目的 调查重庆市婴幼儿母乳喂养现状,并探讨其影响因素。方法 根据地域差异和经济情况,采用目的性抽样选取重庆市主城4个区和2个周边区县共633名0~36月龄婴幼儿的母亲为研究对象。调查数据录入Epi Data 3.1数据库,采用SPSS 18.0 软件进行统计描述和分析,并运用单因素和多因素logistic回归法分析婴儿4月龄内纯母乳喂养的影响因素。结果 被调查地区婴儿4月龄内纯母乳喂养率为58.5%。多因素分析结果显示,同伴喂养方式为纯母乳喂养、自觉母乳量能满足婴儿、对母乳喂养有信心是纯母乳喂养的有利因素;介意公共场所母乳喂养是纯母乳喂养的不利因素。结论 被调查地区婴儿4月龄内纯母乳喂养率有待提高,亟待采取有针对性的干预措施。
Abstract
Objective To study the breastfeeding status and its relevant factors of infants in Chongqing. Methods According to the regional differences and economic situation,633 eligible mothers with babies aged 0 to 36 months were selected from four districts in downtown Chongqing and two suburban districts.The data were entered in Epi Data 3.1 database and analysed using SPSS 18.0 software.Univariate and multivariate logistic regression were used to analyse the relevant factors influencing breastfeeding. Results The exclusive breastfeeding rate at 4 months was 58.5% in study areas.Multivariate Logistic regression showed that peers adopting exclusive breastfeeding,insufficient breast milk consciously,being confidence of breastfeeding were positive factors to exclusive breastfeeding at 4 months,mind of breastfeeding in public places was negative factor to exclusive breastfeeding at 4 months. Conclusion The exclusive breastfeeding rate in study areas should be improved.It is necessary to take effective measures to promote exclusive breastfeeding.
关键词
母乳喂养 /
现状 /
影响因素
Key words
breastfeeding /
status /
associated factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 戴耀华.婴幼儿喂养全球策略[J].中国儿童保健杂志,2007(6):567-568.
[2] 徐韬,于晓松,李晨嫣.我国母乳喂养现状与干预措施[J].中国妇幼保健,2008,23(17):2464-2467.
[3] 吕亚兰,蒋小强,王健,等.重庆市南岸区婴儿喂养及影响因素分析[J].中国儿童保健杂志,2012(11):1046-1049.
[4] 甘文玲,赵妍,王继林.重庆城区0~4个月婴儿母乳喂养相关因素分析[J].中国妇幼保健,2007,22(20):2805-2806.
[5] 人民出版社.中国儿童发展纲要(2011-2020年)[M].人民出版社,2011:4.
[6] 许凤莲,刘萍.我国母乳喂养定义、分类和母乳喂养率的变迁研究[J].中国妇幼保健,2009,24(28):3927-3931.
[7] Xu F,Qiu L,Binns CW,et al.Breastfeeding in China:a review[J].Int Breastfeed J,2009,4:6.
[8] 刘一心,黄荣彬,姜海萍,等.深圳市母乳喂养现状及对儿童生长发育的影响[J].中国儿童保健杂志,2006,14(6):574-575.
[9] 柏晓林.影响母乳喂养成功的因素及相关措施[J].职业与健康,2004,20(4):128. [10] 张丽敏,王军,何文娟.母乳喂养现状综述[J].中华护理杂志,1999,34(8):509-510.
[11] Semenic S,Loiselle C,Gottlib L.Predictors of the duration of exclusive breastfeeding among first-time mothers[J].Research in Nursing & Health,2008,31(5):428-441.
[12] 钱霞,刘爱东,于冬梅,等.2007-2009 年中国贫困地区 2 岁以下儿童母乳喂养状况及影响因素分析[J].卫生研究,2012,40(1):56-59.
[13] Dennis CL,Hodnett E,Gallop R,et al.The effect of peer support on breastfeeding duration among primiparous women:A randomized controlled trial[J].Canadian Medial Association Journal,2002,29(3):169-176.
[14] Schlickau JM,Wilson ME.Breastfeeding as health-promoting behavior for Hispanic women:literature review[J].Journal of Advanced Nursing,2005,52(2):200-210.