Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs.
Associations between Perinatal Sleepiness and Breastfeeding Intentions and Attitudes and Infant Feeding Behaviors and Beliefs.
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DOI：
10.3390/nu15153435
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发表时间：
2023-08-03
期刊：
影响因子：
5.9
通讯作者：
Risica, Patricia Markham
中科院分区：
文献类型：
--
作者：
von Ash, Tayla;Alikhani, Anna;Sharkey, Katherine M.;Solano, Paola;Aquino, Melanie Morales;Risica, Patricia Markham
关键词：
母乳喂养率未达到公共卫生目标，但相关障碍却鲜为人知。我们研究了在参与一项旨在减少烟雾暴露的随机对照试验的有烟草暴露情况的样本（n = 399）中，孕期和产后过度嗜睡是否与母乳喂养的意愿、态度、开始情况以及持续情况相关。我们使用爱泼沃斯嗜睡量表（ESS）来检验孕早期（妊娠12 - 16周）、孕晚期（妊娠32周）以及产后6个月的过度嗜睡与使用米特拉指数衡量的母乳喂养态度、意愿、开始情况和持续情况，以及使用婴儿喂养问卷衡量的其他婴儿喂养方式之间的关联。针对年龄、种族/民族身份、生育次数、婚姻状况和母亲教育程度进行调整的逻辑回归模型显示，孕晚期过度嗜睡与不太积极的母乳喂养态度相关。此外，在未调整的模型中，产后6个月过度嗜睡与较少使用喂养来安抚烦躁婴儿的倾向相关。过度嗜睡与母乳喂养的意愿、开始情况或持续情况无关。评估孕晚期的过度嗜睡情况可能有助于识别对母乳喂养持消极态度的个体，并为在母乳喂养率较低的人群中推广母乳喂养提供新的方法。
Breastfeeding rates fall short of public health goals, but barriers are poorly understood. We examined whether excessive sleepiness during pregnancy and the postpartum period was associated with breastfeeding intentions, attitudes, initiation, and continuation in a tobacco-exposed sample participating in a randomized controlled trial to reduce smoke exposure (n = 399). We used the Epworth Sleepiness Scale (ESS) to examine associations between excessive sleepiness in early (12–16 weeks gestation) and late (32 weeks gestation) pregnancy and at 6 months postpartum, with breastfeeding attitudes using the Mitra index, intentions, initiation, and continuation, as well as other infant feeding practices using the Infant Feeding Questionnaire. Logistic regression models adjusted for age, racial/ethnic identity, parity, marital status, and maternal education showed that excessive sleepiness in late pregnancy was associated with less favorable attitudes toward breastfeeding. In addition, in unadjusted models, excessive sleepiness at 6 months postpartum was associated with less of a tendency to use feeding to calm a fussy infant. Excessive sleepiness was not associated with intent, initiation, or continuation of breastfeeding. Assessing excessive sleepiness in late pregnancy may assist in identifying individuals with negative attitudes to breastfeeding and lead to novel approaches to promoting breastfeeding in populations with lower breastfeeding rates.
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影响因子：
3.6
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