Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis (2006)
- Authors:
- Autor USP: MONTEIRO, CARLOS AUGUSTO - FSP
- Unidade: FSP
- DOI: 10.1079/phn2005760
- Subjects: ALEITAMENTO MATERNO; LACTENTES; CUIDADO DO LACTENTE (FATORES SOCIOECONÔMICOS); CULTURA (FATORES); ANÁLISE MULTIVARIADA
- Language: Inglês
- Abstract: Objective: To identify individual and contextual factors associated with the practice of exclusive breast-feeding (EBF). Methodology: We analysed 34435 children under 6 months of age living in 111 municipalities in the state of São Paulo, south-eastern Brazil, who participated in a survey investigating feeding practices during the first year of life, carried out during the 1999 national vaccination campaign. The questionnaire employed included questions on the consumption, in the last 24h, of breast milk, water, tea, other types of milk and other foods, in addition to mother and child characteristics. Information on the pro-breast-feeding measures implemented in the municipalities was also collected. The effects of individual and contextual characteristics on EBF were analysed using multilevel models. Results: The final model showed a greater chance of EBF in women with tertiary education (odds ratio (OR)=1.91; 95 percent confidence interval (CI) 1.75-2.06); women aged between 25 and 29 years (OR=1.52; 95 percent CI 1.41-1.63); multiparae (OR=1.42; 95 percent CI 1.33-1.49); female babies (OR=1.12; 95 percent CI 1.05-1.18); birth weight =3000?g (OR=1.73; 95 percent CI 1.49-1.97); child follow-up in the private health-care network (OR=1.10; 95 percent CI 1.02-1.18); and municipalities with four or five pro-breast-feeding measures (OR=2.4; 95 percent CI 2.19-2.88). An analysis of the interactions between individual and contextual variables showed that thepresence of at least four pro-breast-feeding measures in the municipality attenuated the risk of early termination of EBF associated with low maternal schooling and low birth weight, and transformed child follow-up in the public network into a protective factor against the early termination of breast-feeding. ) Conclusions: The presence of measures aimed at protecting, promoting and supporting breast-feeding in the municipality had a positive influence on EBF and attenuated the impact of risk factors for the termination of breast-feeding
- Imprenta:
- Source:
- Título: Public Health Nutrition
- ISSN: 1368-9800
- Volume/Número/Paginação/Ano: v. 9, n. 1, p. 40-46, 2006
- Este periódico é de acesso aberto
- Este artigo NÃO é de acesso aberto
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ABNT
VENANCIO, Sonia Isoyama e MONTEIRO, Carlos Augusto. Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis. Public Health Nutrition, v. 9, n. 1, p. 40-46, 2006Tradução . . Disponível em: https://doi.org/10.1079/phn2005760. Acesso em: 27 jan. 2026. -
APA
Venancio, S. I., & Monteiro, C. A. (2006). Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis. Public Health Nutrition, 9( 1), 40-46. doi:10.1079/phn2005760 -
NLM
Venancio SI, Monteiro CA. Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis [Internet]. Public Health Nutrition. 2006 ; 9( 1): 40-46.[citado 2026 jan. 27 ] Available from: https://doi.org/10.1079/phn2005760 -
Vancouver
Venancio SI, Monteiro CA. Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis [Internet]. Public Health Nutrition. 2006 ; 9( 1): 40-46.[citado 2026 jan. 27 ] Available from: https://doi.org/10.1079/phn2005760 - O desempenho do volume cilíndrico do braço no diagnóstico do estado nutricional infantil (II)
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Informações sobre o DOI: 10.1079/phn2005760 (Fonte: oaDOI API)
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