Abstract：
BACKGROUND: Exclusive breastfeeding is recommended through six months as it supports infant growth and development. Yet, many mothers do not exclusively breastfeed in early postpartum.
OBJECTIVE: To examine factors associated with exclusive breastfeeding at hospital discharge among culturally diverse women.
METHODS: This cross-sectional study used data of women who gave birth at a major medical center in Israel in 2015-2017. Descriptive statistics and regression analysis were conducted to examine maternal characteristics and associated breastfeeding outcomes by hospital discharge.
RESULTS: Among 10,978 women, 17.8% (n=1958) exclusively breastfed, 57.9% (n=6357) partially breastfed, and 24.3% (n=2663) did not breastfeed. Among Israeli-born and former Soviet Union-born Jewish women, breastfeeding intention (odds ratio [OR] 19.59, 95% confidence interval [95%CI] 10.27-37.35 and OR 15.92, 95%CI 5.79-43.80, respectively) and early breastfeeding (OR 2.415, 95%CI 1.91-3.05 and OR 2.04, 95%CI 1.57-2.64, respectively) were associated with exclusive breastfeeding. The only significant factor associated with exclusive breastfeeding among refugees and Israeli-born Muslim women was early breastfeeding (OR 1.61, 95%CI 1.20-2.16). For Ethiopian-born Jewish women, not married (OR 0.330, 95%CI 0.114-0.955) and cesarean delivery (OR 0.481, 95%CI 0.232-0.998) were negatively associated with exclusive breastfeeding.
CONCLUSIONS: Despite having access to the same hospital-based breastfeeding support, there were differences among ethno-culturally diverse women in Israel. In this study, we identified maternal characteristics associated with early breastfeeding among women of diverse ethno-cultural backgrounds. Study findings highlight the importance of ethno-cultural considerations in breastfeeding practices and inform health professionals of factors associated with exclusive breastfeeding in early postpartum.
OBJECTIVE: To examine factors associated with exclusive breastfeeding at hospital discharge among culturally diverse women.
METHODS: This cross-sectional study used data of women who gave birth at a major medical center in Israel in 2015-2017. Descriptive statistics and regression analysis were conducted to examine maternal characteristics and associated breastfeeding outcomes by hospital discharge.
RESULTS: Among 10,978 women, 17.8% (n=1958) exclusively breastfed, 57.9% (n=6357) partially breastfed, and 24.3% (n=2663) did not breastfeed. Among Israeli-born and former Soviet Union-born Jewish women, breastfeeding intention (odds ratio [OR] 19.59, 95% confidence interval [95%CI] 10.27-37.35 and OR 15.92, 95%CI 5.79-43.80, respectively) and early breastfeeding (OR 2.415, 95%CI 1.91-3.05 and OR 2.04, 95%CI 1.57-2.64, respectively) were associated with exclusive breastfeeding. The only significant factor associated with exclusive breastfeeding among refugees and Israeli-born Muslim women was early breastfeeding (OR 1.61, 95%CI 1.20-2.16). For Ethiopian-born Jewish women, not married (OR 0.330, 95%CI 0.114-0.955) and cesarean delivery (OR 0.481, 95%CI 0.232-0.998) were negatively associated with exclusive breastfeeding.
CONCLUSIONS: Despite having access to the same hospital-based breastfeeding support, there were differences among ethno-culturally diverse women in Israel. In this study, we identified maternal characteristics associated with early breastfeeding among women of diverse ethno-cultural backgrounds. Study findings highlight the importance of ethno-cultural considerations in breastfeeding practices and inform health professionals of factors associated with exclusive breastfeeding in early postpartum.
摘要：
背景：建议在六个月内进行纯母乳喂养，因为它可以支持婴儿的生长发育。然而，许多母亲在产后早期不进行纯母乳喂养。
目的：研究不同文化女性出院时与纯母乳喂养相关的因素。
方法：这项横断面研究使用了2015-2017年在以色列一家主要医疗中心分娩的妇女的数据。进行描述性统计和回归分析，以检查出院时产妇的特征和相关的母乳喂养结果。
结果：在10,978名妇女中，17.8%（n=1958）纯母乳喂养，57.9％（n=6357）部分母乳喂养，24.3%(n=2663)没有母乳喂养。在以色列出生和前苏联出生的犹太妇女中，母乳喂养意向(比值比[OR]19.59,95%置信区间[95CI]10.27~37.35和OR15.92,95CI5.79~43.80)和早期母乳喂养(分别为OR2.415,95CI1.91~3.05和OR2.04,95CI1.57~2.64)与纯母乳喂养相关.与难民和以色列出生的穆斯林妇女纯母乳喂养相关的唯一重要因素是早期母乳喂养（OR1.61，95CI1.20-2.16）。对于埃塞俄比亚出生的犹太妇女来说，未婚（OR0.330，95CI0.114-0.955）和剖宫产（OR0.481，95CI0.232-0.998）与纯母乳喂养呈负相关。
结论：尽管可以获得相同的医院母乳喂养支持，以色列不同族裔文化的妇女之间存在差异。在这项研究中,我们确定了不同种族文化背景的女性中与早期母乳喂养相关的母亲特征.研究结果强调了在母乳喂养实践中民族文化因素的重要性，并告知卫生专业人员与产后早期纯母乳喂养相关的因素。
目的：研究不同文化女性出院时与纯母乳喂养相关的因素。
方法：这项横断面研究使用了2015-2017年在以色列一家主要医疗中心分娩的妇女的数据。进行描述性统计和回归分析，以检查出院时产妇的特征和相关的母乳喂养结果。
结果：在10,978名妇女中，17.8%（n=1958）纯母乳喂养，57.9％（n=6357）部分母乳喂养，24.3%(n=2663)没有母乳喂养。在以色列出生和前苏联出生的犹太妇女中，母乳喂养意向(比值比[OR]19.59,95%置信区间[95CI]10.27~37.35和OR15.92,95CI5.79~43.80)和早期母乳喂养(分别为OR2.415,95CI1.91~3.05和OR2.04,95CI1.57~2.64)与纯母乳喂养相关.与难民和以色列出生的穆斯林妇女纯母乳喂养相关的唯一重要因素是早期母乳喂养（OR1.61，95CI1.20-2.16）。对于埃塞俄比亚出生的犹太妇女来说，未婚（OR0.330，95CI0.114-0.955）和剖宫产（OR0.481，95CI0.232-0.998）与纯母乳喂养呈负相关。
结论：尽管可以获得相同的医院母乳喂养支持，以色列不同族裔文化的妇女之间存在差异。在这项研究中,我们确定了不同种族文化背景的女性中与早期母乳喂养相关的母亲特征.研究结果强调了在母乳喂养实践中民族文化因素的重要性，并告知卫生专业人员与产后早期纯母乳喂养相关的因素。
