Current status of breast-feeding and its related factors among infants under 2 years old
Objective To investigate the status quo of breastfeeding amongst infants under 2 years old in Fangchenggang City,Guangxi Zhuang Autonomous Region,and to analyze its possible influencing factors.Methods A retrospective questionnaire survey was conducted on 592 children aged 2 to 2 years and 3 months and their parents from 28 community health service centers and township health centers in Fangchenggang City from June to December 2021 by a cluster sampling method.The status quo of breastfeeding in infants at 3,6,12,18 and 24 months were investigated.The factors influencing exclusive breastfeeding at 6 months of age and continued breastfeeding at 12 and 18 months of age were surveyed.Results Of the 536 infants aged 2 to 2 years and 3 months,466 were exclusively breast-fed at 3 months of age,and the rate of exclusive breastfeeding at 3 months was 86.9％.329 were exclusively breastfed at 6 months of age,the rate of exclusive breastfeeding at six months of age was 61.4％,and the rates of continued breastfeeding at 12,18 and 24 months were 29.9％(160/536),4.3％(23/536)and 0.6％(3/536)respectively.Multifactor logistic stepwise regression model revealed that urban area as the family residence(OR=1.678,95％CI:1.126-2.501),mother as the primary caregiver(OR=2.208,95％CI:1.357-3.593)and breast milk as the first mouthful of food after birth(OR=2.417,95％CI:1.482-3.942)were the factors influencing continued breastfeeding at 12 months of age among infants aged 2 to 2 years and 3 months.Time to initiation of breastfeeding less than or equal to 1 hour of birth(OR=3.005,95％CI:1.203-7.504)and time to initiation of complementary food supplementation within 4 months(OR=4.392,95％CI:1.479-13.039)were the influential factors for promoting continued breastfeeding at 18 months of age among infants aged 2 to 2 years and 3 months.Conclusion The rate of exclusive breastfeeding at 6 months of age has met the requirements of the Program for the Development of Chinese Children(2011-2020),and the breastfeeding rate decreases with the infants'increasing age.The results suggest that the health policy and measures of exclusive breastfeeding under 6 months of age in Fangchenggang City are effective.Grass-roots health care workers should strengthen the publicity of importance of continued breastfeeding.Breastfeeding is recommended up to 2 years of age or above 2 years old.
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