母乳喂养对儿童行为发育的影响_医学论文.docVIP

母乳喂养对儿童行为发育的影响_医学论文 母乳喂养对儿童行为发育的影响_医学论文 【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＝1，1；“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＝１，２，1；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）；“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＝１，１。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。 【关键词】 母乳喂养；学龄前儿童；行为症状；Logistic模型 　　【Ａbstract】 Ｏbjective To study whether breastfeeding and its duration are associated with behavior problem occurrence among preschool children.Ｍethods 737 children aged 4５ years old in Zibo were chosen by stratified cluster sampling.Their breastfeeding types during infancy and behavior development were investigated by CBCL and selfren were analyzed.Ｒesults The single factor logistic regression indicated that the children who were fed by more breast milk (OR=1），breastfeeding duration＜１ months is a dangerous factor for male (OR＝１．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＝１，2，1）．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＝1，1．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. 　　【Key words】 breastfeeding,child,behavior symptoms,logistic regression 　　行为问题是儿童在发育过程中出现的行为异常或偏差，如退缩行为、过度焦虑和恐惧、不服从以及脾气暴躁等，行为问题持续存在，可导致成年的精神障碍［１］。大约12%～