Infant Sleep Location and Breastfeeding Practices in the United States, 2011-2014.
Infant Sleep Location and Breastfeeding Practices in the United States, 2011-2014.
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DOI：
10.1016/j.acap.2016.01.021
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发表时间：
2016-08
影响因子：
3.1
通讯作者：
Corwin MJ
中科院分区：
文献类型：
--
作者：
Smith LA;Geller NL;Kellams AL;Colson ER;Rybin DV;Heeren T;Corwin MJ
我们的目的是描述美国母亲中母乳喂养和睡眠位置安排的流行情况，以及与这些行为相关的因素，包括所收到的关于这些做法的建议。
2011年1月至2014年3月期间，在32家美国分娩医院抽取了3218名讲英语或西班牙语的具有全国代表性的母亲样本。
30.5%的母亲报告进行纯母乳喂养，另有29.5%报告部分母乳喂养。大多数母亲（65.5%）报告通常同室不同床睡眠，而20.7%报告同床睡眠。与同室不同床睡眠的母亲相比，同床睡眠的母亲更有可能报告纯母乳喂养（调整优势比2.46：95%置信区间1.76，3.45）或部分母乳喂养（调整优势比1.75：95%置信区间1.33，2.31）。无论喂养方式如何，大多数母亲报告通常同室不同床睡眠，包括58.2%的纯母乳喂养母亲和70.0%的非母乳喂养母亲。收到关于睡眠位置或母乳喂养的建议以剂量反应的方式提高了对建议的遵循度（随着相关建议得分的增加，同室不同床睡眠和纯母乳喂养的调整优势比增加），然而，收到关于睡眠位置的建议并没有影响喂养方式。
许多母亲没有采用推荐的婴儿睡眠位置或喂养方式。从多个来源接收建议似乎以剂量反应的方式促进遵循度。许多女性能够既进行母乳喂养又同室不同床睡眠，并且遵循这两项建议的劝告并没有降低母乳喂养率。
许多母亲没有采用推荐的婴儿睡眠位置或喂养方式。这项研究表明，从多个来源接收建议促进对这些方式的遵循，并且提供婴儿睡眠建议并没有对母乳喂养率产生负面影响。
Our objective is to describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices. A nationally representative sample of 3218 mothers, who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014. Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (aOR 2.46: 95%CI 1.76, 3.45) or partial breastfeeding (aOR1.75: 95% CI 1.33, 2.31). The majority of mothers reported usually room sharing without bedsharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of non-breastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of roomsharing without bedsharing and exclusive breastfeeding increased as the relevant advice score increased), however, receiving advice regarding sleep location did not impact feeding practices. Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bedsharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates. Many mothers have not adopted recommended infant sleep location or feeding practices. This study suggests that receiving advice from multiple sources promotes adherence to these practices and providing advice on infant sleep recommendations did not negatively affect breastfeeding rates.
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影响因子：
2.1
作者：
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通讯作者：
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影响因子：
3.1
作者：
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DOI：
10.1136/bmj.b3666
发表时间：
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期刊：
BMJ (Clinical research ed.)
影响因子：
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影响因子：
2.7
作者：
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影响因子：
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