PDF(Pubmed)
Abstract：
OBJECTIVE: To identify the correlates of early breastfeeding (BF) cessation and breastmilk expression (BE) among mothers 12 months after childbirth.
METHODS: We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes.
RESULTS: The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months.
CONCLUSIONS: Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation.
METHODS: We used a case-control study design to compare characteristics between mothers who stopped BF and expressed breastmilk 12 months after childbirth in Uganda. BF practices were determined in 12-month follow-up interviews using an adapted World Health Organization infant feeding questionnaire. Univariate and bivariate logistic regression models identified correlates of early BF cessation and BE as distinct but related outcomes.
RESULTS: The odds of early BF cessation were higher among mothers who expressed breastmilk irrespective of maternal age (adjusted odds ratio: 2.82; 95% confidence interval: 1.39, 5.68). Mothers who stopped BF and did not express breastmilk were more likely to be older than those who continued BF and did not express breastmilk during the first 12 postpartum months.
CONCLUSIONS: Mothers living with human immunodeficiency virus infection have disproportionately high odds of early BF cessation that may contribute to disparities in child health outcomes. Promotion of safe BF practices coupled with family and social support could be a viable preventive strategy for attenuating such disparities, especially among young mothers at risk of early BF cessation.
摘要：
目的：确定分娩后12个月母亲早期母乳喂养（BF）停止和母乳表达（BE）的相关性。
方法：我们使用病例对照研究设计来比较乌干达分娩后12个月停止BF和表达母乳的母亲的特征。使用经过调整的世界卫生组织婴儿喂养问卷，在12个月的随访访谈中确定了BF做法。单变量和双变量逻辑回归模型将早期BF停止和BE的相关性确定为不同但相关的结果。
结果：无论母亲年龄如何，母乳喂养的母亲早期停止BF的几率更高（调整后的比值比：2.82；95％置信区间：1.39，5.68）。在产后前12个月中，停止BF且不表达母乳的母亲比继续BF且不表达母乳的母亲年龄更大。
结论：患有人类免疫缺陷病毒感染的母亲早期停止BF的几率过高，这可能导致儿童健康结果的差异。推广安全的养院做法，加上家庭和社会支持，可能是缩小这种差距的可行预防战略，尤其是在有早期停止BF风险的年轻母亲中。
方法：我们使用病例对照研究设计来比较乌干达分娩后12个月停止BF和表达母乳的母亲的特征。使用经过调整的世界卫生组织婴儿喂养问卷，在12个月的随访访谈中确定了BF做法。单变量和双变量逻辑回归模型将早期BF停止和BE的相关性确定为不同但相关的结果。
结果：无论母亲年龄如何，母乳喂养的母亲早期停止BF的几率更高（调整后的比值比：2.82；95％置信区间：1.39，5.68）。在产后前12个月中，停止BF且不表达母乳的母亲比继续BF且不表达母乳的母亲年龄更大。
结论：患有人类免疫缺陷病毒感染的母亲早期停止BF的几率过高，这可能导致儿童健康结果的差异。推广安全的养院做法，加上家庭和社会支持，可能是缩小这种差距的可行预防战略，尤其是在有早期停止BF风险的年轻母亲中。
