Differences in Infant Care Practices and Smoking among Hispanic Mothers Living in the United States.
Differences in Infant Care Practices and Smoking among Hispanic Mothers Living in the United States.
复制标题
居住在美国的西班牙裔母亲在婴儿护理实践和吸烟方面的差异。
DOI：
10.1016/j.jpeds.2016.11.053
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Colson,EveR
中科院分区：
文献类型：
--
作者：
Provini,LaurenE;Corwin,MichaelJ;Geller,NicoleL;Heeren,TimothyC;Moon,RachelY;Rybin,DenisV;Shapiro-Mendoza,CarrieK;Colson,EveR
Objective评估产妇出生国家和遵守美国儿科学会安全睡眠建议在西班牙裔母亲的国家样本之间的关联，考虑到数据评估的异质性之间的婴儿护理实践西班牙裔less.Study designWe采用分层，2-stage，聚类设计，以获得一个全国代表性的样本的母亲从32个美国产时医院。共有907个完成的随访调查（产后2-6个月进行），收到了自认为是西班牙裔/拉丁裔的母亲，形成了我们的样本，我们按出生国（美国，墨西哥，中美洲/南美洲和加勒比海）分为4个亚群。患病率估计和aOR的婴儿睡眠位置，位置，母乳喂养，产妇smoking.ResultsWhen与美国出生的母亲相比，我们发现，出生在加勒比海（aOR 4.56）和中美洲/南美洲（aOR 2.68）的母亲更有可能房间共享没有床共享。加勒比出生的母亲明显不太可能让婴儿仰卧睡觉（aOR 0.41）。出生在墨西哥（aOR 1.67）和中美洲/南美洲（aOR 2.57）的母亲更有可能完全母乳喂养;出生在加勒比海的母亲（aOR 0.13）这样做的可能性很小。外国出生的母亲显着不太可能吸烟前和怀孕期间。ConclusionsAmong US Hispanics，坚持美国儿科学会的安全睡眠建议有很大的不同，产妇出生的国家。这些数据说明了检查种族群体之间行为异质性的重要性，并对制定有针对性的婴儿安全睡眠干预措施具有潜在的相关性。
ObjectiveTo assess the association between maternal birth country and adherence to the American Academy of Pediatrics safe sleep recommendations in a national sample of Hispanic mothers, given that data assessing the heterogeneity of infant care practices among Hispanics are lacking.Study designWe used a stratified, 2-stage, clustered design to obtain a nationally representative sample of mothers from 32 US intrapartum hospitals. A total of 907 completed follow-up surveys (administered 2-6 months postpartum) were received from mothers who self-identified as Hispanic/Latina, forming our sample, which we divided into 4 subpopulations by birth country (US, Mexico, Central/South America, and Caribbean). Prevalence estimates and aORs were determined for infant sleep position, location, breastfeeding, and maternal smoking.ResultsWhen compared with US-born mothers, we found that mothers born in the Caribbean (aOR 4.56) and Central/South America (aOR 2.68) were significantly more likely to room share without bed sharing. Caribbean-born mothers were significantly less likely to place infants to sleep supine (aOR 0.41). Mothers born in Mexico (aOR 1.67) and Central/South America (aOR 2.57) were significantly more likely to exclusively breastfeed; Caribbean-born mothers (aOR 0.13) were significantly less likely to do so. Foreign-born mothers were significantly less likely to smoke before and during pregnancy.ConclusionsAmong US Hispanics, adherence to American Academy of Pediatrics safe sleep recommendations varies widely by maternal birth country. These data illustrate the importance of examining behavioral heterogeneity among ethnic groups and have potential relevance for developing targeted interventions for safe infant sleep.
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影响因子：
2.6
作者：
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通讯作者：
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影响因子：
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作者：
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