母乳育児と社会人口学的決定因子: "MAMI-MED"コホートからの証拠
Giuliana Favara1, Andrea Maugeri1, Martina Barchitta1
1Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
Nutrients
|August 28, 2025
まとめ
母親の教育,自発的出産,十分な妊娠体重増加は,母乳育児率の上昇と世界保健機関 (WHO) のガイドラインの遵守に関連しています. 社会的・経済的状況が不利な女性には 標的を絞った支援が不可欠です
科学分野:
- 公衆衛生
- 母親と子供の健康
- エピデミオロジー
背景:
- 母乳は母親と子供の健康に不可欠です.
- 世界保健機関 (WHO) の母乳育児の推奨事項への世界的な遵守は矛盾しています.
- 母親と父親の要因は母乳育児に大きく影響する.
研究 の 目的:
- 授乳の頻度とWHOのガイドラインの遵守を決定する.
- 母乳育児に伴う母と父の特徴を調査する.
- WHOの授乳勧告の遵守に影響を与える要因を特定する.
主な方法:
- イタリア カタニャの妊婦を含むMAMI-MEDコホートからのデータを使用しました.
- 12ヶ月と24ヶ月後のフォローアップでのインタビューを通じて,母乳育児の慣行と親の特徴を評価した.
- 2020年12月から2023年10月までの間に登録された1312人の女性のデータを分析した.
主要な成果:
- 母親の教育レベルが高くなるということは 授乳率や母乳のみ授乳率の上昇と相関しています
- 自発的出産と十分な妊娠体重増加は,母乳育児の有病率の増加と関連していました.
- WHOのガイドラインの遵守は,高等教育を受けた女性,非喫煙者,十分な妊娠体重増加者の間で高かった.
結論:
- 社会人口学的要因,特に母親の教育は,母乳育児の実践に大きな影響を与えます.
- 喫煙や妊娠中の体重増加などの行動要因は,WHOの勧告への遵守に影響します.
- 介入は,社会経済的に不利な状況にある女性を対象に,母乳育児の成果を向上させるべきである.
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