Effect of Short Message Service on Infant Feeding Practice Findings From a Community-Based Study in Shanghai, China

被引：98

作者：

Jiang, Hong ^{[1
,2
]}

Li, Mu ^{[3
]}

Wen, Li Ming ^{[3
,4
]}

Hu, Qiaozhen ^{[1
,2
,5
]}

Yang, Dongling ^{[1
,2
,6
]}

He, Gengsheng ^{[1
,2
,7
]}

Baur, Louise A. ^{[3
,8
]}

Dibley, Michael J. ^{[3
]}

Qian, Xu ^{[1
,2
,7
]}

机构：

[1] Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China

[2] Minist Educ, Key Lab Publ Hlth Safety, Shanghai, Peoples R China

[3] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW 2006, Australia

[4] Hlth Serv, Sydney South West Area, Hlth Promot Serv, Sydney, NSW, Australia

[5] Ctr Dis Control & Prevent, Shanghai, Peoples R China

[6] Shanghai Municipal Ctr Dis Control & Prevent, Shanghai, Peoples R China

[7] Fudan Univ, Global Hlth Inst, Shanghai 200032, Peoples R China

[8] Univ Sydney, Westmead Clin Sch, Childrens Hosp, Sydney, NSW 2006, Australia

来源：

JAMA PEDIATRICS | 2014年 / 168卷 / 05期

关键词：

RANDOMIZED-CONTROLLED-TRIAL; CHILDHOOD OBESITY; EARLY INTERVENTION; BEHAVIOR-CHANGE; MOBILE PHONE; SUPPORT;

D O I：

10.1001/jamapediatrics.2014.58

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

IMPORTANCE Appropriate infant feeding practices have the potential for long-term health effects. However, research findings on improving early infant feeding practices are limited. The wide use of mobile phone short message service (SMS) provides new opportunities for health promotion and services. OBJECTIVE To assess the effect of an SMS intervention on infant feeding practices. DESIGN AND SETTING Quasiexperimental design with follow-up measures scheduled at 4, 6, and 12 months at 4 community health centers in Shanghai, China. Two community health centers represented the intervention group, and 2 other community health centers represented the control group. PARTICIPANTS In total, 582 expectant mothers were recruited during the first trimester. Expectant mothers were eligible to participate if they owned a mobile phone, were first-time mothers, conceived a singleton fetus, were older than 20 years and less than 13 weeks' gestation, had completed at least a compulsory junior high school education, and had no illness that limited breastfeeding after childbirth. INTERVENTION Mothers in the intervention group received weekly SMS messages about infant feeding from the third trimester to 12 months' post partum. MAIN OUTCOMES AND MEASURES The primary outcome was the duration of exclusive breastfeeding (EBF). Survival analysis was used to compare the duration of EBF between the intervention group and the control group. RESULTS Compared with the control group, the intervention group had a significantly longer median duration of EBF at 6 months (11.41 [95% CI, 10.25-12.57] vs 8.87 [95% CI, 7.84-9.89] weeks). The hazard ratio for stopping EBF in the intervention group was 0.80 (95% CI, 0.66-0.97). The intervention resulted in a significantly higher rate of EBF at 6 months (adjusted odds ratio, 2.67 [95% CI, 1.45-4.91]) and a significantly lower rate of the introduction of solid foods before 4 months (adjusted odds ratio, 0.27 [95% CI, 0.08-0.94]). CONCLUSIONS AND RELEVANCE An SMS intervention may be effective in promoting EBF, delaying the introduction of solid foods, increasing awareness of the World Health Organization breastfeeding guidelines, and improving knowledge of appropriate infant feeding practices for new mothers.

引用

页码：471 / 478

页数：8