食物沙漠居住对母乳养启动的影响
Seun M Ajoseh1, Adetola F Louis-Jacques2, Jean Paul Tanner3
1College of Liberal Arts and Sciences, University of Florida, Gainesville, Florida, USA.
概括
食物沙漠居住 (FDR) 与较低的母乳养率 (BFI) 有关,特别是在非西班牙裔黑人和西班牙裔妇女中. 产妇教育成为比FDR更重要的BFI预测因素.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 孕产妇和儿童的健康
背景情况:
- 哺乳与改善健康结果有关.
- 健康的社会驱动因素,包括食物沙漠居住 (FDR),可以影响母乳养启动 (BFI).
- 之前的生态研究表明,FDR与较低的BFI率之间存在联系.
研究的目的:
- 检查个人层面的食物沙漠居住和母乳养开始之间的关系.
- 评估县级食物沙漠居住和开始母乳养之间的关联.
- 确定佛罗里达州开始母乳养的关键预测因素.
主要方法:
- 来自佛罗里达州 (2010,2015,2019) 的个人级别出生数据与美国农业部 (USDA) 食品获取数据联系在一起.
- 修改Poisson回归模型用于计算BFI的调整风险比率 (aRR),对混因素进行调整,并按种族/种族分层.
- 县级分析使用了皮尔森的相关性和双变量映射来评估低收入,低接入地区和BFI率之间的关联.
主要成果:
- 食物沙漠居住与不开始母乳养的更高调整风险相关 (aRR:1.23).
- 不开始母乳养的调整后风险在居住在食物沙漠的非西班牙裔黑人和西班牙裔妇女中最高.
- 母亲教育是最重要的预测因素;与大学毕业生相比,没有高中文凭的女性开始母乳养的可能性是大学毕业生的五倍.
结论:
- 食物沙漠居住是不开始母乳养的重要风险因素.
- 母亲教育水平是开始母乳养的更强有力的预测因素,而不是佛罗里达州的食物沙漠居住.
- 了解食物获取对母乳养的影响对于制定有针对性的公共卫生干预措施至关重要.
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