探索粮食和经济不安全以及粮食援助与初为人母者母乳喂养做法之间的关联。

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Junia N de Brito, Jessica K Friedman, Sydney T Johnson, Jerica M Berge, Susan M Mason
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引用次数: 0

摘要

目的:健康的社会决定因素(SDoH),如食品和经济不安全以及食品援助,是可能影响母乳喂养的开始和持续时间的潜在可改变因素。有关这些社会决定因素与婴儿喂养方式之间关系的知识存在空白。我们探讨了食物和经济不安全以及食物援助与母亲在产后四个月继续母乳喂养的关系,以及种族和民族是否会改变这些关系:设计:母亲们回顾性地报告了她们怀孕期间的食物和经济不安全状况以及接受食物援助(如妇女、婴儿和儿童以及补充营养援助计划)的情况,以及她们的第一个孩子出生后的婴儿喂养方式(纯母乳喂养/几乎母乳喂养与纯配方奶粉喂养/几乎配方奶粉喂养)。经社会人口学调整的修正泊松回归估计了流行率和 95 % CI:明尼苏达州明尼阿波利斯-圣保罗:结果:10%的母亲表示食物匮乏:结果:10%的母亲表示在怀孕期间食物无保障,43%的母亲表示在怀孕期间经济无保障,22%的母亲表示在怀孕期间接受过食物援助。产后四个月时,63%的母亲完全/几乎完全以母乳喂养,37%的母亲完全/几乎完全以配方奶粉喂养。我们发现,在产后四个月时,报告粮食不安全(0-65;0-43-0-98)和接受粮食援助(0-66;0-94-0-88)的母亲的调整后母乳喂养率低于未报告粮食不安全和接受粮食援助的母亲。至于经济不安全(aPR 0-92;0-78,1-08),调整后的估计值几乎没有证据表明两者之间存在关联:我们发现,粮食不安全和使用粮食补助的母亲母乳喂养率较低。需要为延长母亲的母乳喂养时间提供资源支持。此外,还必须确定母乳喂养开始和持续时间的促进因素、障碍和机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the associations of food and financial insecurity and food assistance with breastfeeding practices among first-time mothers.

Objective: Social determinants of health (SDoH), such as food and financial insecurity and food assistance, are potentially modifiable factors that may influence breastfeeding initiation and duration. Knowledge gaps exist regarding the relationship between these SDoH and infant feeding practices. We explored the relationships of food and financial insecurity and food assistance with the continuation of breastfeeding at four months postpartum among mothers and whether race and ethnicity modified these associations.

Design: Mothers retrospectively reported food and financial insecurity and receipt of food assistance (e.g. Women, Infants and Children and Supplemental Nutrition Assistance Program) during pregnancy with their first child and infant feeding practices (exclusive/mostly breastfeeding v. exclusive/mostly formula feeding) following the birth of their first child. Sociodemographic-adjusted modified Poisson regressions estimated prevalence ratios and 95 % CI.

Setting: Minneapolis-St. Paul, Minnesota.

Participants: Mothers who participated in the Life-course Experiences And Pregnancy study (LEAP) (n 486).

Results: Ten percent of mothers reported food insecurity, 43 % financial insecurity and 22 % food assistance during their pregnancies. At four months postpartum, 63 % exclusively/mostly breastfed and 37 % exclusively/mostly formula-fed. We found a lower adjusted prevalence of breastfeeding at four months postpartum for mothers who reported experiencing food insecurity (0·65; 0·43-0·98) and receiving food assistance (0·66; 0·94-0·88) relative to those who did not. For financial insecurity (aPR 0·92; 0·78, 1·08), adjusted estimates showed little evidence of an association.

Conclusions: We found a lower level of breastfeeding among mothers experiencing food insecurity and using food assistance. Resources to support longer breastfeeding duration for mothers are needed. Moreover, facilitators, barriers and mechanisms of breastfeeding initiation and duration must be identified.

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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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