Department of Family Medicine, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu-si 11749, Korea.
Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05030, Korea.
Int J Environ Res Public Health. 2021 Dec 16;18(24):13279. doi: 10.3390/ijerph182413279.
Many efforts have been launched to promote breastfeeding in Korea. However, breastfeeding trends and associated factors with breastfeeding in Korea remain unknown. This study aimed to examine trends and determinants in breastfeeding using the Korea National Health and Nutrition Examination Survey (KNHANES) (2010-2018). We analyzed data from the KNHANES V (2010-2012), VI (2013-2015), and VII (2016-2018). A total of 9232 women aged 19-49 years were included in this study. We performed multivariable logistic regression analyses to investigate breastfeeding prevalence trends and associated factors with breastfeeding. Compared to 2010-2012, the odds ratio associated with breastfeeding during 2013-2015 and 2016-2018 increased to 1.30 (95% confidence interval (CI): 1.11-1.51) and 1.40 (95% CI: 1.21-1.63), respectively. The breastfeeding rate was associated with 40-49 years (OR, 95% CI: 0.47, 0.34-0.64 compared to 19-29 years), richer and poorer income (1.20, 1.03-1.39 in richer group and 1.24, 1.05-1.46 in poorer group compared to richest group), education level (0.74, 0.65-0.86 in ≤12 years of education compared to ≥13 years of education), smoking status (1.77, 1.38-2.28 in non-smoking compared to smoking), and self-rated health (1.40, 1.14-1.70 in good and 1.20, 1.00-1.44 in average compared to bad). Education programs and policies such as the Baby-Friendly Hospital Initiative (BFHI) and mother-friendly workplaces are necessary to increase the rates of breastfeeding in these groups.
韩国已经开展了多项工作来促进母乳喂养。然而，韩国母乳喂养的趋势和相关因素仍然未知。本研究旨在使用韩国国民健康和营养调查（KNHANES）（2010-2018 年）来检查母乳喂养的趋势和决定因素。我们分析了 KNHANES V（2010-2012 年）、VI（2013-2015 年）和 VII（2016-2018 年）的数据。共纳入 9232 名 19-49 岁的女性。我们进行了多变量逻辑回归分析，以调查母乳喂养的流行趋势和与母乳喂养相关的因素。与 2010-2012 年相比，2013-2015 年和 2016-2018 年母乳喂养的比值比分别增加到 1.30（95%置信区间（CI）：1.11-1.51）和 1.40（95%CI：1.21-1.63）。母乳喂养率与 40-49 岁（OR，95%CI：0.47，0.34-0.64 与 19-29 岁相比）、收入较高和较低（较高收入组 1.20，1.03-1.39，较低收入组 1.24，1.05-1.46 与最富有组相比）、教育程度（≤12 年教育 0.74，0.65-0.86 与≥13 年教育相比）、吸烟状况（非吸烟 1.77，1.38-2.28 与吸烟相比）和自我报告的健康状况（良好 1.40，1.14-1.70 和一般 1.20，1.00-1.44 与差相比）有关。需要开展婴儿友好医院倡议（BFHI）和母婴友好型工作场所等教育计划和政策，以提高这些人群的母乳喂养率。
