母乳喂养对12月龄婴儿社会性反应影响  

Impact of breastfeeding on sociality performance in 12-month-old infants:a cohort study

作　　者：严双琴[1,2] 江澜[1] 曹慧[2] 王晓燕[1] 李晴[2] 顾春丽[2] 陶芳标[1] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,安徽合肥230032 [2]安徽省马鞍山市妇幼保健院儿童保健科

出　　处：《中国公共卫生》2015年第2期172-176,共5页Chinese Journal of Public Health

基　　金：安徽省预防医学与公共卫生科研课题资助(2011Y0110);安徽省科技攻关项目安徽(11010402166)

摘　　要：目的 探讨母乳喂养与婴儿社会性反应的关系。方法 以2012年1—12月在安徽省马鞍山市妇幼保健院儿童保健门诊进行常规体检的3个月±7 d的1 943名婴儿作为研究对象建立队列并定期随访,采用社会性反应问卷定期评价其社会性反应,同时收集婴儿父母的人口统计学资料、围生期情况和每月龄母乳喂养情况等进行分析。结果 控制人口统计学特征和围生期因素后,结果显示,在2、3、4、5月龄完全母乳喂养是婴儿社会性反应的促进因素,其OR值（95%CI）分别为1.384（1.086~1.765）、1.279（1.023~1.599）、1.361（1.023~1.599）、1.461（1.043~2.046）;在5~11月龄部分母乳喂养的婴儿其社会性反应得分均高于人工喂养婴儿,其OR值（95%CI）分别为1.378（1.139~1.668）、1.297（1.086~1.551）、1.265（1.066~1.501）、1.225（1.036~1.447）、1.183（1.000~1.398）、1.214（1.021~1.442）、1.269（1.055~1.527）。结论 完全母乳喂养持续2月以上或部分母乳喂养持续5月以上是婴儿社会性反应的积极促进因素。Objective To examine the relationship between breastfeeding and the sociality performance among 12- month-old infants. Methods Totally 1 943 infants aged 3 months ＋ 7days who received child health care at Care Depart- ment of Maternal and Child Health Center between January and December,2012 were recruited and followed-up. The so- ciality performance of the infants was regularly evaluated by a self-desinged questionnaire. The information on socio-de- mographic factors,perinatal factors and monthly breastfeeding were collected. Results After adjusting for demographics and perinatal factors in logistic regression,exclusive breastfeeding at 2,3,4,5 month of the age was a promoting factor for sociality performance of the 12-month-old infants, with the odds ratios （ORs）of 1. 384 （95% confidence interval [ 95 % CI] ： 1. 086 - 1. 765 ）, 1. 279 （ 1. 023 - 1. 599 ）, 1. 361 （ 1. 023 - 1. 599 ）, and 1. 461 （ 1.043 - 2. 046 ）, respectively. The infants who were partially breastfed between the age of 5-month through the age of 11-month had significantly higher score of sociality performance compared to those of the infants with formula feeding, with the ORs of 1. 378 （95% CI： 1. 139 - 1. 668 ）, 1. 297 （ 1.086 - 1.551 ）, 1.265 （ 1.066 - 1.501 ）, 1. 225 （ 1.036 - 1.447 ）, 1.183 （ 1.000 - 1.398 ）, 1.214（1.021 - 1.442） ,and 1.269（ 1.055 - 1.527） ,respectively. Conclusion Exclusively breastfeeding at least 2 or more months and partially breastfeeding for more than 5 months have a positive effect on the sociality development of the infants.

关 键 词：社会性反应 母乳喂养 婴儿 影响因素 队列 

分 类 号：R174.4[医药卫生—妇幼卫生保健]