Prevalence and predictors of breastfeeding in the MINA-Brazil cohort

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMOSQUERA, Paola S.
dc.contributor.authorLOURENCO, Barbara H.
dc.contributor.authorMATIJASEVICH, Alicia
dc.contributor.authorCASTRO, Marcia C.
dc.contributor.authorCARDOSO, Marly A.
dc.date.accessioned2024-04-05T19:34:21Z
dc.date.available2024-04-05T19:34:21Z
dc.date.issued2023
dc.description.abstractOBJECTIVE: To describe the prevalence and factors associated with exclusive (EBF) and continued breastfeeding (BF) practices among Amazonian children. METHODS: Data from 1,143 mother -child pairs recorded on the Maternal and Child Health and Nutrition in Acre (MINA -Brazil) birth cohort were used. Information on EBF and BF was collected after childbirth (July 2015-June 2016) and during the follow-up visits at 1 and 6 months postpartum, 1, 2, and 5 years of age. For longitudinal analysis, the outcomes were EBF and BF duration. Probability of breastfeeding practices were estimated by Kaplan -Meier survival analysis. Associations between baseline predictors variables and outcomes among children born at term were assessed by extended Cox regression models. RESULTS: EBF frequencies (95% confidence interval [95%CI]) at 3 and 6 months of age were 33% (95%CI: 30.2-36.0) and 10.8% (95%CI: 8.9-12.9), respectively. Adjusted hazard ratio for predictors of early EBF cessation were: being a first-time mother = 1.47 (95%CI: 1.19-1.80), feeding newborns with prelacteals = 1.70 (95%CI: 1.23-2.36), pacifier use in the first week of life = 1.79 (95%CI: 1.44-2.23) or diarrhea in the first two weeks of life = 1.70 (95%CI: 1.15-2.52). Continued BF frequency was 67.9% (95%CI: 64.9-70.8), 29.3% (95%CI: 26.4-32.4), and 1.7% (95%CI: 0.9-2.8) at 1, 2 and 5 years of age, respectively. Adjusted hazard ratio for predictors of early BF cessation were: male sex = 1.23 (95%CI: 1.01-1.49), pacifier use in the first week of life = 4.66 (95%CI: 2.99-7.26), and EBF less than 3 months = 2.76 (95%CI: 1.64-4.66). CONCLUSIONS: EBF and continued BF duration among Amazonian children is considerably shorter than recommendations from the World Health Organization. Significant predictors of breastfeeding practices should be considered for evaluating local strategies to achieve optimal breastfeeding practices.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [407255/2013-3, 303794/2021-6, 312746/2021-0]
dc.description.sponsorshipFundacao Maria Cecilia Souto Vidigal [372666/2019-00]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (Fapesp) [2016/00270-6]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Capes)
dc.identifier.citationREVISTA DE SAUDE PUBLICA, v.57, suppl.2, article ID 2s, 12p, 2023
dc.identifier.doi10.11606/s1518-8787.2023057005563
dc.identifier.eissn1518-8787
dc.identifier.issn0034-8910
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58962
dc.language.isoeng
dc.publisherREVISTA DE SAUDE PUBLICAeng
dc.relation.ispartofRevista de Saude Publica
dc.rightsopenAccesseng
dc.rights.holderCopyright REVISTA DE SAUDE PUBLICAeng
dc.subjectBreastfeeding. Survival Analysiseng
dc.subjectRisk Factorseng
dc.subjectCohort Studieseng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titlePrevalence and predictors of breastfeeding in the MINA-Brazil cohorteng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMOSQUERA, Paola S.:Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Ave Doutor Arnaldo 715, BR-01246904 Sao Paulo, SP, Brazil
hcfmusp.author.externalLOURENCO, Barbara H.:Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Ave Doutor Arnaldo 715, BR-01246904 Sao Paulo, SP, Brazil
hcfmusp.author.externalCASTRO, Marcia C.:Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USA
hcfmusp.author.externalCARDOSO, Marly A.:Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Ave Doutor Arnaldo 715, BR-01246904 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.description.articlenumber2s
hcfmusp.description.issuesuppl 2
hcfmusp.description.volume57
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1166590483
hcfmusp.origem.pubmed38422331
hcfmusp.origem.scopus2-s2.0-85186323381
hcfmusp.origem.wosWOS:001177012500001
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
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