The influence of acculturation on breast-feeding initiation and duration in low-income women in the US
The influence of acculturation on breast-feeding initiation and duration in low-income women in the US
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DOI：
10.1017/s0021932007002593
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发表时间：
2008-09-01
影响因子：
1.5
通讯作者：
Peterson, Karen E.
中科院分区：
文献类型：
--
作者：
Sussner, Katarina M.;Lindsay, Ana C.;Peterson, Karen E.
虽然“移民健康悖论”假定移民在抵达美国后会有更好的健康行为和结果，但研究表明，这种优势可能会随着时间的推移而恶化。这项研究分析了美国以拉丁裔为主的低收入女性的文化适应与母乳喂养开始和持续时间的关系。文化适应的四个衡量标准包括：母亲的出生地(外国出生的对美国出生的)，母亲的父母出生的(外国出生的对美国出生的)，在美国居住的年限(=8年)，以及根据Mann的文化适应量表上的三个项目(优先在家里说的语言，阅读语言和书写语言)改编的语言适应的二分法衡量标准，作为唯一使用母语和非唯一使用母语(混合或仅限英语)(Marin等人，1987；Marin&Gamba，1996)。最终的多变量模型显示，与非母语母亲相比，完全使用母语的母亲更有可能开始母乳喂养和母乳喂养持续时间更长，而美国居住年限和母亲出生年限与母乳喂养开始或持续时间没有显著关联。母亲父母的出生也是母乳喂养持续时间的重要预测因素，无论是在移民的孝顺模型中还是在研究参与者中都是如此。向低收入妇女提供营养教育的方案不妨考虑语言作为母乳喂养的一个重要决定因素的作用。母亲的父母出生在母乳喂养实践中的作用值得在未来的研究中探索，因为在美国以外出生的家庭成员传授的文化实践可能会在现在生活在美国的移民家庭中施加强大的压力。
While the 'immigrant health paradox' posits better health behaviours and outcomes for immigrants upon arrival to the US, research suggests that this advantage may deteriorate over time. This study analysed the relationship of acculturation and breast-feeding initiation and duration among a sample of predominantly Latina, low-income women in the US. The four measures of acculturation included: mother's nativity (foreign born vs US born), mother's parents' nativity (foreign born vs US born), years of US residence (= 8 years) and a dichotomous measure of language acculturation adapted from three items on Mann's acculturation scale (preferred language spoken at home, reading language and writing language) as exclusive use of native language versus non-exclusive use (mixed or English only) (Marin et al., 1987; Marin & Gamba, 1996). Final multivariable models showed that mothers who exclusively used their native language were more likely to initiate breast-feeding as well as breast-feed for longer duration compared with mothers with non-exclusive use, whereas years of US residence and mother's nativity were not significantly associated with breast-feeding initiation or duration. Mother's parents' nativity also emerged as a significant predictor of breast-feeding duration, both within filial models for immigrants and across study participants. Programmes providing nutrition education to low-income women may wish to consider the role of language as an important determinant of breast-feeding. The role of mother's parents' nativity on breast-feeding practices deserves exploration in future studies, as the cultural practices taught by family members born outside the US may exert strong pressure within immigrant families now living in the US.