Trends in social inequality in breastfeeding duration in Denmark 2002-2019.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Scandinavian Journal of Public Health Pub Date : 2025-02-01 Epub Date: 2024-03-06 DOI:10.1177/14034948241234133

Rikke R Carlsson, Lis Marie Pommerencke, Sofie W Pant, Sanne E Jørgensen, Katrine R Madsen, Camilla T Bonnesen, Lene Kierkegaard, Trine P Pedersen

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引用次数: 0

Abstract

Aims: The aim of the present study was to analyse trends in full breastfeeding for at least 4 months across socioeconomic position in Denmark over a 17-year-long period from 2002 to 2019 using parental education as the indicator of socioeconomic position.

Methods: The study used data on full breastfeeding collected between 2002 and 2019 by community health nurses in the collaboration Child Health Database, n=143,075. Data were linked with five categories of parental education from population registers. Social inequality was calculated as both the relative (odds ratio) and absolute social inequality (slope index of inequality). A trend test was conducted to assess changes in social inequality over time.

Results: A social gradient in full breastfeeding was found for the entire study period. The odds ratio for not being fully breastfed for at least 4 months ranged from 3.30 (95% confidence interval 2.83-3.84) to 5.09 (95% confidence interval 4.28-6.06) during the study period for infants of parents with the lowest level of education (primary school) compared with infants of parents with the highest level of education (5+ years of university education). The slope index of inequality was between -38.86 and -48.81 during the entire study period, P=0.80. This indicated that both the relative and absolute social inequality in full breastfeeding to at least 4 months of age was unchanged in the study period from 2002 to 2019.

Conclusions: This study showed a persistent relative and absolute social inequality in full breastfeeding for at least 4 months from 2002 to 2019 in Denmark.

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2002-2019 年丹麦母乳喂养持续时间的社会不平等趋势。

目的：本研究旨在以父母教育程度作为社会经济地位的指标，分析2002年至2019年的17年间，丹麦不同社会经济地位的全母乳喂养至少4个月的趋势：该研究使用了2002年至2019年期间由社区保健护士在合作儿童健康数据库中收集的全母乳喂养数据，n=143,075。数据与人口登记册中父母教育的五个类别相关联。社会不平等的计算方法包括相对社会不平等（几率比）和绝对社会不平等（不平等斜率指数）。通过趋势检验来评估社会不平等随着时间推移而发生的变化：结果：在整个研究期间，发现了完全母乳喂养的社会梯度。在研究期间，教育程度最低（小学）的父母与教育程度最高（5 年以上大学教育）的父母的婴儿相比，未完全母乳喂养至少 4 个月的几率比例从 3.30（95% 置信区间 2.83-3.84）到 5.09（95% 置信区间 4.28-6.06）不等。在整个研究期间，不平等斜率指数介于-38.86和-48.81之间，P=0.80。这表明，在 2002 年至 2019 年的研究期间，完全母乳喂养至至少 4 个月大的相对和绝对社会不平等现象均未发生变化：本研究表明，从 2002 年到 2019 年，丹麦在至少 4 个月的完全母乳喂养方面持续存在相对和绝对的社会不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

2.90%

发文量

135

审稿时长

4-8 weeks

期刊介绍： The Scandinavian Journal of Public Health is an international peer-reviewed journal which has a vision to: publish public health research of good quality; contribute to the conceptual and methodological development of public health; contribute to global health issues; contribute to news and overviews of public health developments and health policy developments in the Nordic countries; reflect the multidisciplinarity of public health.