Breastfeeding practices in urban and rural Vietnam
Breastfeeding practices in urban and rural Vietnam
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DOI：
10.1186/1471-2458-12-964
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发表时间：
2012-11-12
影响因子：
4.5
通讯作者：
Ascher, Henry
中科院分区：
文献类型：
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作者：
Huong Nguyen Thu;Eriksson, Bo;Ascher, Henry
背景资料：本研究的目的是描述和比较母乳喂养的做法在农村和城市地区的越南和研究协会可能影响个人和家庭因素。这种类型的研究还没有在Vietnam before.Methods：共2,690名儿童，出生于2008年3月1日至2010年6月30日在一个农村和一个城市的健康和人口监测站点，从出生到12个月的年龄。有关个人和家庭的人口、经济和教育的资料来自家庭调查。标准的统计方法，包括生存和回归分析used.Results：在生命的第一个小时开始母乳喂养更频繁，在城市地区相比，农村（男孩40%与35%，女孩49%与40%）。高出生体重和生活在拥有大量资产的家庭中显着增加了早期开始母乳喂养的可能性。据报告，农村地区三个月大时的纯母乳喂养比城市地区更普遍（男孩58%对46%，女孩65%对53%）。农村地区纯母乳喂养以及任何母乳喂养的持续时间都长于城市地区（男孩的中位数为97天，女孩为81天，女孩为102天，女孩为91天）。在这两个地区，按照世卫组织的建议，纯母乳喂养至少持续6个月的儿童比例都很低。在这两个地区，接受过三次或三次以上产前检查或剖腹产的母亲纯母乳喂养的时间明显较短。在农村地区，母亲受教育程度高与纯母乳喂养持续时间长有关。纯母乳喂养的持续时间和母亲的年龄，家庭经济指标或家庭大小之间没有显着的关联被发现。结论：干预计划，旨在促进母乳喂养是必要的。母亲尤其应该了解尽早开始母乳喂养和延长纯母乳喂养的重要性。为了达到世卫组织关于六个月纯母乳喂养的建议，我们建议将产假立法延长至至少六个月。
Background: The aim of this study was to describe and compare breastfeeding practices in rural and urban areas of Vietnam and to study associations with possibly influencing person and household factors. This type of study has not been conducted in Vietnam before.Methods: Totally 2,690 children, born from 1st March 2008 to 30th June 2010 in one rural and one urban Health and Demographic Surveillance Site, were followed from birth to the age of 12 months. Information about demography, economy and education for persons and households was obtained from household surveys. Standard statistical methods including survival and regression analyses were used.Results: Initiation of breastfeeding during the first hour of life was more frequent in the urban area compared to the rural (boys 40% vs. 35%, girls 49% vs. 40%). High birth weight and living in households with large number of assets significantly increased the probability for early initiation of breastfeeding. Exclusive breastfeeding at three months of age was more commonly reported in the rural than in the urban area (boys 58% vs. 46%, girls 65% vs. 53%). The duration of exclusive breastfeeding as well as of any breastfeeding was longer in the rural area than in the urban area (medians for boys 97 days vs. 81 days, for girls 102 days vs. 91 days). The percentages of children with exclusive breastfeeding lasting at least 6 months, as recommended by WHO, were low in both areas. The duration of exclusive breastfeeding was significantly shorter for mothers with three or more antenatal care visits or Caesarean section in both areas. High education level of mothers was associated with longer duration of exclusive breastfeeding in the rural area. No significant associations were found between duration of exclusive breastfeeding and mother's age, household economy indicators or household size.Conclusion: Intervention programs with the aim to promote breastfeeding are needed. Mothers should particularly be informed about the importance of starting breastfeeding early and to prolong exclusive breastfeeding. In order to reach the WHO recommendation of six months exclusive breastfeeding, we propose an extended maternity leave legislation to at least six months.