与在职母亲母乳喂养实践相关的个人和组织因素。

IF 2.3 4区 医学 Q1 NURSING
Workplace Health & Safety Pub Date : 2023-08-01 Epub Date: 2023-05-30 DOI:10.1177/21650799231167580
Robin Ray
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引用次数: 0

摘要

背景:母乳喂养建议6个月大的婴儿使用固体食物,并持续到12个月大。然而,在美国,许多母亲在很小的时候就停止母乳喂养,并在分娩后重返工作岗位。本研究的目的是在参加婴儿喂养实践研究II的在职母亲样本中确定与母乳喂养实践相关的个人和组织因素。方法:对2005年至2007年间完成婴儿喂养实践试验II的953名在职母亲样本进行二次分析。该分析比较了12个月内的婴儿喂养状态(母乳喂养/喂养泵送奶与未母乳喂养/喂食泵送奶),研究结果:广义线性混合模型(GLMM)显示,在12个月的随访期内,兼职(每周≤34小时)的职业母亲比全职母亲继续母乳喂养的可能性高97%(OR=1.97,p=0.002)与那些感知支持水平较低的人相比,继续母乳喂养的可能性高178%(OR=2.78,p<.001)。实践应用:职业健康护士可能能够解决工作场所母乳喂养的障碍,并改进支持性的工作场所做法,以促进符合国家和国际建议的在职母亲继续母乳喂养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Individual and Organizational Factors Associated With Breastfeeding Practices in Employed Mothers.

Background: Breastfeeding is recommended for infants through 6 months of age, when solid foods are introduced, and continued until 12 months of age. However, many mothers in the United States discontinue breastfeeding at an early age and return to work following childbirth. The purpose of this study was to identify individual and organizational factors associated with breastfeeding practices in a sample of employed mothers who participated in the Infant Feeding Practices Study II.

Methods: A secondary analysis was conducted on a sample of 953 employed mothers who completed the Infant Feeding Practices Study II between 2005 and 2007. The analysis compares infant feeding status (breastfeeding/feeding pumped milk vs. not breastfeeding/feeding pumped milk) over a 12-month period, using generalized linear mixed modeling (GLMM).

Findings: Generalized linear mixed modeling (GLMM) revealed that working mothers who were employed part-time (≤34 hours/week) were 97% more likely to continue breastfeed compared with mothers employed full-time over the 12-month follow-up period (OR = 1.97, p = .002). Mothers who perceived high levels of breastfeeding support in the workplace were 178% more likely to continue breastfeeding compared with those with low levels of perceived support (OR = 2.78, p < .001).

Conclusions: Prenatal breastfeeding only feeding intentions, non-smoking, part-time employment, and higher levels of perceived breastfeeding support in the workplace were significant predictors of breastfeeding/feeding pumped milk at all time points.

Application to practice: Occupational health nurses may be able to address barriers to breastfeeding in the workplace and improve supportive workplace practices to promote continued breastfeeding in employed mothers consistent with national and international recommendations.

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来源期刊
CiteScore
3.70
自引率
3.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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