Association between Acculturation and Breastfeeding among Hispanic Women: Data from the Pregnancy Risk Assessment and Monitoring System
Association between Acculturation and Breastfeeding among Hispanic Women: Data from the Pregnancy Risk Assessment and Monitoring System
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DOI：
10.1177/0890334412438403
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发表时间：
2012-05-01
影响因子：
2.6
通讯作者：
McDonald, Jill A.
中科院分区：
文献类型：
--
作者：
Ahluwalia, Indu B.;D'Angelo, Denise;McDonald, Jill A.
背景：拉美裔女性的母乳喂养率通常较高；然而，母乳喂养率因文化适应状况的不同而不同，因为文化适应程度较高的人比文化程度较低的人更不可能母乳喂养。本研究利用以人群为基础的数据来检验文化适应与母乳喂养行为之间的关系。方法：使用妊娠风险评估监测系统(PRMS)的数据(N=8942)进行分析。文化适应状况是通过自我报告的西班牙裔族裔和妇女回答PRMS调查的语言来确定的，无论是英语还是西班牙语。用西班牙语回答调查的西班牙裔女性被归类为比用英语回答的西班牙裔女性文化适应程度低。所使用的母乳喂养指标为：开始母乳喂养、持续至10周、纯母乳喂养至10周。结果：非文化适应组的母乳喂养开始、持续时间和纯母乳喂养至10周的患病率显著高于高度文化适应组。文化适应程度越高的人不太可能开始母乳喂养(患病率=0.88；95%CI，0.86-0.90)，不太可能母乳喂养=10周(PR=0.77；95%CI，0.72-0.82)，也不太可能报告纯母乳喂养到>；=10周(PR=0.70；95%CI，0.58-0.85)。在调整协变量后，继续母乳喂养与文化适应之间的关系仍然存在，因为文化适应程度越高，母乳喂养持续到10周的可能性就越小(调整后的患病率[APR]=0.81；95%CI，0.75~0.87)，排他性与文化适应程度之间的关系也是如此；文化适应程度越高，纯母乳喂养的可能性越小(APR=0.69；95%CI，0.55~0.87)。结论：母乳喂养的促进工作必须包括文化/语言支持服务，以确保妇女能够做出最佳的婴儿喂养决定。
Background: Breastfeeding rates are typically higher among Hispanic women; however, they vary by acculturation status in that those more acculturated are less likely to breastfeed than those who are less acculturated. This study examined the association between acculturation and breastfeeding behaviors using population-based data.Methods: Data (N = 8942) from the Pregnancy Risk Assessment Monitoring System (PRAMS) were used for analysis. Acculturation status was determined using self-reported Hispanic ethnicity and the language in which the women responded to the PRAMS survey, either English or Spanish. Hispanic women who responded to the survey in Spanish were categorized as less acculturated than those who responded in English. Breastfeeding indicators used were: initiation, duration to >= 10 weeks, and exclusive breastfeeding to >= 10 weeks.Results: The prevalence rates of breastfeeding initiation, duration, and exclusive breastfeeding to >= 10 weeks were significantly higher among less acculturated than among highly acculturated. More acculturated were less likely to initiate breastfeeding (prevalence ratio [PR] = 0.88; 95% CI, 0.86-0.90), less likely to breastfeed =>= 10 weeks (PR = 0.77; 95% CI, 0.72-0.82), and less likely to report exclusive breastfeeding to >= 10 weeks (PR =, 0.70; 95% CI, 0.58-0.85). The relationship between breastfeeding continuation and acculturation persisted after adjusting for covariates in that more acculturated were less likely to breastfeed to >= 10 weeks (adjusted prevalence ratio [APR] = 0.81; 95% CI, 0.75-0.87), as did the relationship between exclusivity and acculturation; more acculturated were less likely to report exclusive breastfeeding (APR = 0.69; 95% CI, 0.55-0.87).Conclusions: Breastfeeding promotion efforts must include culturally/linguistically supportive services to assure that women are able to make optimal infant feeding decisions.