Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy

• Published in: Jornal de pediatria 2019-05, Vol.95 (3), p.298-305
• Main Authors: Silva, Vera A.A.L., Caminha, Maria F.C., Silva, Suzana L., Serva, Vilneide M.S.B.D., Azevedo, Pedro T.A.C.C., Filho, Malaquias Batista
• Format: Article
• Language: English
• Subjects: Aleitamento materno; Atenção primária à saúde; Brazil - epidemiology; Breast Feeding - statistics & numerical data; Breastfeeding; Chupetas; Cluster Analysis; Cross-Sectional Studies; Estudos transversais; Family Health; Fatores de risco; Female; Humans; Infant; Infant, Newborn; National Health Programs; Pacifiers; PEDIATRICS; Prevalence; Primary health care; Risk factors; Socioeconomic Factors; Urban Population
• ISSN: 0021-7557; 1678-4782; 1678-4782
• DOI: 10.1016/j.jped.2018.01.004

To describe and analyze indicators of feeding practices related to breastfeeding and factors associated with exclusive breastfeeding (EBF) in a subnormal urban cluster (slums) in Pernambuco, Brazil. Four breastfeeding indicators were used to interview mothers of children under 3 years of age. An inventory of the families’ socioeconomic and environmental factors, maternal obstetric history, and basic health care access was undertaken. The sample consisted of all 310 children under the age of 3 years from Coelhos, PE, Brazil. Spearman's correlation was carried out, as well as crude and adjusted prevalence ratios for a final statistical model that showed associated factors with the main outcome at a level of 0.05. The prevalence of breastfeeding in the first hour of life, exclusive breastfeeding up to 6 months, continued breastfeeding at 1 year, and continued breastfeeding at 2 years were 60.2%, 32.9%, 45.9, and 35.9%, respectively. A correlation was observed between start of pacifier use and duration of either exclusive (rs=0.358 [p