Aims: Research the association between health literacy (HL) and exclusive breastfeeding at 4-months postpartum.
Background: Despite the benefits of breastfeeding (BF), its rates are low worldwide. Among the reasons for abandonment is the level of maternal education. Maternal education has been associated with HL, but evidence between HL and BF maintenance is limited.
Design: A cross-sectional study.
Methods: The sample compromised 229 nursing mothers recruited from January 2018 to the end of December 2018 at Spain by systematic sampling method. Women were interviewed postpartum on parameters associated with the start and continuation of BF up to 4 months postpartum. Multivariate logistic regression models to explain exposure variables and exclusive BF cessation at 4 months.
Results: Approximately 10% of the participants had inadequate HL. Factors associated with early cessation of exclusive BF at 4 months in the multivariate model adjusted using a stepwise variable selection process based on a likelihood ratio test were civil status, risk of pregnancy, type of delivery, limited or inadequate level of HL, and LATCH score at discharge, with an 85.6% area under the ROC curve.
Conclusions: Our study offers preliminary evidence regarding the hitherto inconsistent relation between HL and early cessation exclusive BF at 4 months, supporting the conduct of further studies with larger sample sizes and greater statistical power. Such studies are warranted before endorsing HL-based interventions aiming to mitigate early cessation exclusive BF.
Impact: Low or inadequate HL is linked to multiple poor health and clinical outcomes. We investigated the prevalence of exclusive BF at 4 months postpartum, and the impact of HL in maintaining optimal exclusive BF practices. Limited or inadequate HL was one of the factors associated with early cessation of exclusive BF in the multivariate regression model, although further research is needed.
目的: 研究健康知能(HL)和产后4个月纯母乳喂养之间的关系。 背景: 尽管母乳喂养(BF)有着诸多好处,但其在全球的普及率仍较低。放弃母乳喂养的原因之一与母亲教育水平有关。母亲的教育水平与健康知能有关,但能够证明健康知能和母乳喂养关系的证据十分有限。 设计: 横向研究。 方法: 通过系统采样的方法,从2018年1月至2018年12月底,本研究招募了229位哺乳母亲。对产后女性进行了采访,对有关开始和持续母乳喂养直到产后4个月相关的参数进行分析。其中,采用了多变量逻辑回归模型,以解释暴露变量和4个月时停止纯母乳喂养的行为。 结果: 大约10%的参与者健康知能匮乏。根据可能比例、怀孕风险、分娩类型、有限或匮乏的健康知能等级以及出院时的LATCH评分,使用逐步变量选择流程,调整多变量模型中有关早期(4个月时)停止纯母乳喂养相关的因素。其中,85.6%区域低于ROC曲线。 结论: 截至目前,我们的研究为健康知能和早期(4个月时)停止纯母乳喂养行为之间的不一致关系提供了初步的证据,并为采用更大的样本量和更多的统计数据进行进一步研究提供支持。在认同基于健康知能干扰以减少早期停止纯母乳喂养行为之前,该研究非常有必要。 影响: 健康知能低或不足与多种不良健康状态和临床结果有关。我们研究了产后4个月纯母乳喂养的患病率以及健康知能对维持最佳纯母乳喂养的影响。在多变量回归模型中,健康知能有限或匮乏是与早期停止纯母乳喂养有关的因素之一,尽管其还需进一步研究。.
Keywords: breastfeeding; breastfeeding abandonment; breastfeeding duration; early cessation; exclusive breastfeeding; health literacy; nursing; women.
© 2020 John Wiley & Sons Ltd.