A cohort study of infant feeding practices in city, suburban and rural areas in Zhejiang Province, PR China
A cohort study of infant feeding practices in city, suburban and rural areas in Zhejiang Province, PR China
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DOI：
10.1186/1746-4358-3-4
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发表时间：
2008-01-01
影响因子：
3.5
通讯作者：
Xie, Xing
中科院分区：
文献类型：
--
作者：
Qiu, Liqian;Zhao, Yun;Xie, Xing
背景：母乳喂养是婴儿适当营养的基础，受到中国卫生部的大力支持。然而，该国不同地区的婴儿喂养做法存在差异。本研究的目的是比较中华人民共和国浙江省城市、郊区和农村地区的婴儿喂养方式以及开始和持续母乳喂养至6个月的决定因素的流行程度。方法：2004/2005年对城市、郊区和农村地区婴儿喂养方式进行纵向队列研究。母亲们在出院前被招募和采访。共有1520名母亲参与了这项研究。在出生后1、3和6个月进行随访访谈，以获得婴儿喂养方法的细节。结果：三个地区出院前“任何母乳喂养”率均较高，其中城市96.5%，郊区96.8%，农村97.4%。城市、城郊和农村地区出院前纯母乳喂养率分别为38.0%、63.4%和61.0%。到6个月时，城市、郊区和农村的“任意母乳喂养”率分别降至62.8%、76.9%和83.6%，“纯母乳喂养”率分别降至0.2%、0.5%和7.2%。三个地点的喂养方法存在差异，包括使用泌乳前饲料和引入补充饲料。结论：居住在城市的母亲出院时“纯母乳喂养”的可能性最低。在6个月大时，城市婴儿的“任何母乳喂养”和“纯母乳喂养”比例也较低。
Background: Breastfeeding is the basis for appropriate nutrition for infants and is strongly supported by the Ministry of Health in China. However, there are differences in infant feeding practices in different areas of the country. The aim of this study was to compare the infant feeding practices and the prevalence of determinants of initiation and continuing to breastfeed until six months of age in city, suburb and rural areas in Zhejiang Province, PRC.Methods: A longitudinal cohort study of infant feeding practices was undertaken in city, suburban and rural areas in 2004/2005. Mothers were recruited and interviewed before discharge from hospitals. A total of 1520 mothers were recruited into the study. Follow-up interviews were administered at 1, 3 and 6 months after birth to obtain details of infant feeding practices.Results: 'Any breastfeeding' rates were high before discharge at all three locations, 96.5% in city, 96.8% in suburb and 97.4% in the rural area. The 'exclusive breastfeeding' rates in the city, suburban and rural areas before discharge were 38.0%, 63.4% and 61.0% respectively. By sixth months the 'any breastfeeding' rates had declined to 62.8%, 76.9% and 83.6% and the 'exclusive breastfeeding' rates had fallen to 0.2%, 0.5% and 7.2% in city, suburb and rural areas respectively. There were differences in feeding practices between the three locations, including the use of prelacteal feeds and the introduction of supplementary feeds.Conclusion: Mothers who lived in the city were least likely to be 'exclusive breastfeeding' at discharge. At six months the city infants also had lower rates of 'any breastfeeding' and 'exclusive breastfeeding'.