Artigo de periodico

Individual and contextual determinants of exclusive breast-feeding in São Paulo, Brazil: a multilevel analysis (2006)

• Authors:
  • Venancio, Sonia Isoyama
  • Monteiro, Carlos Augusto
• 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:
  • Publisher place: London
  • Date published: 2006
• Source:
  • Título: Public Health Nutrition
  • ISSN: 1368-9800
  • Volume/Número/Paginação/Ano: v. 9, n. 1, p. 40-46, 2006

Informações sobre o DOI: 10.1079/phn2005760 (Fonte: oaDOI API)
• Este periódico é de assinatura
• Este artigo é de acesso aberto
• URL de acesso aberto
• Cor do Acesso Aberto: bronze

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How to cite

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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: 11 nov. 2024.

• 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 2024 nov. 11 ] 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 2024 nov. 11 ] Available from: https://doi.org/10.1079/phn2005760

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