Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant?
IntroductionStudies in Latin America have focused either on analyzing factors associated with exclusive breastfeeding (EBF) or infant formula (IF).PurposeAnalyze the association between economic, sociodemographic, and health factors with EBF, mixed milk feeding (MixMF), and exclusive use of IF in th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1239503/full |
| _version_ | 1797666498016182272 |
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| author | Camila Abadia Rodrigues Meira Gabriela Buccini Catarina Machado Azeredo Wolney Lisbôa Conde Ana Elisa Madalena Rinaldi |
| author_facet | Camila Abadia Rodrigues Meira Gabriela Buccini Catarina Machado Azeredo Wolney Lisbôa Conde Ana Elisa Madalena Rinaldi |
| author_sort | Camila Abadia Rodrigues Meira |
| collection | DOAJ |
| description | IntroductionStudies in Latin America have focused either on analyzing factors associated with exclusive breastfeeding (EBF) or infant formula (IF).PurposeAnalyze the association between economic, sociodemographic, and health factors with EBF, mixed milk feeding (MixMF), and exclusive use of IF in three Latin American and Caribbean countries in the 1990s, 2000s, and 2010s.MethodsCross-sectional time-series study using data from Demographic and Health Surveys between the 1990s and 2010s in Colombia (1995–2010), Haiti (1994–2017), and Peru (1996–2012) accounting for a sample of 12,775 infants under 6 months. Hierarchical logistic multilevel regression models were used to estimate the adjusted association between infant feeding outcomes (EBF, MixMF, exclusive use of IF) and contextual level DHS survey decade (1990s, 2000s and 2010s) and economic factors (Gross Domestic Product by purchasing power parity, female wage and salaried workers, labor force participation rate female) as well as individual level sociodemographic (maternal age, maternal education, number of children in the household, wealth index, mother living with a partner, area of residence, mother working outside of home), and health factors (breastfed in the first hour, C-section).ResultsFactors associated with EBF cessation were c-section (OR: 0.76; 95%CI: 0.64, 0.92), mothers working outside of the home (OR: 0.79; 95%CI: 0.69, 0.90), families in the highest income quintile (OR: 0.64; 95%CI: 0.49, 0.84), and female wage and salaried workers (OR: 0.92; 95%CI: 0.91, 0.94). MixMF was associated with women with higher education (OR: 1.54; 95%CI: 1.21, 1.97), mother working outside of the home (OR: 1.26; 95%CI: 1.10, 1.43), c-section (OR: 1.37; 95%CI: 1.15, 1.62), families in the highest income quintiles (OR: 2.77; 2.10, 3.65). and female wage and salaried workers (OR: 1.08;95% CI: 1.05, 1.09). Exclusive use of IF was associated with a mother working outside of the home (OR: 2.09; 95%CI: 1.41, 3.08), c-section (OR: 1.65; 95%CI: 1.09, 2.51), families in the highest income quintiles (OR: 12.08; 95% CI: 4.26, 34.28), the 2010s (OR: 3.81; 95%CI: 1.86, 7.79), and female wage and salaried workers (OR: 1.12; 95%CI: 1.07, 1.16).Discussion/ConclusionFactors related to women empowerment and gender equality jeopardized EBF and favored the exclusive use of IF in Latin America. Therefore, workplace interventions to promote, protect, and support breastfeeding practices are key to reducing exclusive use of IF. |
| first_indexed | 2024-03-11T19:59:15Z |
| format | Article |
| id | doaj.art-3330a757c4d14bcf84b773b449729975 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-11T19:59:15Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-3330a757c4d14bcf84b773b4497299752023-10-04T09:39:25ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-10-011010.3389/fnut.2023.12395031239503Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant?Camila Abadia Rodrigues Meira0Gabriela Buccini1Catarina Machado Azeredo2Wolney Lisbôa Conde3Ana Elisa Madalena Rinaldi4School of Medicine, Federal University of Uberlândia, Uberlândia, BrazilSchool of Public Health, University of Nevada, Las Vegas, NV, United StatesSchool of Medicine, Federal University of Uberlândia, Uberlândia, BrazilSchool of Public Health, University of São Paulo, São Paulo, BrazilSchool of Medicine, Federal University of Uberlândia, Uberlândia, BrazilIntroductionStudies in Latin America have focused either on analyzing factors associated with exclusive breastfeeding (EBF) or infant formula (IF).PurposeAnalyze the association between economic, sociodemographic, and health factors with EBF, mixed milk feeding (MixMF), and exclusive use of IF in three Latin American and Caribbean countries in the 1990s, 2000s, and 2010s.MethodsCross-sectional time-series study using data from Demographic and Health Surveys between the 1990s and 2010s in Colombia (1995–2010), Haiti (1994–2017), and Peru (1996–2012) accounting for a sample of 12,775 infants under 6 months. Hierarchical logistic multilevel regression models were used to estimate the adjusted association between infant feeding outcomes (EBF, MixMF, exclusive use of IF) and contextual level DHS survey decade (1990s, 2000s and 2010s) and economic factors (Gross Domestic Product by purchasing power parity, female wage and salaried workers, labor force participation rate female) as well as individual level sociodemographic (maternal age, maternal education, number of children in the household, wealth index, mother living with a partner, area of residence, mother working outside of home), and health factors (breastfed in the first hour, C-section).ResultsFactors associated with EBF cessation were c-section (OR: 0.76; 95%CI: 0.64, 0.92), mothers working outside of the home (OR: 0.79; 95%CI: 0.69, 0.90), families in the highest income quintile (OR: 0.64; 95%CI: 0.49, 0.84), and female wage and salaried workers (OR: 0.92; 95%CI: 0.91, 0.94). MixMF was associated with women with higher education (OR: 1.54; 95%CI: 1.21, 1.97), mother working outside of the home (OR: 1.26; 95%CI: 1.10, 1.43), c-section (OR: 1.37; 95%CI: 1.15, 1.62), families in the highest income quintiles (OR: 2.77; 2.10, 3.65). and female wage and salaried workers (OR: 1.08;95% CI: 1.05, 1.09). Exclusive use of IF was associated with a mother working outside of the home (OR: 2.09; 95%CI: 1.41, 3.08), c-section (OR: 1.65; 95%CI: 1.09, 2.51), families in the highest income quintiles (OR: 12.08; 95% CI: 4.26, 34.28), the 2010s (OR: 3.81; 95%CI: 1.86, 7.79), and female wage and salaried workers (OR: 1.12; 95%CI: 1.07, 1.16).Discussion/ConclusionFactors related to women empowerment and gender equality jeopardized EBF and favored the exclusive use of IF in Latin America. Therefore, workplace interventions to promote, protect, and support breastfeeding practices are key to reducing exclusive use of IF.https://www.frontiersin.org/articles/10.3389/fnut.2023.1239503/fullchild nutritionbreastfeedingdemographic factorseconomic factorsLatin Americahealth |
| spellingShingle | Camila Abadia Rodrigues Meira Gabriela Buccini Catarina Machado Azeredo Wolney Lisbôa Conde Ana Elisa Madalena Rinaldi Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? Frontiers in Nutrition child nutrition breastfeeding demographic factors economic factors Latin America health |
| title | Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? |
| title_full | Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? |
| title_fullStr | Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? |
| title_full_unstemmed | Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? |
| title_short | Infant feeding practices in three Latin American countries in three decades: what demographic, health, and economic factors are relevant? |
| title_sort | infant feeding practices in three latin american countries in three decades what demographic health and economic factors are relevant |
| topic | child nutrition breastfeeding demographic factors economic factors Latin America health |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1239503/full |
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