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母亲就业与纯母乳喂养实践:来自耶路撒冷省的简要报告。

Mothers' Employment and Exclusive Breastfeeding Practices: A Brief Report from Jerusalem Governorate.

机构信息

Horizon Academy, Al-Nayzak, Ramallah P627, Palestine.

Oral Health Research and Promotion Unit, Al-Quds University, Jerusalem 51000, Palestine.

出版信息

Int J Environ Res Public Health. 2023 Jan 23;20(3):2066. doi: 10.3390/ijerph20032066.

Abstract

The World Health Organization (WHO) recommends that women exclusively breastfeed for the first six months and continue breastfeeding until two years of age. However, breastfeeding is declining, especially in developing countries. This study aims to describe breastfeeding habits and demographic factors influencing these practices in Jerusalem Governorate. Self-reporting questionnaires were sent to 481 mothers of preschoolers asking about the type of feeding used with their children, breastfeeding exclusively, bottle feeding, and a combination of both. Data were also collected about the duration of breastfeeding to classify women into those who adhered to the World Health Organization (WHO) recommendations and those who did not. We received 471 complete questionnaires. Two hundred and five mothers exclusively breastfed their children for 6 months or more (44.1%). Almost 11% ( = 52) used bottle feeding exclusively, and 44.2% ( = 208) combined both breastfeeding and bottle feeding. Having a full-time job increased the chance of not breastfeeding children (π = 9.2, = 0.002), and being a stay-at-mother increased the chance of exclusive breastfeeding (π = 4.4, = 0.044). In the final model, having a preterm baby and being a stay-at-home mother increased the odds of exclusively breastfeeding by 3.6 and 2.3, respectively. On the other hand, having a full-time job decreased the odds by 0.3. A mother's full-time employment was a determinant factor in abandoning exclusive breastfeeding before 6 months. Policies, regulations, and laws supporting the promotion of exclusive breastfeeding practices until 6 months in mothers as recommended by the WHO should be reinforced.

摘要

世界卫生组织(WHO)建议女性在头六个月内纯母乳喂养,并持续母乳喂养至两岁。然而,母乳喂养的比例正在下降,尤其是在发展中国家。本研究旨在描述耶路撒冷省的母乳喂养习惯和影响这些做法的人口统计学因素。我们向 481 名学龄前儿童的母亲发送了自我报告问卷,询问他们的孩子使用的喂养类型,包括纯母乳喂养、奶瓶喂养以及两者的组合。还收集了母乳喂养的持续时间数据,以便将女性分为遵守(WHO)建议和不遵守建议的两组。我们收到了 471 份完整的问卷。205 名母亲(44.1%)完全用母乳喂养孩子 6 个月或更长时间。近 11%(=52)完全使用奶瓶喂养,44.2%(=208)混合使用母乳喂养和奶瓶喂养。全职工作增加了不母乳喂养孩子的机会(π=9.2,=0.002),而全职母亲增加了纯母乳喂养的机会(π=4.4,=0.044)。在最终模型中,早产儿和全职母亲分别使纯母乳喂养的几率增加了 3.6 倍和 2.3 倍。另一方面,全职工作使几率降低了 0.3。母亲的全职工作是在 6 个月前放弃纯母乳喂养的决定因素。应加强支持世卫组织建议的纯母乳喂养至 6 个月的政策、法规和法律。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d67a/9915241/f93c0a4654ef/ijerph-20-02066-g001.jpg

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