Sociodemographic, health and pro-breast-feeding policies and programmes associated with breast-feeding duration in Latin American countries

Lamounier, Danielle Mendonça Buiatti; Azeredo, Catarina Machado; Antunes, José Leopoldo Ferreira; Conde, Wolney Lisbôa; Rinaldi, Ana Elisa Madalena

doi:10.1017/s1368980020005145

Cited by 6 publications

(7 citation statements)

References 33 publications

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“…Similar patterns were observed for public health center visits at birth, with 84% of women who breastfed for ≥4 months *Numbers summarized with (median, IQR) unless otherwise noted. 1 Summarized with rank sum. 2 Summarized with Fisher exact when a cell was ≤5.…”

Section: Resultsmentioning

confidence: 99%

“…In the analysis of factors associated with the continuation of breastfeeding for at least 4 months, Cesarean mode of birth [unadjusted RR = 0.77, 95% CI: (0.64-0.92), P = .01], unknown mode of birth [RR = 0.27, 95% CI: (0.07-1.02), P = .05], visiting a public antenatal site during pregnancy [unadjusted RR = 2.63, 95% CI: (1.22-5.20), P < .01], health center visited at birth [unadjusted RR = 1.49, 95% CI: (1.18-1.88), P < .01], time between most recent and previous pregnancy [unadjusted RR = 1.01, 95% CI: (0.99-1.03), P = .08], employment status [unadjusted RR = 0.87, 95% CI: (0.75-1.01), P = .07] and having a secondary [unadjusted RR = 0.89, 95% CI: (0.77-1.01), P = .07] and *Numbers summarized with (median, IQR) unless otherwise noted. 1 Summarized with rank sum. 2 Summarized with Fisher exact when a cell was ≤5.…”

Section: Resultsmentioning

confidence: 99%

“…Concerns about pregnancy or desire to become pregnant have been recorded as reasons for breastfeeding cessation. 1 Maternal concerns about pregnancy risks may present a possible explanation for the association between number of biological children and decreased breastfeeding continuation rates. Limited family child support, economic burden, and cultural perceptions in LMICS may also be related to these findings and should be explored further.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Initiating Breastfeeding and Continuing it for At Least 4 Months in Consuelo, a Rural Town in the Dominican Republic

Bhuyan,

Fernandez,

Faerber

et al. 2023

Global Pediatric Health

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Objective. We assessed the proportion of and factors associated with mothers initiating and continuing breastfeeding (BF) for ≥4 months in a rural town of the Dominican Republic. Methods. A survey was administered to 190 mothers of children cared for at a free clinic in Consuelo. Modified bivariate and multivariable Poisson regressions were utilized in data analysis. Results. BF was initiated in 89.5% of cases and continued ≥4 months in 81.7% of cases. Maternal education beyond secondary school [adjusted RR = 1.13, 95% CI: (1.04-1.24), 0.010], and visiting both public and private antenatal clinics [adjusted RR = 1.25; 95% CI: (1.10-1.37), 0.010] were associated with BF initiation. Public and private antenatal clinic attendance [adjusted RR = 1.01, 95% CI: (0.45-2.23), 0.020], Cesarean section [adjusted RR = 0.81, 95% CI: (0.68-0.98), 0.026], number of biological children [adjusted RR = 0.95, 95% CI: (0.90-1.00), 0.032] and maternal employment [adjusted RR = 0.89, 95% CI: (0.79-0.99), 0.048] were associated with BF continuation. Conclusions. These results provide valuable insights for targeting specific populations in future breastfeeding education interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Initiating Breastfeeding and Continuing it for At Least 4 Months in Consuelo, a Rural Town in the Dominican Republic

Bhuyan,

Fernandez,

Faerber

et al. 2023

Global Pediatric Health

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“…Conversely, Victora et al (55) observed that in 98 low-and middle-income countries, mothers with lower economic income were more likely to breastfeed longer than mothers with higher income. Following the same rationale, Lamounier et al (56) associated the shorter duration of breast-feeding with higher levels of maternal education and higher income quintiles in five Latin American countries. However, despite the differences found between the per capita income brackets, it is noteworthy that our entire sample lived in extreme poverty, which can explain, at least in part, the differences observed.…”

Section: Discussionmentioning

confidence: 98%

Dietary patterns of children aged 6–24 months assisted by the Bolsa Família Program

Mendes

Marçal

Rinaldi

et al. 2021

Public Health Nutr.

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Objective: This study aimed to verify the association between socioeconomic and demographic characteristics and dietary patterns (DP) of children assisted by the Conditional Cash Transfer Program, Bolsa Família (BFP). Design: This is a cross-sectional study. DP were defined using a principal component analysis. The association of the predictive variables and DP was modelled using multilevel linear regression analysis. Setting: This study was conducted in six municipalities from the State of Alagoas, Brazil. Participants: The participants were children aged 6–24 months who were assisted by the BFP. Results: A total of 1,604 children were evaluated. Four DPs were identified (DP1, DP2, DP3, and DP4). DP1 is composed of traditional Brazilian food. DP2 is formed mostly from ultra-processed foods (UPF). DP3 consists of milk (non-breast) with added sugar, while DP4 consists of fresh and minimally processed foods. Caregivers with higher age and education (β = −0.008; 95%CI: [−0.017; −0.000]; β = −0.037; 95%CI: [−0.056; −0.018], respectively) were negatively associated with DP2. We observed a negative association between households with food insecurity (β = −0.204; 95%CI: [−0.331; −0.078]) and DP4 and a positive association between caregivers with higher age and education (β = 0.011; 95%CI: [0.003; 0.019]; β = 0.043; 95%CI: [0.025; 0.061], respectively) and DP4. Conclusion: This study identified the association between socioeconomic inequities and DP early in life, with an early introduction of UPF, in children assisted by BFP in the State of Alagoas.

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“…However, the frequency of EBF decreases the older the age of the child (67.6% in children aged 0 months vs. 22.2% in children aged 5 months), reflecting a shorter duration of EBF in this region ( 17 ). Within the LAC countries, socioeconomic determinants influencing EBF practices have been observed, with a high educational and economic level of the mother being positively associated with the frequency and duration of EBF ( 18 , 19 ). In Peru, the Demographic and Family Health Survey (ENDES–acronym in Spanish) shows that EBF increased from 65.2% in 2015 to 68.4% in 2020 ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic determinants and inequalities in exclusive breastfeeding among children in Peru

Hernández-Vasquéz

Vargas-Fernández

2022

Front. Nutr.

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IntroductionAlthough Latin America and the Caribbean have one of the highest prevalences of exclusive breastfeeding (EBF), the countries in this region have socioeconomic determinants that influence the frequency of this practice and do not allow achieving the 70% target recommended by the World Health Organization. Therefore, the objective of the study was to examine the socioeconomic determinants and perform a decomposition analysis of socioeconomic inequalities in EBF in Peruvian children 6 to 59 months of age.MethodsA cross-sectional study was carried out using the 2021 Demographic and Family Health Survey. The dependent variable for the study was EBF up to 6 months of age and the wealth index variable was used to perform the inequality analysis. Poisson log generalized linear regression models were fitted to evaluate the association between EBF and the independent variables, and concentration curves and Erreygers concentration index decomposition were used to analyze inequalities in EBF.ResultsA total of 9926 surveyed participants were included. The prevalence of EBF was 70.5% (95% confidence interval: 69.2-71.8). Women who were married, self-identified as native, received EBF training, resided in the highlands and jungle, and their child was the second or older showed a higher likelihood of EBF. In the inequality analysis, EBF was concentrated among the poorest mothers and the major contributors were residing in the highlands and jungle and belonging to the middle and wealthy quintiles.DiscussionOur findings suggest that the main strategies to encourage the practice of EBF should be focused on all mothers regardless of their socioeconomic status in order to reduce the EBF gap between richer and poorer women.

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Sociodemographic, health and pro-breast-feeding policies and programmes associated with breast-feeding duration in Latin American countries

Cited by 6 publications

References 33 publications

Factors Associated With Initiating Breastfeeding and Continuing it for At Least 4 Months in Consuelo, a Rural Town in the Dominican Republic

Factors Associated With Initiating Breastfeeding and Continuing it for At Least 4 Months in Consuelo, a Rural Town in the Dominican Republic

Dietary patterns of children aged 6–24 months assisted by the Bolsa Família Program

Socioeconomic determinants and inequalities in exclusive breastfeeding among children in Peru

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