Epidemiology Unit, Galician Directorate for Public Health. Consellería de Sanidade, Santiago de Compostela, Spain.
Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain.
Eur J Pediatr. 2020 Jun;179(6):849-853. doi: 10.1007/s00431-020-03579-7. Epub 2020 Jan 20.
The main goals of this study are to estimate the percentage of mothers who declared feeding their children with baby-led weaning (BLW) and to characterize them. A cross-sectional survey was carried out in 2016 targeting women who had given birth in 2016 (sample size 6777) in Galicia (Spain). The questionnaire included questions regarding the mother's characteristics and behaviors, attitudes, and practices related to BLW. Prevalence of exclusive and non-exclusive BLW was estimated. Different maternal characteristics were evaluated for their possible association with BLW using a logistic regression model. The percentages and ORs were presented with a 95% confidence interval. The study included 6355 women, of which 38.6% (37.4-39.9) had heard of BLW and the overall prevalence of BLW was estimated at 14.0% (13.1-14.9). Prevalence of exclusive BLW was estimated at 2.1% (2.4-3.3). No differences were observed when age was taken into consideration. Children fed with BLW were more likely among mothers who continue with exclusive breastfeeding (OR, 4.1 (95% CI, 3.3-5.0)); live in an urban setting (OR, 1.6 (1.2-2.2)); or have a higher level of education (OR, 1.3 (1.1-1.5)).Conclusion: Full adherence to BLW seems low among mothers who claimed to have fed their children following this method.What is Known:• Baby-led weaning (BLW) has been present in our society for almost two decades, but it remains unclear how many mothers choose BLW for their children.What is New:• BLW is not a common choice for weaning in Spain, and more than half of the mothers had not heard about it.• Full adherence to BLW seems low among mothers who claimed to have fed their children following this method.
本研究的主要目的是估计宣称采用婴儿主导的断奶法（BLW）喂养孩子的母亲的比例，并对其进行特征描述。2016 年进行了一项横断面调查，对象为 2016 年分娩的妇女（样本量为 6777 人），地点在西班牙加利西亚。问卷包括母亲的特征和行为、与 BLW 相关的态度和实践等问题。估计了纯 BLW 和非纯 BLW 的流行率。使用逻辑回归模型评估了不同的母亲特征与 BLW 的可能关联。使用 95%置信区间呈现了百分比和 OR。该研究共纳入 6355 名女性，其中 38.6%（37.4-39.9）听说过 BLW，总体 BLW 流行率估计为 14.0%（13.1-14.9）。纯 BLW 的流行率估计为 2.1%（2.4-3.3）。考虑年龄时没有观察到差异。采用 BLW 喂养的孩子的母亲更有可能继续纯母乳喂养（OR，4.1（95%CI，3.3-5.0））；居住在城市地区（OR，1.6（1.2-2.2））；或受过更高的教育（OR，1.3（1.1-1.5））。结论：宣称采用 BLW 喂养孩子的母亲中，完全遵循 BLW 的比例似乎较低。已知：• BLW 在我们的社会中已经存在了将近二十年，但仍不清楚有多少母亲选择 BLW 作为孩子的断奶方法。新发现：• BLW 在西班牙不是一种常见的断奶方法，超过一半的母亲没有听说过它。• 宣称采用 BLW 喂养孩子的母亲中，完全遵循 BLW 的比例似乎较低。
