Indices of Multiple Deprivation predict breastfeeding duration in England and Wales

Indices of Multiple Deprivation predict breastfeeding duration in England and Wales
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DOI:
10.1093/eurpub/ckp114
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发表时间:
2010-04-01
影响因子:
4.4
通讯作者:
Lee, Michelle D.
Lee, Michelle D.
中科院分区:
医学3区
文献类型:
--
作者:
Brown, Amy E.;Raynor, Peter;Lee, Michelle D.

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背景:旨在调查母乳喂养持续时间与社会经济地位之间的关联(通过英国和威尔士多重剥夺指数 (IMD) 衡量)。方法:对 216 名最小或独生子女年龄在 6 至 24 个月之间的经产妇女完成了出生至 26 周婴儿喂养的回顾性问卷调查。测量内容包括母乳喂养史;社会经济人口学和 IMD。结果:在英国和威尔士样本中,母乳喂养持续时间与多重剥夺水平相关。剥夺水平和母乳喂养持续时间与社会经济地位的传统指标相关。当与母乳喂养持续时间的其他社会经济指标结合起来考虑时,剥夺水平仍然是母乳喂养持续时间的一个强有力的预测因素,高于其他社会经济指标。结论:根据 IMD 的评估,剥夺可以预测母乳喂养持续时间。邮政编码和剥夺水平可以作为一种非侵入性的方式来识别最有可能面临低母乳喂养率风险的女性。服务的提供可以直接针对贫困地区的妇女。
Background: To investigate the association between breastfeeding duration and socio-economic status as measured by the English and Welsh Indices of Multiple Deprivation (IMD). Methods: Total 216 multiparous women whose youngest or only child was between 6 and 24 months completed a retrospective questionnaire study of infant feeding between birth and 26 weeks. Measurements included breast-feeding history; socio-economic demography and IMD. Results: Breastfeeding duration was associated with levels of multiple deprivation in both English and Welsh samples. Deprivation level and breastfeeding duration were associated with traditional indicators of socio-economic status. When considered in combination with other socio-economic indicators of breastfeeding duration, the deprivation level remained a strong predictor of breastfeeding duration over and above other socio-economic measures. Conclusions: Deprivation, as assessed by the IMD is predictive of breastfeeding duration. Postcode and thus deprivation level can be used as a non-intrusive way to identify women most at risk of low breastfeeding rates. Service provision can be targeted directly at women in areas recognized at being high in deprivation.