Predictors of breast-feeding in a developing country: results of a prospective cohort study
Predictors of breast-feeding in a developing country: results of a prospective cohort study
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DOI：
10.1017/s1368980008003005
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发表时间：
2008-12-01
影响因子：
3.2
通讯作者：
Yunis, Khalid A.
中科院分区：
文献类型：
--
作者：
Al-Sahab, Ban;Tarnim, Hala;Yunis, Khalid A.
目标：在黎巴嫩，关于母乳喂养的流行率和预测因素的数据仍然很少。此外，以前没有研究涉及儿科医生的性别对母乳喂养的影响。本研究旨在评估母乳喂养的患病率和预测因素，在1个月和4个月的婴儿年龄，同时探索潜在的作用，性别的儿科医生。设计：前瞻性队列研究。通过两个逐步回归模型，在1个月和4个月时对母乳喂养显著性的预测因素进行了检验。设置：婴儿通过位于黎巴嫩贝鲁特及其郊区的117名儿科医生的诊所和药房登记。受试者：2001年8月至2002年2月期间出生的1320名健康新生儿在第一年进行了前瞻性随访。结果：1个月和4个月的母乳喂养率分别为56.3%和24.7%。早出院、高产次和宗教信仰与1个月和4个月大时较高的母乳喂养率显著相关。母亲年龄仅在1个月时有显著性差异，而母亲的工作状况和儿科医生的性别在4个月时有显著性差异。一个新的发现，我们的研究是积极的影响，女性儿科医生母乳喂养持续到4个月的年龄（OR = 1.49; 95%CI 1.03，2.15）。结论：母乳喂养率低，在1个月和4个月的婴儿年龄在贝鲁特。需要进一步研究，调查女医生和哺乳期母亲在其他人群中维持母乳喂养方面的相互作用。这些结果构成了设计针对决策者、保健专业人员和母亲的干预措施的基础。
Objective: Data on the prevalence and predictors of breast-feeding remain scarce in Lebanon. Moreover, no study has previously addressed the effect of the paediatrician's sex on breast-feeding. The present study aimed to assess the prevalence and predictors of breast-feeding at 1 and 4 months of infant age while exploring the potential role of the sex of the paediatrician.Design: Prospective cohort study. Predictors of breast-feeding significant at the bivariate level were tested at 1 and 4 months through two stepwise regression models.Setting: Infants were enrolled through the clinics and dispensaries of 117 paediatricians located in Beirut, Lebanon, and its suburbs.Subjects: A total of 1320 healthy newborn infants born between August 2001 and February 2002 were prospectively followed during the first year.Findings: Breast-feeding rates at 1 and 4 months were 56.3% and 24.7%, respectively. Early discharge, high parity and religion were significantly associated with higher breast-feeding rates at 1 and 4 months of age. Maternal age proved significant only at 1 month, while maternal working status and sex of the paediatrician were significant at 4 months. A novel finding of our study was the positive effect of female paediatricians on breast-feeding continuation until 4 months of age (OR = 1.49; 95% CI 1.03, 2.15).Conclusions: Breast-feeding rates are low at 1 and 4 months of infant age in Beirut. Further research to investigate the interactions between female physicians and lactating mothers in maintaining breast-feeding in other populations is warranted. The results constitute the basis for designing interventions targeting policy makers, health professionals and mothers.