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首页> 外文期刊>International Journal of Environmental Research and Public Health >Breastfeeding and the Risk of Illness among Young Children in Rural China
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Breastfeeding and the Risk of Illness among Young Children in Rural China

机译：中国农村的母乳喂养和患病风险

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Poor rural areas in China exhibit the country’s highest rates of child mortality, often stemming from preventable health conditions such as diarrhea and respiratory infection. In this study, we investigate the association between breastfeeding and disease among children aged 6–24 months in poor rural counties in China. To do this, we conducted a longitudinal, quantitative analysis of socioeconomic demographics, health outcomes, and breastfeeding practices for 1802 child–caregiver dyads across 11 nationally designated poverty counties in southern Shaanxi Province in 2013–2014. We found low rates of continued breastfeeding that decreased as children developed: from 58.2% at 6–12 months, to 21.6% at 12–18 months, and finally to 5.2% at 18–24 months. These suboptimal rates are lower than all but one other country in the Asia-Pacific region. We further found that only 18.3% of children 6–12 months old met the World Health Organization (WHO)-recommended threshold for minimum dietary diversity, defined as consuming four or more of seven specific food groups. Breastfeeding was strongly associated with lower rates of both diarrhea and cough in bivariate and multivariate analyses. As the first analysis to use longitudinal data to examine the relationship between continued breastfeeding and child illness in China, our study confirms the need for programmatic interventions that promote continued breastfeeding in order to improve toddler health in the region.
机译：中国的贫困农村地区是儿童死亡率最高的国家，通常是由于腹泻和呼吸道感染等可预防的健康状况造成的。在这项研究中，我们调查了中国贫困农村地区6至24个月儿童的母乳喂养与疾病之间的关系。为此，我们在2013-2014年间对陕西省11个国家级贫困县的1802个儿童看护者进行了社会经济人口统计学，健康结果和母乳喂养做法的纵向定量分析。我们发现持续的母乳喂养的低比率随着儿童的成长而降低：从6-12个月的58.2％，降至12-18个月的21.6％，最后到18-24个月的5.2％。这些次优率低于亚太地区的一个国家。我们进一步发现，在6至12个月大的儿童中，只有18.3％达到了世界卫生组织（WHO）推荐的最低饮食多样性阈值，即定义为食用七个特定食物类别中的四个或更多。在双变量和多变量分析中，母乳喂养与较低的腹泻和咳嗽发生率密切相关。作为首次使用纵向数据检验中国持续母乳喂养与儿童疾病之间关系的分析，我们的研究证实了需要采取计划性干预措施来促进持续母乳喂养，以改善该地区的幼儿健康。

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