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首页> 外文期刊>International breastfeeding journal >Low rate of initiation and short duration of breastfeeding in a maternal and infant home visiting project targeting rural, Southern, African American women
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Low rate of initiation and short duration of breastfeeding in a maternal and infant home visiting project targeting rural, Southern, African American women

机译：针对农村，南部和非裔美国妇女的母婴家庭访视项目，初生率低，母乳喂养时间短

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BackgroundDespite the benefits of breastfeeding for both infant and mother, rates in the United States remain below Healthy People 2020 breastfeeding objectives. This paper describes breastfeeding outcomes of the Delta Healthy Sprouts participants during gestational and postnatal periods. Of specific interest was whether breastfeeding intent, knowledge, and beliefs changed from the early to late gestational period. Additionally, analyses were conducted to test for associations between breastfeeding initiation and breastfeeding intent, knowledge and beliefs as well as sociodemographic characteristics and other health measures. MethodsEighty-two pregnant women were enrolled in this project spanning three Mississippi counties. Participants were randomly assigned to one of two treatment groups. Because both groups received information about breastfeeding, breastfeeding outcomes were analyzed without regard to treatment assignment. Hence participants were classified into two groups, those that initiated breastfeeding and those that did not initiate breastfeeding. Generalized linear mixed models were used to test for significant group, time, and group by time effects on breastfeeding outcomes. ResultsBreastfeeding knowledge scores increased significantly from baseline to late gestational period for both groups. Across time, breastfeeding belief scores were higher for the group that initiated breastfeeding as compared to the group that did not breastfeed. Only 39% (21 of 54) of participants initiated breastfeeding. Further, only one participant breastfed her infant for at least six months. Breastfeeding intent and beliefs as well as pre-pregnancy weight class significantly predicted breastfeeding initiation. ConclusionsOur findings indicate that increasing knowledge about and addressing barriers for breastfeeding were insufficient to empower rural, Southern, primarily African American women to initiate or continue breastfeeding their infants. Improving breastfeeding outcomes for all socioeconomic groups will require consistent, engaging, culturally relevant education that positively influences beliefs as well as social and environmental supports that make breastfeeding the more accepted, convenient, and economical choice for infant feeding. Trial Registrationclinicaltrials.gov NCT01746394 . Registered 5 December 2012.
机译：背景尽管母乳喂养对婴儿和母亲都有好处，但美国的比率仍低于《健康人2020年》的母乳喂养目标。本文介绍了Delta健康新芽参与者在妊娠和产后的母乳喂养结果。特别令人感兴趣的是母乳喂养的意图，知识和信念是否从妊娠的早期到晚期发生了变化。另外，进行了分析以测试母乳喂养开始与母乳喂养意图，知识和信念以及社会人口统计学特征和其他健康措施之间的关联。方法该项目招募了82名孕妇，涉及密西西比州的三个县。参与者被随机分配到两个治疗组之一。由于两组都收到了有关母乳喂养的信息，因此无需考虑治疗分配就可以分析母乳喂养的结果。因此，参与者分为两组，即开始母乳喂养的和未开始母乳喂养的。广义线性混合模型用于检验显着的组，时间和按时间分组对母乳喂养结果的影响。结果两组的母乳喂养知识得分从基线到妊娠后期均显着提高。在整个过程中，开始母乳喂养的组的母乳喂养信念得分高于未母乳喂养的组。只有39％（54名患者中有21名）开始进行母乳喂养。此外，只有一名参与者母乳喂养婴儿至少六个月。母乳喂养的意图和信念以及怀孕前的体重类别显着预测了母乳喂养的开始。结论我们的发现表明，对母乳喂养障碍的了解和解决不足，不足以使农村，南方，主要是非裔美国妇女有能力开始或继续母乳喂养婴儿。要改善所有社会经济群体的母乳喂养结果，就需要进行持续，参与，与文化相关的教育，从而对信仰产生积极影响，并需要社会和环境的支持，使母乳喂养成为婴儿喂养的更可接受，更方便，更经济的选择。试用注册clinicaltrials.gov NCT01746394。 2012年12月5日注册。

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