Factors associated with initiation and duration of breastfeeding in Italy

被引:143
作者
Riva, E
Banderali, G
Agostoni, C
Silano, M
Radaelli, G
Giovannini, M
机构
[1] San Poalo Hosp, Dept Pediat, I-20142 Milan, Italy
[2] Univ Milan, Dept Informat Syst, Milan, Italy
关键词
breastfeeding duration; breastfeeding initiation; breastfeeding practice;
D O I
10.1080/08035259950169792
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
To evaluate factors associated with initiation and duration of breastfeeding in Italy, 1601 (73%) respondents among 2192 randomly selected mothers were interviewed within 1 mo of delivery. Mothers who started breastfeeding (85%) were followed-up for 12 mo. A compliance rate of 100% was obtained. At multiple logistic regression analysis, mother having been breastfed herself (p < 0.01), nursing guidance in the maternity ward (p = 0.01) and higher social class (p = 0.03) were positively associated with initiation of breastfeeding. We found that 42%, 19%, 10% and 4% mothers were still breastfeeding at 3, 6, 9 and 12 mo after delivery, respectively. Cox multiple regression analysis showed a negative association between duration of breastfeeding and pacifier use (p < 0.01), and a positive association with a higher level of maternal education (p = 0.04). Formula supplementation in the maternity ward (given to 30% of infants) was associated with a shorter duration of exclusive breastfeeding (p = 0.03). Mothers need support with breastfeeding, particularly those from lower social backgrounds and with lower levels of education. Early use of the pacifier should be discouraged.
引用
收藏
页码:411 / 415
页数:5
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