Differences in Breastfeeding Initiation and Duration by Migration History in the Hispanic Community Health Study/Study of Latinos.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Kaitlyn K Stanhope, Krista M Perreira, Carmen R Isasi, Madison N LeCroy, Martha L Daviglus, Franklyn Gonzalez, Linda C Gallo, Clarisa Medina Poelinz, Shakira F Suglia
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Abstract

Objective: To estimate differences in breastfeeding initiation and duration across dimensions of migration history (migration to the U.S. 50 states/District of Columbia [DC] in childhood, adulthood, or not at all) in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Methods: We used data from HCHS/SOL on 520 individuals with a post-baseline live birth and information on breastfeeding collected at Visit 2 (2014-2017). We fit log binomial models adjusted for parity, age at pregnancy, education, income, and immigration history and incorporating sampling weights. Results: Overall, 84% of participants reported initiating breastfeeding and 30% reported breastfeeding for 6 or more months. On average, individuals reported breastfeeding for a median of 88 days (interquartile range: 156). Compared with those born in the U.S. 50 states/DC, individuals born in another country or U.S. territory who arrived in the U.S. 50 states/DC as children (<18 years old) were 2.7 times more likely to initiate breastfeeding (adjusted prevalence ratio 2.7, 95% confidence interval [CI]: 1.4, 4.9) and those who arrived as adults were 2 times more likely to initiate breastfeeding (adjusted prevalence ratio 2.0, 95% CI: 1.1, 3.6). We observed similar patterns for breastfeeding continuation. Conclusions: The timing and duration of life course experiences such as migration are key determinants of breastfeeding behavior among Hispanic/Latina postpartum persons.

拉美裔社区健康研究》/《拉美裔研究》中不同移民史的母乳喂养开始时间和持续时间的差异。
目的在西班牙裔社区健康研究/拉美裔研究(HCHS/SOL)中,估计不同移民史(童年、成年或完全没有移民到美国 50 个州/哥伦比亚特区 [DC])在母乳喂养的开始时间和持续时间上的差异。研究方法:我们使用了西班牙裔社区健康研究/拉丁裔社区健康研究(HCHS/SOL)的数据,这些数据来自基线后活产的 520 人,并在访问 2(2014-2017 年)时收集了母乳喂养信息。我们拟合了对数二项式模型,并对奇偶性、怀孕年龄、教育程度、收入和移民史进行了调整,同时纳入了抽样权重。结果总体而言,84% 的参与者表示开始母乳喂养,30% 的参与者表示母乳喂养 6 个月或更长时间。平均而言,母乳喂养时间的中位数为 88 天(四分位数间距:156)。与那些出生在美国 50 个州/华盛顿特区的人相比,那些出生在其他国家或美国领土,并在儿童时期来到美国 50 个州/华盛顿特区的人(结论:美国 50 个州/华盛顿特区的母乳喂养时间和持续时间与出生在美国 50 个州/华盛顿特区的人不同):移民等人生经历的时间和持续时间是决定西班牙裔/拉丁裔产后妇女母乳喂养行为的关键因素。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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