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Women’s autonomy and social support and their associations with infant and young child feeding and nutritional status

Community-based survey in rural Nicaragua

Bibliographic Data

ID15097231
AuthorsShirin Ziaei (0000-0001-5396-6624, Uppsala University Hospital, corresponding author), Mariela Contreras (0000-0002-6376-2219, Uppsala University Hospital), Elmer Zelaya Blandón (Fundación para la Educación y el Desarrollo Social), Lars Ake Persson (0000-0003-0710-7954, Uppsala University Hospital), Lars-Åke Persson, Anders Hjern (0000-0002-1645-2058, Centre for Health Equity Studies), Eva-Charlotte Ekström, Eva‐Charlotte Ekström (0000-0001-5464-7756, Uppsala University Hospital)
Year2015
Volume18
Issue11
Pages1979-1990
Publication date2015-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980014002468
PMID25409706
OpenAlexW2082670254
LanguageEN
Citations received13
References cited24

Objective To evaluate the associations of women’s autonomy and social support with infant and young child feeding practices (including consumption of highly processed snacks and sugar-sweetened beverages) and nutritional status in rural Nicaragua. Design Cross-sectional study. Feeding practices and children’s nutritional status were evaluated according to the WHO guidelines complemented with information on highly processed snacks and sugar-sweetened beverages. Women’s autonomy was assessed by a seventeen-item questionnaire covering dimensions of financial independence, household-, child-, reproductive and health-related decision making and freedom of movement. Women’s social support was determined using the Duke-UNC Functional Social Support Questionnaire. The scores attained were categorized into tertiles. Setting Los Cuatro Santos area, rural Nicaragua. Subjects A total of 1371 children 0–35 months of age. Results Children of women with the lowest autonomy were more likely to be exclusively breast-fed and continue to be breast-fed, while children of women with middle level of autonomy had better complementary feeding practices. Children of women with the lowest social support were more likely to consume highly processed snacks and/or sugar-sweetened beverages but also be taller. Conclusions While lower levels of autonomy and social support were independently associated with some favourable feeding and nutrition outcomes, this may not indicate a causal relationship but rather that these factors reflect other matters of importance for child care

Autonomy · Breast feeding · Cross-sectional study · Environmental health · Political science · Rural area · Social support · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Psychology · Social Psychology · Gerontology · Pediatrics

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Unique citing works13
Citations per year1,18
Citation span2015 - 2024 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 13

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