首页|2013年中国母亲感知无母乳状况及危险因素

2013年中国母亲感知无母乳状况及危险因素

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目的 探讨2013年中国母亲产后感知无母乳的发生状况及影响因素。方法 数据来源于2013年中国居民营养与健康状况监测中2岁以下儿童和母亲的调查数据,采用多阶段分层整群抽样方法,抽取中国30个省(直辖市、自治区)的55个监测点的12091名母亲。将感知无母乳定义为由于母亲自我报告无母乳且未进行母乳喂养。通过结构化问卷收集母乳喂养信息、母亲母乳喂养知识和一般特征。采用单因素分析和Logistic回归分析与感知无母乳相关的因素。结果 纳入母亲中感知无母乳组419例(3。5%)。多因素Logistic回归结果显示,母亲年龄(OR=1。04,95%CI 1。02~1。06)、产后大出血(OR=2。03,95%CI 1。30~3。16)、认为母乳喂养应该持续到孩子12月龄以上(OR=0。27,95%CI 0。17~0。45)、不清楚如何喂母乳(OR=3。31,95%CI 2。31~4。74)是产后感知无母乳的主要影响因素。结论 年龄、产后大出血、母乳喂养知识水平是中国母亲产后感知无母乳的主要危险因素,且母乳喂养知识水平为可改变因素。
Prevalence of and risk factors for perceived absence of breast milk supply in Chinese lactating women in 2013
OBJECTIVE To investigate the prevalence and influencing factors of postpartum perceived absence of breast milk supply among Chinese mothers in 2013.METHODS This is a cross-sectional study based on the data collected from children and mothers under 2 years of age in 2013 as part of the nutrition and health surveillance of Chinese residents.In this study,multistage stratified cluster sampling method was used to select subjects from 55 countires/districts in 30 provinces in China.The perceived absence of breast milk supply was defined as the mother's self-reported absence of breast milk and failure to breastfeed.Breastfeeding knowledge,maternal breastfeeding knowledge and general characteristics were collected through a structured questionnaire.Univariate analysis and Logistic regression were used to analyze the factors associated with perceived absence of breast milk supply.RESULTS A total of 12091 mothers were included in the study,including 419 in the perceived non-breastfeeding group,the prevalence of perceived absence of breast milk supply was 3.5%.Multivariate Logistic regression showed maternal age(OR=1.04,95%CI 1.02-1.06),postpartum hemorrhage(OR=2.03,95%CI 1.30-3.16),and belief that breastfeeding should continue beyond 12 months of age(OR=0.27,95%CI 0.17-0.45),not knowing how to breastfeed(OR=3.31,95%CI:2.31-4.74)were the main influencing factors for perceived absence of breast milk supply after delivery.CONCLUSION Age,postpartum hemorrhage and knowledge level of breastfeeding are the main risk factors for perceived absence of breast milk supply,and knowledge level of breastfeeding is a modifiable factor.

breastfeedingperceived absence of breast milk supplyinfluencing factorslactating womencross-sectional study

程遥、庞学红、段一凡、王杰、杨振宇

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中国疾病预防控制中心营养与健康所,国家卫生健康委微量元素与营养重点实验室,中国疾病预防控制中心母乳科学研究重点实验室,北京 100050

母乳喂养 感知无母乳 影响因素 乳母 横断面研究

卫生部医改重大专项

2024

卫生研究
中国疾病预防控制中心

卫生研究

CSTPCD北大核心
影响因子:0.761
ISSN:1000-8020
年,卷(期):2024.53(2)
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