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.
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.
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。
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