哺乳习惯与家庭粮食不安全之间的复杂交织关系:系统审查和元分析
Gabriela Buccini1, Cali Larrison1, Smriti Neupane1
1Department of Social and Behavioural Health, School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada, USA.
Maternal & child nutrition
|July 3, 2024
概括
家庭粮食不安全 (HFI) 与婴儿纯母乳养 (EBF) 率较低有关. 通过综合服务解决HFI可以改善婴儿营养,并支持母乳养建议.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 婴儿健康 婴儿健康
背景情况:
- 哺乳对婴儿营养至关重要,但结构性障碍可能会造成不平等.
- 家庭粮食不安全 (HFI) 可能会对遵守推的母乳养实践产生负面影响.
研究的目的:
- 确定家庭粮食不安全 (HFI) 与纯母乳养 (EBF) 和持续母乳养 (CBF) 之间的关联.
- 确定减少粮食不安全家庭母乳养不平等的策略.
主要方法:
- 系统的文学搜索 (PubMed,Embase,CINAHL,全球卫生,LILACS) 关于母乳养和粮食不安全的研究.
- 包括12项研究 (9个横截面,3个队列) 遵循PRISMA指南.
- 对EBF和元回归进行了元分析,以探索异质性.
主要成果:
- EBF的患病率从1.6%到85.3%不等,在粮食不安全的家庭中更低.
- 分析显示,HFI与EBF的几率较低相关 (OR=0.61,95% CI=0.49-0.76).
- 关联在边际,中度和严重的HFI水平上一致.
结论:
- 家庭粮食不安全与纯母乳养的几率较低显著相关.
- 建议整合服务和政策层面的战略,包括查,咨询和获得营养计划.
- 这些干预措施可以缓解结构性不平等,并促进世卫组织/联合国儿童基金会为粮食不安全家庭的母乳养指南.
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