营养状况、家庭收入及早期开始母乳喂养作为纯母乳喂养成功的决定因素。
Nutritional status, family income and early breastfeeding initiation as determinants to successful exclusive breastfeeding.
作者信息
Shofiya Dian, Sumarmi Sri, Ahmed Faruk
机构信息
Doctoral Program of Public Health, Faculty of Public Health.
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya Indonesia.
出版信息
J Public Health Res. 2020 Jul 2;9(2):1814. doi: 10.4081/jphr.2020.1814. eCollection 2020 Jul 3.
The target by the Indonesian public health services to obtain at least 50% exclusively breastfeed babies during the first 6 months has not been achieved, due to the increased in infant morbidity. This study aims to determine factors associated with exclusive breastfeeding. The cluster random sampling method was used to obtain data from a total of 273 babies in the first 1000 days of life aged 6-24 months and analyzed using linear regression at α= 0.05. The data obtained were based on exclusive breastfeeding using maternal age, education, family income, frequency of antenatal care, nutritional status before pregnancy, place and mode of delivery, gestational age at delivery. The result showed that exclusive breastfeeding was significantly affected by nutritional status before pregnancy based on MUAC (P=0.15) and BMI (P=0.047), family income (P=0.047) and initiation of early breastfeeding (P=0.001). In conclusion, nutritional status before pregnancy tends to benefit the family income, therefore, initiating early breastfeeding need to be improved for successful exclusive breastfeeding.
由于婴儿发病率上升，印度尼西亚公共卫生服务机构设定的在婴儿出生后头6个月至少50%纯母乳喂养的目标尚未实现。本研究旨在确定与纯母乳喂养相关的因素。采用整群随机抽样方法，从273名6至24个月大的1000天生命早期婴儿中获取数据，并在α=0.05水平下进行线性回归分析。所获数据基于纯母乳喂养情况，涉及产妇年龄、教育程度、家庭收入、产前检查频率、孕前营养状况、分娩地点和方式、分娩时的孕周。结果显示，基于上臂围（MUAC）（P=0.15）和体重指数（BMI）（P=0.047）的孕前营养状况、家庭收入（P=0.047）以及早期开始母乳喂养（P=0.001）对纯母乳喂养有显著影响。总之，孕前营养状况往往有利于家庭收入，因此，为实现成功的纯母乳喂养，需要改善早期开始母乳喂养的情况。
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