Factors associated with exclusive breast-feeding in Japan: for activities to support child-rearing with breast-feeding.
Factors associated with exclusive breast-feeding in Japan: for activities to support child-rearing with breast-feeding.
复制标题
与日本独家母乳喂养相关的因素：用于支持母乳喂养的育儿活动的活动。
DOI：
10.2188/jea.16.57
复制
发表时间：
2006-03
影响因子：
4.7
通讯作者：
Ohida T
中科院分区：
文献类型：
--
作者：
Kaneko A;Kaneita Y;Yokoyama E;Miyake T;Harano S;Suzuki K;Ibuka E;Tsutsui T;YukoYamamoto;Ohida T
母乳喂养的好处不仅限于发展中国家的营养和卫生，而且还扩大到发达国家节省费用的保健和减轻与育儿有关的焦虑。本研究旨在阐明与日本纯母乳喂养相关的因素，并利用这些信息，通过促进母乳喂养在世界范围内实现育儿支持。本横断面研究使用了日本厚生劳动省实施的21世纪第一次婴儿纵向调查的数据。所有受试者均为2001年1月10日至17日和7月10日至17日在日本出生的婴儿（n = 53，575）。数据显示，日本出生后前6个月的纯母乳喂养率为21.0%。我们使用单变量和多变量logistic回归分析研究了与纯母乳喂养相关的因素。在检查的因素中，纯母乳喂养的调整后比值比（OR）较低，晚育，低出生体重儿，多胞胎，吸烟的父母，与祖父母住在一起，并感到负担的儿童抚养。调整后的OR是高的因素，包括足够的育儿假和咨询有关育儿与配偶，助产士和/或护士，和同龄人在育儿圈。纯母乳喂养不仅与医疗因素有关，而且与社会因素有关。本研究阐明了社会支持以减轻育儿负担的必要性，以及促进父亲参与育儿的政治制度和改善育儿假制度的必要性。
Benefits of breast-feeding are not only limited to nutrition and sanitation in developing countries but also extend to cost-saving health care and alleviation of anxiety related to childrearing in developed countries. This study aims to elucidate factors associated with exclusive breast-feeding in Japan and use this information to achieve child-rearing support worldwide by promoting breast-feeding. This cross-sectional study used data from a survey conducted by Ministry of Health, Labour and Welfare of the Japanese government, the First Longitudinal Survey of Babies in 21st Century. All subjects were infants (n = 53,575) born in Japan in 2001 between January 10 and 17 and between July 10 and 17. According to the data, the exclusive breast-feeding rate in Japan during the first 6 months of life was 21.0%. We examined the factors associated with exclusive breast-feeding using univariate and multivariate logistic regression analyses. Among the factors examined, the adjusted odds ratio (OR) for exclusive breast-feeding was low for late childbearing, low birth weight infants, multiple births, smoking parents, living with grandparents, and feeling burdened by childrearing. The adjusted OR was high for factors that included sufficient childcare leave and consultation about childrearing with the spouse, a birth attendant and/or nurse, and a peer in a child-rearing circle. Exclusive breast-feeding is associated not only with medical factors but also with social factors. This study clarifies the necessity of social support to reduce the child rearing burden and a political system to promote paternal participation in childrearing and to improve the childcare leave system.