Hoyt-Austin Adrienne, Hazrati Sahel, Berlin Shruti, Hourigan Suchitra, Bodnar Karen
University of California Davis, Sacramento, CA, USA.
Inova Health System, Falls Church, VA, USA.
Glob Pediatr Health. 2021 Dec 22;8:2333794X211062439. doi: 10.1177/2333794X211062439. eCollection 2021.
Understanding modifiable factors related to breastfeeding initiation and duration is critical to increase breastfeeding rates. Maternal parenting confidence is a modifiable factor whose association with breastfeeding duration has not previously been investigated. In a retrospective cohort of 1023 mother-infant dyads, the association between maternal confidence and breastmilk feeding at 6 and 12 months of age were analyzed. The association of breastmilk frequency categories and maternal confidence score at 6 and 12 months was examined using multinomial logistic regression stratified by race, ethnicity, and adjusted for gestational age. We found that breastmilk feeding frequency at 6 months was negatively associated with the maternal confidence score. After stratification by ethnicity, the association was no longer significant. There was no association between human milk feeding frequency at 12 months and maternal confidence score at 12 months. Our results demonstrate the need for additional research to identify modifiable factors to increase breastfeeding rates.
了解与母乳喂养开始和持续时间相关的可改变因素对于提高母乳喂养率至关重要。母亲的育儿信心是一个可改变的因素，其与母乳喂养持续时间之间的关联此前尚未得到研究。在一项对1023对母婴二元组的回顾性队列研究中，分析了母亲信心与6个月和12个月时母乳喂养之间的关联。使用按种族、民族分层并根据胎龄进行调整的多项逻辑回归分析，研究了6个月和12个月时母乳喂养频率类别与母亲信心得分之间的关联。我们发现，6个月时的母乳喂养频率与母亲信心得分呈负相关。按种族分层后，这种关联不再显著。12个月时的母乳喂养频率与12个月时的母亲信心得分之间没有关联。我们的结果表明，需要进行更多研究以确定可改变因素来提高母乳喂养率。
