri Sara, Immordino Palmira, Miceli Patrizia, Pomo Raffaele, Bosco Girolama, Cammarata Maria Concetta, Canzoneri Gaspare, Casuccio Nicolò, Cuccia Mario, Di Pietro Erminio, Giurdanella Filippo, Strazzanti Arcangela, Zagami Filippo, Casuccio Alessandra, Scondotto Salvatore
Dipartimento per le attività sanitarie e osservatorio epidemiologico, Regione Siciliana, Palermo;
Dipartimento di scienze per la promozione della salute materno-infantile "G. D'Alessandro", Università degli Studi di Palermo.
Epidemiol Prev. 2018 Sep-Dec;42(5-6):301-307. doi: 10.19191/EP18.5-6.P301.098.
to describe the prevalence of breastfeeding in Sicily Region (Southern Italy) and to analyze the socioeconomic status and other major risk factors on the attitudes towards exclusive breastfeeding.
information on the practice of breastfeeding in Sicily have been collected from a Regional survey on Sudden Infant Death Syndrome (SIDS). An index of socioeconomic position was created by using data from the 2011 Census of the Italian National Institute of Statistics.
in May 2015, a questionnaire was distributed to all mothers accessing to immunization services in Sicily for the first vaccination of their children. Two hundred seventy-three (273) vaccination centres have been involved, and 2,692 questionnaires were administered.
five socio-economic levels were identified and, for each of them, the prevalence of breastfeeding and the risk factors for nonadherence to exclusive breastfeeding were described.
the prevalence of exclusive breastfeeding was 30.6%, unevenly distributed in the region, being the lowest in the Province of Messina (21.4%). Nonadherence to exclusive breastfeeding was associated with the disadvantage of the low context culture (χ2: 14.9), and was more common in the areas with higher socioeconomic deprivation index (odds ratio - OR: 1.81). Among other determinants investigated, being premature was a risk factor for not being breastfed (OR: 1.59).
the study confirms a low prevalence of breastfeeding in Sicily and its association with the socioeconomic level, being lower among women living in higher disadvantage areas. Moreover, this study confirms the association with co-sleeping practices (rooming-in and bed-sharing) for preterm babies. However, mother-child bed-sharing is not a guarantee for a successful breastfeeding, indeed being associated with a higher risk of SIDS. Finally, the study suggests the need for appropriate interventions focusing on specific high-risk groups.
描述西西里岛地区（意大利南部）的母乳喂养率，并分析社会经济地位及其他主要风险因素对纯母乳喂养态度的影响。
关于西西里岛母乳喂养情况的信息来自一项关于婴儿猝死综合征（SIDS）的地区性调查。利用意大利国家统计局2011年人口普查数据创建了社会经济地位指数。
2015年5月，向西西里岛所有带孩子首次接种疫苗并使用免疫服务的母亲发放了问卷。共有273个疫苗接种中心参与，共发放了2692份问卷。
确定了五个社会经济水平，并针对每个水平描述了母乳喂养率及不坚持纯母乳喂养的风险因素。
纯母乳喂养率为30.6%，在该地区分布不均，在墨西拿省最低（21.4%）。不坚持纯母乳喂养与低文化背景劣势相关（χ2：14.9），在社会经济剥夺指数较高的地区更为常见（优势比 - OR：1.81）。在调查的其他决定因素中，早产是未进行母乳喂养的一个风险因素（OR：1.59）。
该研究证实西西里岛母乳喂养率较低，且与社会经济水平相关，在生活于较高劣势地区的女性中更低。此外，该研究证实了早产婴儿的同室睡眠做法（母婴同室和同床共眠）与之相关。然而，母婴同床共眠并不能保证母乳喂养成功，实际上还与较高的婴儿猝死综合征风险相关。最后，该研究表明需要针对特定高危群体采取适当干预措施。
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