四川省偏远农村地区母亲负性情绪与6月龄内婴儿喂养方式的关系  

Relationship Between Maternal Negative Emotions and Feeding Patterns of Infants Aged 0-6 Months in Remote Rural Areas of Sichuan Province

作　　者：廖晨帆 蔡正杰 冷芳群 王睿乾 廖颖 吴玉菊[1] 周欢[1] LIAO Chenfan;CAI Zhengjie;LENG Fangqun;WANG Ruiqian;LIAO Ying;WU Yuju;ZHOU Huan(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Department of Epidemiology and Health Statistics,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院健康行为与社会医学系,成都610041 [2]四川大学华西公共卫生学院/四川大学华西第四医院流行病与卫生统计学系,成都610041

出　　处：《中国医学科学院学报》2023年第4期541-548,共8页Acta Academiae Medicinae Sinicae

基　　金：国家自然科学基金(71874114);四川省卫生健康委员会科研课题重点研究项目(19PJ072);四川省科技厅四川省科普培训项目(2021JDKP0042)

摘　　要：目的了解四川省偏远农村地区纯母乳喂养和奶瓶喂养现状,探讨母亲负性情绪与婴儿喂养方式的关系。方法采用多阶段整群抽样,选取四川省偏远农村地区6月龄内婴儿及其母亲作为研究对象。自行设计问卷用于收集母婴人口学特征和家庭基本情况,采用抑郁-焦虑-压力量表简版评估母亲负性情绪,采用母乳喂养自我效能量表评估母亲坚持纯母乳喂养行为的信心程度。结果共纳入723对婴儿及其母亲,纯母乳喂养率为34.16%(247/723)、奶瓶喂养率为57.54%(416/723)。有抑郁倾向的母亲纯母乳喂养的可能性更小(OR=0.532,95%CI=0.291~0.974,P=0.041),奶瓶喂养的风险更高(OR=1.877,95%CI=1.054~3.344,P=0.033)。进一步对不同母乳喂养自我效能进行分组分析,结果显示在低母乳自我效能的母亲中,有抑郁倾向的母亲比无抑郁倾向的母亲纯母乳喂养可能性更小(OR=0.461,95%CI=0.236~0.902,P=0.024),奶瓶喂养的可能性更大(OR=1.968,95%CI=1.047~3.701,P=0.036);在高母乳自我效能的母亲中,母亲抑郁、焦虑和压力倾向与婴儿喂养方式差异均无统计学意义(P均>0.05)。结论四川省偏远农村地区的纯母乳喂养率有待提高。母亲抑郁倾向越强,纯母乳喂养可能性越小,奶瓶喂养可能性越大。母乳喂养自我效能对母亲抑郁与纯母乳喂养和奶瓶喂养之间的关联有影响。Objective To investigate the status of exclusive breastfeeding and bottle feeding in remote rural areas of Sichuan province and explore the relationship between negative emotions of mothers and feeding patterns of infants.Methods Multistage cluster sampling was employed to select the infants aged 0-6 months and their mothers in remote rural areas of Sichuan province.A self-designed questionnaire was used to collect the demographic characteristics of mothers and infants and the basic family information.The Chinese version of Depression Anxiety Stress scale was used to evaluate mothers’negative emotions,and the Breastfeeding Self-efficacy scale to assess the confidence level of mothers’behavior of adhering to exclusive breastfeeding.Results Totally 723 pairs of infants and their mothers were included.The exclusive breastfeeding and bottle feeding rates were 34.16%(247/723)and 57.54%(416/723),respectively.Mothers with depression tendency were less likely to adopt exclusive breastfeeding(OR=0.532,95%CI=0.291-0.974,P=0.041)and more likely to adopt bottle feeding(OR=1.877,95%CI=1.054-3.344,P=0.033).Further subgroup analysis of breastfeeding self-efficacy showed that in the group of low self-efficacy,the mothers with depression tendency were less likely to adopt exclusive breastfeeding(OR=0.461,95%CI=0.236-0.902,P=0.024)and more likely to adopt bottle feeding(OR=1.968,95%CI=1.047-3.701,P=0.036)than the mothers without depression tendency.In the group of high self-efficacy,mothers’depression,anxiety,and stress tendency had no significant correlation with infant feeding patterns(all P>0.05).Conclusions The mothers in the remote rural areas of Sichuan province are more likely to employ bottle feeding than exclusive breastfeeding.The mothers with stronger depression tendency demonstrate lower possibility of exclusive breastfeeding and higher possibility of bottle feeding.Breastfeeding self-efficacy may affect the association between maternal depression and infant feeding patterns.

关 键 词：负性情绪 婴儿喂养方式 母乳喂养自我效能 

分 类 号：R174.4[医药卫生—妇幼卫生保健]