Local environmental quality positively predicts breastfeeding in the UK's Millennium Cohort Study.
Local environmental quality positively predicts breastfeeding in the UK's Millennium Cohort Study.
复制标题
DOI：
10.1093/emph/eox011
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Sear R
中科院分区：
文献类型：
--
作者：
Brown LJ;Sear R
使用母乳喂养的开始和持续时间和当地的环境质量指标，我们测试的生活史理论预测，父母的投资将在恶劣的环境中较低。我们发现，当地的环境质量（由一个独立的评估）积极预测母乳喂养以上的个人SES和更广泛的环境的影响。较高的社会经济地位似乎还可以缓冲当地环境质量下降的负面影响。 背景和目的：母乳喂养是父母投资的一种重要形式，具有明显的健康益处。尽管如此，英国的发病率仍然很低;因此，了解变异有助于改善干预措施。生活史理论表明，环境质量可能会影响母亲的投资，包括母乳喂养。我们分析了一个具有全国代表性的数据集，以测试两个预测：（i）较高的当地环境质量预测更高的可能性母乳喂养的开始和更长的持续时间;（ii）较高的社会经济地位（SES）提供了一个缓冲区，对当地环境质量低的不利影响。 方法：我们对广泛的地方环境变量进行了因子分析。通过这种分析，产生了两个当地环境质量的摘要措施-一个“客观”（基于独立评估员的邻里得分）和一个“主观”（基于受访者的得分）。我们使用混合效应回归技术来测试我们的假设。 结果如下：更高的客观，但不是主观的，当地的环境质量预测更高的可能性开始和维持母乳喂养以上的个人社会经济地位和地区一级的环境质量措施。较高的个人社会经济地位是保护性的，高收入家庭的妇女有相对较高的母乳喂养率，那些高地位的工作更有可能保持母乳喂养，即使在恶劣的环境条件下。 结论和影响：环境质量往往是模糊的测量;在这里，我们提出了一个彻底的调查，在地方一级的环境质量，控制个人和地区一级的措施。我们的研究结果支持转移的重点从个人因素，并对改变妇女的决策环境的景观时，考虑相关的公共卫生行为。
Using breastfeeding initiation and duration and local-level indicators of environmental quality, we test the life history theory prediction that parental investment will be lower in harsh environments. We find that local environmental quality (as rated by an independent assessor) positively predicts breastfeeding over and above the influences of individual SES and the wider environment. Higher SES also appears to buffer against the negative effects of lower local environmental quality. Background and Objectives: Breastfeeding is an important form of parental investment with clear health benefits. Despite this, rates remain low in the UK; understanding variation can therefore help improve interventions. Life history theory suggests that environmental quality may pattern maternal investment, including breastfeeding. We analyse a nationally representative dataset to test two predictions: (i) higher local environmental quality predicts higher likelihood of breastfeeding initiation and longer duration; (ii) higher socioeconomic status (SES) provides a buffer against the adverse influences of low local environmental quality. Methodology: We ran factor analysis on a wide range of local-level environmental variables. Two summary measures of local environmental quality were generated by this analysis—one ‘objective’ (based on an independent assessor’s neighbourhood scores) and one ‘subjective’ (based on respondent’s scores). We used mixed-effects regression techniques to test our hypotheses. Results: Higher objective, but not subjective, local environmental quality predicts higher likelihood of starting and maintaining breastfeeding over and above individual SES and area-level measures of environmental quality. Higher individual SES is protective, with women from high-income households having relatively high breastfeeding initiation rates and those with high status jobs being more likely to maintain breastfeeding, even in poor environmental conditions. Conclusions and Implications: Environmental quality is often vaguely measured; here we present a thorough investigation of environmental quality at the local level, controlling for individual- and area-level measures. Our findings support a shift in focus away from individual factors and towards altering the landscape of women’s decision making contexts when considering behaviours relevant to public health.
登录
查看更多内容
影响因子：
2.7
作者：
Earle, S
通讯作者：
Earle, S
影响因子：
6.3
作者：
Agyemang, C.;Vrijkotte, T. G. M.;Stronks, K.
通讯作者：
Stronks, K.
影响因子：
4.4
作者：
Brown, Amy E.;Raynor, Peter;Lee, Michelle D.
通讯作者：
Lee, Michelle D.
DOI：
10.1111/apa.13102
发表时间：
2015-12
期刊：
Acta paediatrica (Oslo, Norway : 1992)
影响因子：
--
作者：
Chowdhury R;Sinha B;Sankar MJ;Taneja S;Bhandari N;Rollins N;Bahl R;Martines J
通讯作者：
Martines J
影响因子：
5.4
作者：
Auger, Nathalie;Park, Alison L.;Daniel, Mark
通讯作者：
Daniel, Mark