Breastfeeding Practices among Native Hawaiians and Pacific Islanders.
Breastfeeding Practices among Native Hawaiians and Pacific Islanders.
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DOI：
10.1155/2016/2489021
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发表时间：
2016
影响因子：
3.3
通讯作者：
Koempel A
中科院分区：
文献类型：
--
作者：
Adams IK;Okoli CT;Dulin Keita A;Linares AM;Tanaka K;Polanin JR;Koempel A
背景。母乳喂养与早期和成年期肥胖风险的降低有关。夏威夷原住民和太平洋岛民（NHPI）的肥胖率很高，这通常与汇总数据相混淆。使用分类数据，我们检查了NHPI的母乳喂养实践。方法。检索了7个数据库和参考文献表。两名独立研究人员根据预先确定的标准提取相关研究。9项研究符合我们的纳入标准，并使用随机效应、逆加权模型进行了荟萃分析。结果。在检查母乳喂养做法时，很少有研究对NHPI人群进行分类。大多数研究是横断面的，我们的研究没有随机或准随机对照试验。荟萃分析结果显示，46.5%的NHPI妇女开始母乳喂养，40.8%的妇女完全母乳喂养。这些综合分析表明，国家卫生计划的母乳喂养做法低于建议的国家和国际目标和指南。结论。NHPI中的母乳喂养实践是异质的，某些NHPI亚组之间存在严重差异，需要进行额外的研究以确定差异的原因。未来的研究应致力于分解NHPI和不同亚群的数据。需要多成分、多层次的战略来支持国家卫生保健计划中的母乳喂养做法。
Background. Breastfeeding is associated with a decreased risk of obesity in the early and adult years. Native Hawaiians and Pacific Islanders (NHPI) experience high rates of obesity which is often obfuscated with aggregated data. Using disaggregated data, we examined breastfeeding practices among NHPI. Methods. Seven databases and reference lists were searched. Two independent researchers extracted relevant studies based on predetermined criteria. Nine studies met our inclusion criteria and a meta-analysis was conducted using random-effects, inverse-various weighted models. Results. Few studies disaggregated NHPI populations when examining breastfeeding practices. Most studies were cross-sectional and our search yielded no randomized or quasirandomized control trials. The results of the meta-analysis indicated that 46.5% NHPI women initiated breastfeeding with 40.8% breastfeeding exclusively. These pooled analyses show that NHPI breastfeeding practices are below the recommended national and international goals and guidelines. Conclusion. Breastfeeding practices among NHPI are heterogeneous and critical disparities exist among certain NHPI subgroups and additional research needs to be conducted to determine the reasons for the disparity. Future studies should work to disaggregate data for NHPI and the various subpopulations. Multicomponent, multilevel strategies are needed to support breastfeeding practices among NHPI.
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影响因子：
--
作者：
Baruffi, G;Hardy, CJ;Krupitsky, D
通讯作者：
Krupitsky, D
DOI：
10.1016/s0002-8223(97)00313-1
发表时间：
1997-11-01
影响因子：
--
作者：
Kieffer, EC;Novotny, R;Thiele, M
通讯作者：
Thiele, M
影响因子：
4.9
作者：
Liese, AD;Hirsch, T;Weiland, SK
通讯作者：
Weiland, SK
影响因子：
4.9
作者：
Bergmann, KE;Bergmann, RL;Wahn, U
通讯作者：
Wahn, U
DOI：
10.1016/0035-9203(85)90190-7
发表时间：
1985-01-01
影响因子：
2.2
作者：
FRANKS, AJ;JURGENSEN, C
通讯作者：
JURGENSEN, C