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与 COVID-19 大流行期间母乳喂养时长相关的因素:一项生存研究。

Factors associated with the length of breastfeeding during the COVID-19 pandemic: a survival study.

机构信息

Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem na Saúde da Mulher, São Paulo, SP, Brazil.

Universidade Federal de Minas Gerais, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, Belo Horizonte, MG, Brazil.

出版信息

Rev Esc Enferm USP. 2024 Aug 16;58:e20240078. doi: 10.1590/1980-220X-REEUSP-2024-0078en. eCollection 2024.

DOI:10.1590/1980-220X-REEUSP-2024-0078en
PMID:39178020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11343085/
Abstract

OBJECTIVE

To investigate the repercussions of COVID-19 on the length of breastfeeding and analyze the associated factors in Belo Horizonte, Minas Gerais, Brazil.

METHOD

This is an epidemiological, prospective cohort study. Data were collected from medical records and through telephone interviews. Women who weaned were estimated using Kaplan-Meier survival analysis. The log-rank test was used to verify differences between groups, analyzing weaning time, according to sociodemographic and clinical characteristics. The values of hazard ratio and 95% confidence intervals were estimated using Cox regression analysis.

RESULTS

A total of 1,729 women participated in the study. During the COVID-19 pandemic, brown women and women undergoing cesarean section were more likely to stop breastfeeding.

CONCLUSION

The birth route and mothers' ethnic characteristics were associated with early weaning during the COVID-19 pandemic. Such findings are important to guide the assistance of the multidisciplinary team, especially nursing, during the post-pandemic period and in future epidemiological scenarios.

摘要

目的

研究 COVID-19 对母乳喂养时长的影响,并分析巴西米纳斯吉拉斯州贝洛奥里藏特的相关因素。

方法

这是一项流行病学、前瞻性队列研究。数据来自病历和电话访谈。采用 Kaplan-Meier 生存分析估计断奶的女性人数。使用对数秩检验比较组间差异,根据社会人口学和临床特征分析断奶时间。使用 Cox 回归分析估计风险比和 95%置信区间。

结果

共有 1729 名女性参与了这项研究。在 COVID-19 大流行期间,棕色人种和剖宫产的女性更有可能停止母乳喂养。

结论

分娩方式和母亲的种族特征与 COVID-19 大流行期间的早期断奶有关。这些发现对于指导多学科团队在疫情后和未来的流行病学环境中提供帮助非常重要,尤其是护理方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045c/11343085/693f5b8de850/1980-220X-reeusp-58-e20240078-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045c/11343085/4ed0796d9a1c/1980-220X-reeusp-58-e20240078-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045c/11343085/693f5b8de850/1980-220X-reeusp-58-e20240078-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045c/11343085/4ed0796d9a1c/1980-220X-reeusp-58-e20240078-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045c/11343085/693f5b8de850/1980-220X-reeusp-58-e20240078-gf02.jpg

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Rev Gaucha Enferm. 2023 Oct 13;44:e20220320. doi: 10.1590/1983-1447.2023.20220320.en. eCollection 2023.
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Increased Cesarean Section Rates during the COVID-19 Pandemic: Looking for Reasons through the Robson Ten Group Classification System.COVID-19 大流行期间剖宫产率升高:通过 Robson 十组分类系统寻找原因。
Rev Bras Ginecol Obstet. 2023 Jul;45(7):e371-e376. doi: 10.1055/s-0043-1772182. Epub 2023 Aug 18.
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Racism as a Social Determinant of Health in Brazil in the COVID-19 Pandemic and Beyond.
种族主义作为巴西新冠疫情及之后健康状况的社会决定因素
Rev Bras Ginecol Obstet. 2023 May;45(5):221-224. doi: 10.1055/s-0043-1770135. Epub 2023 Jun 20.
4
The COVID-19 pandemic's impact on breastfeeding self-efficacy: A path analysis.COVID-19 大流行对母乳喂养自我效能的影响:路径分析。
Enferm Clin. 2023 Mar;33:S17-S21. doi: 10.1016/j.enfcli.2023.01.003. Epub 2023 Feb 23.
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The impact of COVID-19 on breastfeeding rates: An international cross-sectional study.COVID-19 对母乳喂养率的影响:一项国际横断面研究。
Midwifery. 2023 May;120:103631. doi: 10.1016/j.midw.2023.103631. Epub 2023 Feb 12.
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Exploring the Association between Socioeconomic and Psychological Factors and Breastfeeding in the First Year of Life during the COVID-19 Pandemic in Thailand.探讨 COVID-19 大流行期间泰国生命第一年中社会经济和心理因素与母乳喂养之间的关联。
Int J Environ Res Public Health. 2022 Dec 22;20(1):130. doi: 10.3390/ijerph20010130.
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Socio-economic inequalities in the effect of public policies and the COVID-19 pandemic on exclusive breastfeeding in Chile.智利公共政策和 COVID-19 大流行对纯母乳喂养影响的社会经济不平等。
Public Health. 2023 Jan;214:61-68. doi: 10.1016/j.puhe.2022.11.001. Epub 2022 Nov 8.
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Int Breastfeed J. 2022 Dec 2;17(1):83. doi: 10.1186/s13006-022-00517-1.
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