孕妇的纯母乳喂养意愿及相关变量:一项在巴西社区开展的横断面研究

IF 1.4 Q3 PEDIATRICS Revista Paulista De Pediatria Pub Date : 2023-10-23 DOI:10.1590/1984-0462/2024/42/2022192
Lorena Fonseca Silva, K. L. Cortellazzi, Letícia Santos Alves de Melo, Silvio Rocha Corrêa da Silva, F. L. Rosell, A. Valsecki Júnior, E. P. S. Tagliaferro
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摘要

摘要 目的调查怀孕三个月妇女的纯母乳喂养(EBF)意向及相关变量。方法从 2018 年 12 月至 2019 年 11 月,通过对孕妇(n=653)进行问卷调查收集数据。她们回答了翻译并改编为巴西葡萄牙语的婴儿喂养意愿量表(IFI),以及一份关于社会人口、生理、家庭、怀孕、母乳喂养、医疗保健和习惯等变量的问卷。在 5%的显著性水平下进行了描述性统计和多元逻辑回归分析,采用多层次分层模型估计因变量和自变量之间的关联。以 IFI 分数衡量的 EBF 意向结果按中位数(<16 或 =16)进行二分。结果IFI 量表的平均分(含标准差)为 14.4±2.6(0 分:非常强烈的完全不母乳喂养意愿;16 分:非常强烈的六个月内母乳喂养意愿)。回归分析的结果显示,不打算用奶瓶喂养(OR=4.33;95%CI 2.79-6.72)或不知道(OR=1.85;95%CI 1.21-2.82)、计划怀孕(OR=1.52;95%CI 1.09-2.12)、认为会有人帮助照顾婴儿(OR=3.60;95%CI 1.51-8.56)或不知道(OR=3.97;95%CI 1.26-12.51),以及报告了解世界卫生组织关于母乳喂养建议(OR=1.73;95%CI 1.13-2.64)的人更有可能表现出非常强烈的母乳喂养意愿。结论怀孕三个月的孕妇有强烈的母乳喂养意愿。较高的母乳喂养意愿得分与结构、环境和个人决定因素有显著关联。
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Exclusive breastfeeding intention among pregnant women and associated variables: a cross-sectional study in a Brazilian community
ABSTRACT Objective: To investigate exclusive breastfeeding (EBF) intention and associated variables among women in the third trimester of pregnancy. Methods: The data were collected with a questionnaire for the pregnant women (n=653), from December/2018 to November/2019. They answered the Infant Feeding Intentions (IFI) scale, translated and adapted to Brazilian Portuguese, and a questionnaire on sociodemographic, biological, family, pregnancy, breastfeeding, health care, and habits variables. Descriptive statistics and multiple logistic regression analyses were performed with a 5% significance level, following a multilevel hierarchical model that estimated the association between the dependent and independent variables. The outcome EBF intention measured by the IFI score was dichotomized by the median (<16 or =16). Results: Mean±standard deviation score for the IFI scale was 14.4±2.6 (score 0: very strong intention to not breastfeed at all; score 16: very strong EBF intention up to six months). The results from the regression analysis showed that pregnant women who had no intention to bottle feed (OR=4.33; 95%CI 2.79-6.72) or did not know (OR=1.85; 95%CI 1.21–2.82), those who planned the pregnancy (OR=1.52; 95%CI 1.09–2.12), those who believed they would have help to care for the baby (OR=3.60; 95%CI 1.51–8.56) or did not know (OR=3.97; 95%CI 1.26–12.51), and those who reported knowing the World Health Organization recommendations on breastfeeding (OR=1.73; 95%CI 1.13–2.64) were more likely to show a very strong EBF intention. Conclusions: Pregnant women in the third trimester of pregnancy presented a strong EBF intention. The higher EBF intention score was significantly associated with the structural, setting, and individual determinants.
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来源期刊
Revista Paulista De Pediatria
Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.30
自引率
0.00%
发文量
100
审稿时长
11 weeks
期刊介绍: The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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