摘要
目的探讨母乳喂养与4-5岁儿童行为问题发生之间的关系。方法采用Achenbach儿童行为量表和自制的儿童行为影响因素问卷,用分层整群抽样的方法,对淄博市的8所幼儿园的737名4-5岁儿童进行调查,其中男孩399人,女孩338人。分别以行为问题的有无为因变量,以生后4个月内喂养情况、母乳喂养持续时间为自变量分别进行单因素和多因素非条件Logistic回归分析。结果单因素Logistic回归提示“主要喂母乳”和“母乳喂养持续时间〈1个月”是男童发生行为问题的影响因素（OR=1.686,1.027）;“主要喂母乳”、“只喂奶粉”和“母乳喂养持续时间〈1个月”是女童发生行为问题的影响因素（OR=1.459,2.59,1.031）;校正了家庭结构、父母亲受教育水平、看电视时间及户外活动时间后,“母乳喂养持续时间≥9个月”仍是男童行为问题发生影响因素（OR=1.184）;“主要喂母乳”和“母乳喂养持续时间≥9个月”是女童行为问题发生的影响因素（OR=1.203,1.065）。结论母乳喂养对儿童行为发育有远期影响;婴儿期应提倡纯母乳喂养,并尽可能延长母乳喂养时间。
Objective To study whether breastfeeding and its duration are associated with behavior problem occurrence among preschool children. Methods 737 children aged 4-5 years old in Zibo were chosen by stratified cluster sampling. Their breastfeeding types during infancy and behavior development were investigated by CBCL and self-made inventory questionaire. Association between infant breastfeeding types, duration of breastfeeding and behavior problems in preschool children were analyzed. Results The single factor logistic regression indicated that the children who were fed by more breast milk （ OR = 1. 686 ） , breastfeeding duration 〈 1 months is a dangerous factor for male （ OR = 1. 027 ）. The children who were fed by more breast milk than infant formula, formula only infant, and breastfeeding duration 〈 1 months have a risk of behavior problem occurrence for female （ OR = 1. 459,2. 59,1. 031 ）. After adjusting for potential confounders family constructure and education level of parents, multiple factors logisticc regression analysis still showed that the factors influencing behavior are the longer duration of breastfeeding ≥9 months for male （ OR = 1. 184 ）. The factors influencing behavior are more breast milk than infant formula and the longer duration of breastfeeding ≥9 months for female （ OR = 1. 203,1. 065 ）. Conclusion Infants who were fed breast milk more than infant formula, or who were breasted for longer periods had a lower risk of behavior problem occurrence during preschool period.
出处
《滨州医学院学报》
2007年第3期187-188,191,共3页
Journal of Binzhou Medical University
