Emotional and informational social support from health visitors and breastfeeding outcomes in the UK.
Emotional and informational social support from health visitors and breastfeeding outcomes in the UK.
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DOI：
10.1186/s13006-023-00551-7
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发表时间：
2023-03-07
影响因子：
3.5
通讯作者：
Page AE
中科院分区：
文献类型：
--
作者：
Chambers A;Emmott EH;Myers S;Page AE
母乳喂养时间较短会对婴儿健康/发育和孕产妇健康产生不利影响。先前的研究表明，社会支持对于维持母乳喂养和帮助改善一般婴儿喂养体验至关重要。因此，公共卫生机构在英国努力支持母乳喂养，但英国的母乳喂养率仍然是全球最低的国家之一。因此，需要更好地了解婴儿喂养支持的有效性和质量。在联合王国，保健巡视员（专门为有0-5岁儿童的家庭提供服务的社区公共卫生护士）已被定位为母乳/胸部喂养支助的主要提供者之一。研究证据表明，信息支持不足和不良/消极的情感支持都会导致不良的母乳喂养经历和过早停止母乳喂养。因此，本研究检验了健康访客的情感支持调节英国母亲信息支持与母乳喂养持续时间/婴儿喂养经验之间关系的假设。我们对565名英国母亲的数据进行了cox和二元逻辑回归模型，这些数据是2017-2018年关于社会支持和婴儿喂养的回顾性在线调查的一部分。与情感支持相比，信息支持对母乳喂养持续时间和经验的预测作用较弱。支持性情感支持与无帮助或缺乏信息支持与3个月前停止母乳喂养的最低风险相关。母乳喂养经历的结果也有类似的趋势，积极的经历与支持性的情感支持和无益的信息支持有关。消极经历的一致性较差；然而，当两种类型的支持都被报告为不支持时，发现负面体验的可能性更高。我们的研究结果指出，健康访客提供情感支持的重要性，以支持母乳喂养的继续，并鼓励婴儿喂养的积极主观体验。我们的结果强调情感支持，鼓励增加资源分配和培训机会，以确保保健访视者能够提供更多的情感支持。在英国，减少卫生访问者的病例量以允许个性化护理只是一个可能改善母乳喂养结果的可行例子。在线版本包含补充资料，下载地址：10.1186/s13006-023-00551-7。
Shorter breastfeeding duration is associated with detrimental consequences for infant health/development and maternal health. Previous studies suggest social support is essential in maintaining breast/chest-feeding and helping to improve general infant feeding experiences. Public health bodies therefore work to support breastfeeding in the UK, yet UK breastfeeding rates continue to be one of the lowest globally. With this, a better understanding of the effectiveness and quality of infant feeding support is required. In the UK, health visitors (community public health nurses specialising in working with families with a child aged 0–5 years) have been positioned as one of the key providers of breast/chest-feeding support. Research evidence suggests that both inadequate informational support and poor/negative emotional support can lead to poor breastfeeding experiences and early breastfeeding cessation. Thus, this study tests the hypothesis that emotional support from health visitors moderates the relationship between informational support and breastfeeding duration/infant feeding experience among UK mothers. We ran cox and binary logistic regression models on data from 565 UK mothers, collected as part of a 2017–2018 retrospective online survey on social support and infant feeding. Informational support, compared to emotional support, was a less important predictor of both breastfeeding duration and experience. Supportive emotional support with unhelpful or absent informational support was associated with the lowest hazard of breastfeeding cessation before 3 months. Results for breastfeeding experience followed similar trends, where positive experience was associated with supportive emotional and unhelpful informational support. Negative experiences were less consistent; however, a higher probability of negative experience was found when both types of support were reported as unsupportive. Our findings point to the importance of health visitors providing emotional support to bolster the continuation of breastfeeding and encourage a positive subjective experience of infant feeding. The emphasis of emotional support in our results encourages increased allocation of resources and training opportunities to ensure health visitors are able to provide enhanced emotional support. Lowering health visitors caseloads to allow for personalised care is just one actionable example that may improve breastfeeding outcomes in the UK. The online version contains supplementary material available at 10.1186/s13006-023-00551-7.
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影响因子：
3.8
作者：
Brown A;Rance J;Bennett P
通讯作者：
Bennett P
影响因子：
4.5
作者：
Acharya, Pawan;Khanal, Vishnu
通讯作者：
Khanal, Vishnu
DOI：
10.9778/cmajo.20140113
发表时间：
2015-07-01
期刊：
CMAJ open
影响因子：
--
作者：
Chaput, Kathleen H;Adair, Carol E;Tough, Suzanne C
通讯作者：
Tough, Suzanne C
影响因子：
2.7
作者：
Brown, Amy
通讯作者：
Brown, Amy
影响因子：
2.7
作者：
Garner, Christine D.;Ratcliff, Stephannie L.;Rasmussen, Kathleen M.
通讯作者：
Rasmussen, Kathleen M.