Determinants of early breastfeeding initiation and exclusive breastfeeding in Colombia

Datos Bibliográficos

ID15097702
AutoresSheridan Finnie (Yale University, autor de correspondencia), Rafael Pérez-Escamilla (0000-0001-9416-8039, Yale University), Gabriela Buccini (0000-0001-6008-0987, Yale University)
Año2020
Volumen23
Número3
Páginas496-505
Fecha de publicación2020-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980019002180
PMID31587670
OpenAlexW2978354020
IdiomaEN
Citas recibidas7
Referencias citadas34

Objective: To identify modifiable risk factors associated with early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) in Colombia. Design: Cross-sectional study from the 2010 Colombia nationally representative Demographic Health Survey (DHS). Studied exposures were categorized into five hierarchical blocks of increasing proximity to the outcomes: household, maternal, health systems, child, and early feeding characteristics. The two outcomes examined were delayed breastfeeding initiation among infants Setting: Nationally representative cross-sectional survey from Colombia. Participants: The EIBF analytical sample included 6592 and the EBF sample 1512 women with young children. Results: EIBF prevalence was 65·6 % in children under 24 months and EBF was 43 % in infants under 6 months. Modifiable risk factors associated with delayed breastfeeding initiation were: C-section (PR = 2·08, CI 95 % = 1·92, 2·25), maternal overweight/obesity (PR = 1·09, CI 95 % = 1·01, 1·17), lack of skilled attendant at birth (PR = 1·09, CI 95 % = 1·01, 1·18). Modifiable risk factors for EBF interruption were C-section (PR = 1·12, CI 95 % = 1·02, 1·23) and prelacteal feeding (PR = 1·51, CI 95 % = 1·37, 1·68). Non-pregnancy intention was a protective factor for EBF interruption (PR = 0·82, CI 95 % = 0·72, 0·93). Conclusions: C-section, lack of skilled attendant at birth, prelacteal feeding, maternal nutritional status, and pregnancy intention were modifiable factors associated with suboptimal breastfeeding practices in Colombia

Breastfeeding · Caesarean section · Cross-sectional study · Environmental health · Obesity · Overweight · Poisson regression · Population · Pregnancy · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Pediatrics