Awareness of the Maternal Health Benefits of Lactation Among U.S. Pregnant Individuals

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Womens Health Issues Pub Date : 2024-05-01 DOI:10.1016/j.whi.2023.12.004
Caidon Iwuagwu BS , Melissa J. Chen MD, MPH , Adrienne E. Hoyt-Austin DO, MAS , Laura Kair MD, MAS , Margaret Fix MPH , Eleanor Bimla Schwarz MD, MS
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Abstract

Introduction

We assessed awareness of the maternal health benefits of lactation among a sample of nulliparous pregnant individuals in the United States, identified variables associated with awareness of these benefits, and examined whether awareness of these benefits impacts breastfeeding attitudes or intentions.

Methods

We administered a web-based survey to nulliparous U.S.-born individuals carrying a singleton gestation of at least 28 weeks. We assessed awareness of the maternal health benefits of lactation using 10 items to create a summative score. We examined variation in awareness of these benefits by demographic characteristics, health insurance, and personal or family health history and used multivariable models to estimate associations between awareness of the maternal health benefits of lactation and breastfeeding intentions.

Results

Of the 675 individuals invited to complete surveys, 451 (67%) responded. Only 50% were aware that breastfeeding lowers maternal risk of breast cancer; fewer were aware that breastfeeding lowers the risk of ovarian cancer (35%), diabetes (27%), and hypertension and heart disease (26%). Awareness of the maternal benefits of lactation did not vary by age or race/ethnicity. However, significant regional variation was noted. In multivariable models, scores of awareness of the maternal health benefits of breastfeeding were significantly associated with intentions to breastfeed for at least 12 months (adjusted odds ratio, 1.23; 95% confidence interval, 1.11, 1.37).

Conclusions

Efforts to increase awareness of the maternal health benefits of lactation are still needed. Increasing awareness of the maternal health benefits of lactation may strengthen intentions to breastfeed as recommended.

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美国孕妇对母乳喂养对产妇健康益处的认识。
导言:我们评估了美国单胎孕妇对哺乳对产妇健康益处的认识,确定了与对这些益处的认识相关的变量,并研究了对这些益处的认识是否会影响母乳喂养的态度或意向:我们对单胎妊娠至少 28 周的美国无痛分娩孕妇进行了网络调查。我们通过 10 个项目评估了对哺乳对产妇健康益处的认识,并得出了一个总分。我们根据人口统计学特征、医疗保险、个人或家庭健康史等因素考察了对这些益处认识的差异,并使用多变量模型估算了对哺乳对产妇健康益处的认识与母乳喂养意愿之间的关联:在受邀完成调查的 675 人中,有 451 人(67%)做出了回应。只有 50%的人知道母乳喂养可降低产妇罹患乳腺癌的风险;知道母乳喂养可降低罹患卵巢癌(35%)、糖尿病(27%)、高血压和心脏病(26%)风险的人更少。不同年龄或种族/民族的母亲对母乳喂养益处的认识没有差异。但是,地区差异明显。在多变量模型中,对母乳喂养对孕产妇健康益处的认识得分与母乳喂养至少 12 个月的意愿有显著相关性(调整后的几率比为 1.23;95% 置信区间为 1.11,1.37):仍需努力提高人们对哺乳有益于产妇健康的认识。提高对母乳喂养对产妇健康益处的认识可能会加强母乳喂养的意愿。
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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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