College of Nursing and Public Health, Adelphi University, Garden City, New York, USA.
Department of Sociology, University Pablo de Olavide, Sevilla, Spain.
Breastfeed Med. 2022 Jun;17(6):528-536. doi: 10.1089/bfm.2021.0282. Epub 2022 Mar 18.
Most countries do not meet World Health Organization's breastfeeding recommendations, and exposure to intimate partner violence (IPV) hinders positive breastfeeding behaviors. One in four U.S. women (43.6 million women) experiences IPV. This study aims to assess relationships between IPV, and breastfeeding initiation, duration, and early cessation among women in 42 U.S. states; and to evaluate possible modifying effect(s) of different breastfeeding information sources. Centers for Disease Control and Prevention's 2016-2018 Pregnancy Risk Assessment Monitoring System data ( = 105,230) were used to assess relationships between prepregnancy/prenatal IPV and breastfeeding initiation, duration, and early cessation; and modify effects of various breastfeeding information sources on study associations using multilogistic regression models. About 1.4% of women experienced prenatal IPV with reduced odds of breastfeeding for 6 months or more (odds ratio [OR] = 0.74; 95% confidence interval = 0.58-0.94). Receiving breastfeeding information from baby's doctor modified early cessation (0.37 [0.18-0.78]) ( for interaction = 0.009) with prenatal IPV exposure. Among women exposed to prenatal IPV, breastfeeding initiation was stronger in women who received breastfeeding information from family/friends (2.46, [1.24-4.88]) ( for interaction = 0.010) or from breastfeeding support groups (3.03 [1.17-7.88]) ( for interaction = 0.023) compared to those who did not. Breastfeeding information from family/friends modified association between prepregnancy IPV and breastfeeding duration (0.67 [0.45-0.99]) ( for interaction = 0.042). Prenatal IPV is a risk factor for short-duration breastfeeding. Receiving information from doctors, nurses, support groups, and family/friends may improve breastfeeding behavior among IPV-exposed women. Interventions promoting breastfeeding information dissemination by family/friends, support groups, and doctors/nurses during hospital visits are encouraged.
大多数国家都不符合世界卫生组织的母乳喂养建议，而亲密伴侣暴力（IPV）的暴露会阻碍积极的母乳喂养行为。美国每四个妇女中就有一个（4360 万妇女）经历过 IPV。本研究旨在评估在美国 42 个州的妇女中，IPV 与母乳喂养开始、持续时间和早期停止之间的关系；并评估不同母乳喂养信息来源的可能调节作用。使用疾病预防控制中心 2016-2018 年妊娠风险评估监测系统的数据（ = 105230）来评估孕前/产前 IPV 与母乳喂养开始、持续时间和早期停止之间的关系；并使用多逻辑回归模型评估各种母乳喂养信息来源对研究关联的调节作用。大约 1.4%的妇女在怀孕期间经历过 IPV，母乳喂养 6 个月或更长时间的可能性降低（比值比[OR] = 0.74；95%置信区间 = 0.58-0.94）。从婴儿医生那里获得母乳喂养信息改变了早期停止（0.37 [0.18-0.78]）（交互作用 = 0.009）与产前 IPV 暴露。在经历过产前 IPV 的妇女中，从家人/朋友（2.46，[1.24-4.88]）（交互作用 = 0.010）或母乳喂养支持小组（3.03 [1.17-7.88]）（交互作用 = 0.023）获得母乳喂养信息的妇女，母乳喂养的开始率更强。从家人/朋友那里获得的母乳喂养信息改变了孕前 IPV 与母乳喂养持续时间之间的关联（0.67 [0.45-0.99]）（交互作用 = 0.042）。产前 IPV 是母乳喂养时间短的危险因素。从医生、护士、支持小组和家人/朋友那里获得信息可能会改善 IPV 暴露妇女的母乳喂养行为。鼓励在医院就诊期间通过家人/朋友、支持小组和医生/护士促进母乳喂养信息传播的干预措施。
