Li Lingling, Ye Ruixue, Sun Chang, Wang Qingzhi, Wu Yangyang, Lei Puchao, Meng Sha, Du Yan, Li Linhua, Zhou Huan
Department of Health Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China.
Wei Sheng Yan Jiu. 2021 Mar;50(2):250-255. doi: 10.19813/j.cnki.weishengyanjiu.2021.02.014.
To evaluate the status of breastfeeding among infants aged 0-18 months in rural areas of Han, Tibetan and Yi ethnic in Sichuan Province, and to explore the relevant impact factors.
Using multistage sampling method, choose two Han county, two Tibetan county and two Yi county rural 0-18 months infants and young children with their mother as the subjects in Sichuan Province, to collect mothers and infants and young children's demography, family status, the information such as breastfeeding knowledge and behavior through questionnaires. Unconditional Logistic regression was used to analyze the influencing factors of breastfeeding.
Among the 1087 infants, early initiation of breastfeeding rate was 22. 45%, among the 985 infants aged 6 months and above, the rate of exclusive breastfeeding under 6 months was 35. 94%, among the 658 infants aged 12 months and above, the rate of continued breastfeeding at 1 year was 34. 50%. The favorable factors for early initiation of breastfeeding were that normal delivery(OR=2. 80, 95% CI 1. 82-4. 30) and mothers with knowledge of early initiation of breastfeeding behavior(OR=2. 48, 95% CI 1. 69-3. 64). Tibetan mother(OR=1. 56, 95% CI 1. 02-2. 39), very good family economic status(OR=2. 70, 95% CI 1. 47-4. 98), mother's knowledge of exclusive breastfeeding under 6 months(OR=1. 47, 95% CI 1. 07-2. 02) were favorable factors for exclusive breastfeeding behavior under 6 months. Second birth and above(OR=1. 67, 95% CI 1. 11-2. 52) and mothers' knowledge of weaning(OR=3. 96, 95% CI 2. 65-5. 93) were favorable factors for continued breastfeeding at 1 year.
The status of breastfeeding in the multi-ethnic rural areas of Sichuan Province is poor. The mother's ethnicity, delivery method, and whether they have relevant knowledge, parity and family economic status will affect the breastfeeding behavior of infant mothers.
评估四川省汉、藏、彝民族农村地区0 - 18个月龄婴儿的母乳喂养状况，并探讨相关影响因素。
采用多阶段抽样方法，选取四川省两个汉族县、两个藏族县和两个彝族县农村0 - 18个月龄婴幼儿及其母亲作为研究对象，通过问卷调查收集母亲及婴幼儿的人口学特征、家庭状况、母乳喂养知识及行为等信息。采用非条件Logistic回归分析母乳喂养的影响因素。
1087名婴儿中，早开奶率为22.45%；985名6月龄及以上婴儿中，6个月内纯母乳喂养率为35.94%；658名12月龄及以上婴儿中，1岁时继续母乳喂养率为34.50%。早开奶的有利因素为顺产（OR = 2.80，95%CI 1.82 - 4.30）及母亲具有早开奶行为知识（OR = 2.48，95%CI 1.69 - 3.64）。藏族母亲（OR = 1.56，95%CI 1.02 - 2.39）、家庭经济状况非常好（OR = 2.70，95%CI 1.47 - 4.98）、母亲具有6个月内纯母乳喂养知识（OR = 1.47，95%CI 1.07 - 2.02）是6个月内纯母乳喂养行为的有利因素。二胎及以上（OR = 1.67，95%CI 1.11 - 2.52）及母亲具有断奶知识（OR = 3.96，95%CI 2.65 -
