Factors Associated with Exclusive Breast-feeding in Japan : for Activities to Support Child-rearing with Breast-feeding
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概要
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BACKGROUND: Benefits of breast-feeding are not only limited to nutrition and sanitation in developing countries but also extend to cost-saving health care and alleviation of anxiety related to childrearing in developed countries. This study aims to elucidate factors associated with exclusive breast-feeding in Japan and use this information to achieve child-rearing support worldwide by promoting breast-feeding.METHODS: This cross-sectional study used data from a survey conducted by Ministry of Health, Labour and Welfare of the Japanese government, the First Longitudinal Survey of Babies in 21st Century. All subjects were infants (n = 53,575) born in Japan in 2001 between January 10 and 17 and between July 10 and 17. According to the data, the exclusive breast-feeding rate in Japan during the first 6 months of life was 21.0%. We examined the factors associated with exclusive breast-feeding using univariate and multivariate logistic regression analyses.RESULTS: Among the factors examined, the adjusted odds ratio (OR) for exclusive breast-feeding was low for late childbearing, low birth weight infants, multiple births, smoking parents, living with grandparents, and feeling burdened by childrearing. The adjusted OR was high for factors that included sufficient childcare leave and consultation about childrearing with the spouse, a birth attendant and/or nurse, and a peer in a child-rearing circle.CONCLUSIONS: Exclusive breast-feeding is associated not only with medical factors but also with social factors. This study clarifies the necessity of social support to reduce the child rearing burden and a political system to promote paternal participation in childrearing and to improve the childcare leave system.J Epidemiol 2006; 16: 57-63.
- 日本疫学会の論文
- 2006-03-01
著者
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KANEITA Yoshitaka
Department of Public Health, School of Medicine, Nihon University
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YOKOYAMA Eise
Department of Public Health, School of Medicine, Nihon University
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MIYAKE Takeo
Department of Public Health, School of Medicine, Nihon University
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HARANO Satoru
Department of Public Health, School of Medicine, Nihon University
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SUZUKI Kenshu
Department of Public Health, School of Medicine, Nihon University
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IBUKA Eiji
Department of Public Health, School of Medicine, Nihon University
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OHIDA Takashi
Department of Public Health, School of Medicine, Nihon University
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金子 明代
Division Of Public Health Department Of Social Medicine Nihon University School Of Medicine
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TSUTSUI Takako
Department of Health and Social Services, National Institute of Public Health
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Yagi Yuko
Division Of Public Health Department Of Social Medicine Nihon University School Of Medicine
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Tsutsui Takako
Department Of Public Health School Of Medicine Nihon University
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Yokoyama Eise
Division Of Public Health Department Of Social Medicine Nihon University School Of Medicine
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Yokoyama Eise
Department Of Public Health Nihon University School Of Medicine
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Miyake Takeo
Department Of Public Health School Of Medicine Nihon University
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Miyake Takeo
Department Of Public Health In Nihon University
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Suzuki Kenshu
Division Of Public Health Department Of Social Medicine Nihon University School Of Medicine
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Ibuka Eiji
Department Of Public Health School Of Medicine Nihon University
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KANEKO Akiyo
Department of Public Health, School of Medicine, Nihon University
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YAMAMOTO Yuko
Department of Public Health, School of Medicine, Nihon University
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Ohida T
鳥取大学 医学部環境予防医学分野
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Ohida Takashi
Department Of Public Health Administration National Institute Of Public Health
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Harano Satoru
Department Of Public Health School Of Medicine Nihon University
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Tsutsui Takako
Department Of Health And Social Services National Institute Of Public Health
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Kaneita Yoshitaka
Division Of Public Health Department Of Social Medicine Nihon University School Of Medicine
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Yamamoto Yuko
Department Of Cardiology Hirosaki University Graduate School Of Medicine Hirosaki Japan
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Ohida Takashi
Department Of Public Health Showa University School Of Medicine
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Kaneita Yoshitaka
Department Of Public Health Nihon University School Of Medicine
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Yamamoto Yuko
Department Of Bioengineering Nagaoka University Of Technology
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Ohida Takashi
Department of Public Health Administration
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MIYAKE Takeo
Department of Geriatric Medicine, Faculty of Medicine, Kyoto University
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