Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey.
Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey.
复制标题
DOI：
10.1186/1471-2431-10-20
复制
发表时间：
2010-04-08
期刊：
影响因子：
2.4
通讯作者：
Tamim H
中科院分区：
文献类型：
--
作者：
Al-Sahab B;Lanes A;Feldman M;Tamim H
尽管有证据支持婴儿出生后第一年母乳喂养的重要性，但加拿大有关母乳喂养实践的数据仍然有限。该研究旨在调查加拿大女性 6 个月纯母乳喂养的患病率和预测因素。该分析基于针对 2006 年 2 月至 2006 年 5 月（加拿大各省）和 2005 年 11 月至 2006 年 2 月（各地区）单胎活产的 15 岁以上妇女的生育经历调查。主要成果是根据世界卫生组织的定义进行纯母乳喂养。使用逐步建模的多元逻辑回归考虑了社会经济、人口、孕产妇、怀孕和分娩相关变量。进行引导是为了考虑复杂的抽样设计。本研究的样本量为 5,615 人，加权代表 66,810 名加拿大女性。曾经母乳喂养率为90.3%，而6个月纯母乳喂养率为13.8%。根据回归模型，受教育年限较高、居住在北部地区和西部省份、与伴侣同住、曾经怀孕过、孕前体重指数较低以及生育年龄较大与 6 个月纯母乳喂养的可能性增加有关。此外，怀孕期间吸烟、剖腹产、婴儿入住重症监护室以及婴儿6个月前母亲的就业状况与纯母乳喂养呈负相关。选择在家分娩的母亲更有可能在 6 个月内保持纯母乳喂养（优势比：5.29，95% 置信区间：2.95-9.46）。加拿大 6 个月纯母乳喂养率较低。研究结果构成了设计干预措施的基础，旨在缩小当前母乳喂养实践与世界卫生组织建议之间的差距。
In spite of the evidence supporting the importance of breastfeeding during the first year of life, data on breastfeeding practices remain limited in Canada. The study aimed to examine the prevalence and predictors of 6-month exclusive breastfeeding among Canadian women. The analysis was based on the Maternity Experience Survey targeting women aged ≥ 15 years who had singleton live births between February 2006 - May 2006 in the Canadian provinces and November 2005 - February 2006 in the territories. The main outcome was exclusive breastfeeding based on the World Health Organization definition. Socioeconomic, demographic, maternal, pregnancy and delivery related variables were considered for a multivariate logistic regression using stepwise modeling. Bootstrapping was performed to account for the complex sampling design. The sample size in this study was 5,615 weighted to represent 66,810 Canadian women. While ever breastfeeding was 90.3%, the 6-month exclusive breastfeeding rate was 13.8%. Based on the regression model, having higher years of education, residing in the Northern territories and Western provinces, living with a partner, having had previous pregnancies, having lower pre-pregnancy body mass index and giving birth at older age were associated with increased likelihood of 6-month exclusive breastfeeding. Moreover, smoking during pregnancy, Caesarean birth, infant's admission to the intensive care unit and maternal employment status before 6 months of infant's age were negatively associated with exclusive breastfeeding. Mothers choosing to deliver at home were more likely to remain exclusively breastfeeding for 6 months (Odds Ratio: 5.29, 95% Confidence Interval: 2.95-9.46). The 6-month exclusive breastfeeding rate is low in Canada. The study results constitute the basis for designing interventions that aim to bridge the gap between the current practices of breastfeeding and the World Health Organization recommendation.
登录
查看更多内容
影响因子：
3.2
作者：
Al-Sahab, Ban;Tarnim, Hala;Yunis, Khalid A.
通讯作者：
Yunis, Khalid A.
影响因子：
3.8
作者：
Lande, B;Andersen, LF;Bjorneboe, GEA
通讯作者：
Bjorneboe, GEA
影响因子：
7.1
作者：
Fewtrell, Mary S.;Morgan, Jane B.;Kleinman, Ronald E.
通讯作者：
Kleinman, Ronald E.
DOI：
10.1177/0884217505280279
发表时间：
2005-09-01
影响因子：
1.8
作者：
Nelson, A;Sethi, S
通讯作者：
Sethi, S
影响因子：
105.7
作者：
NEWTON, RW;HUNT, LP
通讯作者：
HUNT, LP