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The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia

机译：婴儿喂养态度对母乳喂养时间的影响：西澳大利亚农村地区一项队列研究的证据

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Background Breast milk is the optimal source of nutrition for infants in the first six months of life. Promoting and protecting breastfeeding is reflected in public health policy across the globe, but breastfeeding rates in both developing and industrialised countries continue to demonstrate that few mothers meet these recommendations. In addition to sociodemographic factors such as age, education and income, modifiable factors such as maternal infant feeding attitudes have been shown to influence breastfeeding duration. The objective of this paper was to describe the influence of infant feeding attitudes on breastfeeding duration in rural Western Australia. Methods A cohort of 427 women and their infants were recruited from hospitals in rural Western Australia and followed for a period of 12 months. Information about feeding methods was gathered in hospital and at a further seven follow-up contacts. Infant feeding attitude was measured using the Iowa Infant Feeding Attitude Scale (IIFAS), and a score of?>?65 was considered positive towards breastfeeding. Results Mothers with an IIFAS score of?>?65 were approximately twice as likely to be exclusively breastfeeding at six months, and breastfeeding at any intensity to 12 months. The median duration of exclusive breastfeeding for mothers with an IIFAS score of?>?65 was 16 weeks (95 % CI 13.5, 18.5) compared with 5 weeks for those with a score??65 (48 vs. 22 weeks, p?
机译：背景母乳是婴儿出生后头六个月的最佳营养来源。促进和保护母乳喂养已在全球公共卫生政策中得到反映，但发展中国家和工业化国家的母乳喂养率仍继续表明，很少有母亲能够满足这些建议。除了年龄，文化程度和收入等社会人口统计因素外，还显示出诸如母婴喂养方式等可改变因素会影响母乳喂养时间。本文的目的是描述西澳大利亚农村地区婴儿喂养态度对母乳喂养时间的影响。方法从西澳大利亚州农村的一家医院招募了427名妇女及其婴儿，随访了12个月。有关进食方式的信息已在医院和另外七个后续联系人中收集。使用爱荷华州婴儿喂养态度量表（IIFAS）测量婴儿喂养态度，对母乳喂养的评分≥65。结果IIFAS得分≥65的母亲在六个月内纯母乳喂养和在12个月内以任何强度母乳喂养的可能性约为母乳喂养的两倍。 IIFAS得分≥65的母亲的纯母乳喂养中位时间为16周（95％CI 13.5，18.5），得分≥65的母亲为5周（48 vs. 22周，p≤< 0.001）。结论在这个农村队列中，对母乳喂养抱有更积极态度的妇女，其纯母乳喂养至6个月以及任何母乳喂养至12个月的时间均较长。进一步研究研究农村地区特定人群（如男性，祖父母和青少年）的母乳喂养态度将有助于建立证据基础，并有助于确保将母乳喂养视为婴儿喂养的正常方法。

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