Exclusive breastfeeding practices among mothers in urban slum settlements: pooled analysis from three prospective birth cohort studies in South India.
Exclusive breastfeeding practices among mothers in urban slum settlements: pooled analysis from three prospective birth cohort studies in South India.
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DOI：
10.1186/s13006-017-0127-8
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发表时间：
2017
影响因子：
3.5
通讯作者：
Kang G
中科院分区：
文献类型：
--
作者：
Velusamy V;Premkumar PS;Kang G
世界卫生组织(WHO)建议纯母乳喂养6个月。尽管有记载的健康、社会和经济利益，但纯母乳喂养的做法相当低，关于影响因素的信息有限，特别是来自贫民窟的信息。我们的目标是评估印度南部韦洛尔城市贫民窟母亲在出生前六个月内提前停止纯母乳喂养的流行率和相关因素。我们汇集了2002至2009年间进行的三项类似的出生队列研究(n=1088)的数据。母乳喂养信息是在出生后不久获得的，然后通过实地工作人员每两周进行一次后续家访获得。使用多变量COX回归分析评估与早期停止纯母乳喂养相关的因素。根据出生以来的前瞻性数据，前六个月纯母乳喂养的流行率为11.4%。多因素分析结果显示，母亲教育程度(调整后的危险比[AHR]1.18，95%CI 1.03，1.35)、Pucca类型(AHR 1.25，95%CI 1.10，1.43)、家里有两个或两个以上的孩子(AHR 1.26，95%CI 1.10，1.43)、共同家庭结构(AHR 1.20，95%CI 1.02，1.40)和夏季出生(AHR 1.16，95%CI 1.01，1.31)与前六个月提前停止纯母乳喂养有关。我们的结果表明，纯母乳喂养率远远低于推荐的水平。可以对向母亲及其家人提供全面母乳喂养信息的教育干预措施进行评估，以评估其对改善婴儿喂养做法的效果。
The World Health Organization (WHO) recommends six months of exclusive breastfeeding. Despite documented health, social and economic benefits, the practice of exclusive breastfeeding is quite low and information on influencing factors is limited especially from slum settlements. Our goal is to assess the prevalence and evaluate factors associated with early cessation of exclusive breastfeeding in the first six months of life among mothers in urban slums of Vellore, Southern India. We pooled data from three similar birth cohort studies (n = 1088) conducted between 2002 and 2009. Breastfeeding information was obtained soon after birth and then from follow-up home visits conducted once every two weeks by the field workers. Multivariable Cox regression analyses were used to assess factors associated with early cessation of exclusive breastfeeding. The prevalence of exclusive breastfeeding for the first six months was 11.4%, based on prospective data since birth. Results from multivariable analyses revealed maternal education (Adjusted Hazard Ratio [AHR] 1.18 , 95% CI 1.03, 1.35), pucca type of house (AHR 1.25 , 95% CI 1.10, 1.43), two or more number of children in the family (AHR 1.26 , 95% CI 1.10, 1.43), joint family structure (AHR 1.20 , 95% CI 1.02, 1.40) and birth during summer (AHR 1.16, 95% CI 1.01, 1.31) were associated with early cessation of exclusive breastfeeding in the first six months. Our results indicate that exclusive breastfeeding rates are well below the recommended levels. Educational interventions providing comprehensive breastfeeding information to mothers and their families can be evaluated to assess its effect on improving infant feeding practices.