Exclusive breast-feeding duration is associated with attitudinal, socioeconomic and biocultural determinants in three Latin American Countries.
International health organizations have recommended exclusive breast-feeding (EBF) (i.e., breast milk as the only source of food) as the optimal infant feeding method during the first 4-6 mo of life.
Therefore, it is important to document the determinants of EBF in different populations.
Low-income urban women from Brazil (n=446,2 maternity wards), Honduras (n=1582,3 maternity wards) and Mexico (n=765,3 maternity wards) were interviewed at birth and in their homes at 1 mo and 2-4 mo after delivery.
Multivariate survival analyses (Cox model) indicated that planned duration of EBF (all 3 countries), having a female infant, and not being employed (Brazil and Honduras), lower socioeconomic status (Honduras and Mexico) and higher birth weight (control hospital in Brazil and Honduras) were positively associated (P ¾ 0.10) with EBF.
Women who delivered in the maternity wards that had more developed breast-feeding promotion programs were more successful with EBF.
The association between maternal education and EBF was modified by the maternity ward in Mexico and Honduras.
Being =18 y and having a partner living (Brazil) or not (Mexico) living at home were positively associated with EBF.
These findings can contribute toward the design of EBF promotion efforts in Latin America.
Mots-clés Pascal : Brésil, Amérique du Sud, Amérique, Honduras, Amérique Centrale, Mexique, Statut socioéconomique, Faible, Allaitement, Lait femme, Lait maternel, Durée, Attitude, Mère, Promotion santé, Homme
Mots-clés Pascal anglais : Brazil, South America, America, Honduras, Central America, Mexico, Socioeconomic status, Low, Breast feeding, Human milk, Breast milk, Duration, Attitude, Mother, Health promotion, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0054311
Code Inist : 002B29B. Création : 199608.