Reported Breastfeeding Rates in the Asia-Pacific Region
Reported Breastfeeding Rates in the Asia-Pacific Region
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DOI：
10.2174/157339612803307750
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发表时间：
2012-01-01
影响因子：
2
通讯作者：
Hewitt, Katie
中科院分区：
文献类型：
--
作者：
Binns, Colin;Lee, Andy;Hewitt, Katie
母乳喂养应该得到广泛推广，以改善整个亚洲的健康状况。在西太平洋区域，母乳喂养的普及率被认为是次优的，但对实际水平没有达成共识。这项审查将向世卫组织西太平洋区域报告的母乳喂养率与从其他研究组织获得的母乳喂养率进行了比较。在不同的数据收集方法之间观察到相当大的差异。例如，世界卫生组织和联合国儿童基金会在西太平洋地区收集的数据主要来自全国性和地区性的横向调查，中国和日本的6个月以下婴儿的纯母乳喂养率分别为56%和41%。然而，科廷公共卫生学院开展的研究样本量有限，但均使用队列方法，报告称中国6个月纯母乳喂养率为6%，日本为15%。结果之间的巨大差异表明，需要代表性，准确性和可重复性的数据。这意味着使用世卫组织关于母乳喂养类别的标准定义，并在哨点地区结合常规监测和队列研究。在亚太区域获得关于婴儿喂养的可靠数据将突出重点领域，更适当地针对干预措施，并协助卫生专业人员和父母继续倡导改善母乳喂养结果。
Breastfeeding should be promoted widely to improve health across Asia. In the Western Pacific Region breast-feeding prevalence is considered suboptimal, however, there is no consensus on the actual level. This review compared breastfeeding rates as reported to the Western Pacific Region of WHO with the rates obtained from other research organizations. There was considerable variability observed between the different methods of data collection. For example, the WHO and UNICEF data from the Western Pacific Region which pools information mainly from national and regional survey that are cross-sectional in nature, reported the exclusive breastfeedingrate in infants less than six months of age to be 56% in China and 41% in Japan. Whereas, studies undertaken by the Curtin School of Public Health which have limited sample sizes but all use cohort methodology, reported the rate of exclusive breastfeeding at six months to be 6% in China and 15% in Japan. The large discrepancies among results indicate that representative, accurate and reproducible datais required. This implies the use of standard WHO definitions of categories of breastfeeding and a combination of routine surveillance and cohort studies in sentinel districts. Obtaining reliable data on infant feeding in the Asia-Pacific will highlight areas of focus, target interventions more appropriately and assist health professionals and parents to continue advocating for improved breastfeeding outcomes.