Time trends and social inequalities in infant and young child feeding practices

National estimates from Brazil’s Food and Nutrition Surveillance System, 2008–2019

Bibliographic Data

ID15092015
AuthorsGiesy Ribeiro de Souza (0000-0002-9383-4324, Universidade Federal da Bahia, corresponding author), Rita De Cássia Ribeiro-Silva (0000-0002-8387-9254, Universidade Federal da Bahia), Mariana Santos Felisbino-Mendes (0000-0001-5321-5708, Universidade Federal de Minas Gerais), Natanael De Jesus Silva (0000-0003-3002-1032, Knowledge Integration (United Kingdom)), Rafaella Da Costa Santin (0000-0003-3766-5893), Rafaella da Costa Santin de Andrade (Ministério da Saúde), Jéssica Pedroso Da Silva (0000-0001-5446-4319, Ministério da Saúde), Ana Maria Spaniol (0000-0003-4017-9597, Ministério da Saúde), Gisele Ane Bortolini (0000-0002-7830-9134, Ministério da Saúde), Eduardo Augusto Fernandes Nilson (0000-0002-2650-4878, Ministry of Culture), Sara Araújo Da Silva (0000-0002-2605-378X, Ministério da Saúde), Bárbara Hatzlhoffer Lourenço (0000-0002-2006-674X, Universidade de São Paulo), Alisson Daniel Silva Rocha (0000-0003-3806-6446, Universidade Federal da Bahia), Aline dos Santos Rocha, Ila Rocha Falcão (0000-0001-6961-3858, Knowledge Integration (United Kingdom)), Maria Yury Travassos Ichihara (0000-0001-8590-6212, Knowledge Integration (United Kingdom)), David Rodrigues Farias (0000-0003-0278-8375, Universidade Federal do Rio de Janeiro), Dayana Rodrigues Farias, Maurício Lima Barreto (0000-0002-0215-4930, Universidade Federal da Bahia)
Year2023
Volume26
Issue9
Pages1731-1742
Publication date2023-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980023001039
PMID37231823
OpenAlexW4378348842
LanguageEN
Citations received2
References cited38

Objective: To describe the time trends and socio-economic inequalities in infant and young child feeding practices in accordance with the Brazilian deprivation index (BDI). Design: This time-series study analysed the prevalence of multiple breast-feeding and complementary feeding indicators based on data from the Brazilian Food and Nutrition Surveillance System, 2008–2019. Prais–Winsten regression models were used to analyse time trends. Annual percent change (APC) and 95 % CI were calculated. Setting: Primary health care services, Brazil. Participants: Totally, 911 735 Brazilian children under 2 years old. Results: Breast-feeding and complementary feeding practices differed between the extreme BDI quintiles. Overall, the results were more favourable in the municipalities with less deprivation (Q1). Improvements in some complementary feeding indicators were observed over time and evidenced such disparities: minimum dietary diversity (Q1: Δ 47·8–52·2 %, APC + 1·44, P = 0·006), minimum acceptable diet (Q1: Δ 34·5–40·5 %, APC + 5·17, P = 0·004) and consumption of meat and/or eggs (Q1: Δ 59·7–80·3 %, APC + 6·26, P P = 0·041). Stable trends in exclusive breast-feeding and decreasing trends in the consumption of sweetened drinks and ultra-processed foods were also observed regardless the level of the deprivation. Conclusions: Improvements in some complementary food indicators were observed over time. However, the improvements were not equally distributed among the BDI quintiles, with children from the municipalities with less deprivation benefiting the most

Breast feeding · Consumption (sociology · Economics · Environmental health · Food consumption · Geography · Inequality · Social deprivation · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Pediatrics

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