Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala
Objective. This survey was conducted to identify factors affecting early initiation of breast-feeding and exclusive breast-feeding among mothers in peri-urban Guatemala City, Guatemala. Materials and Methods. In early November 1999 a census was begun in four communities of peri-urban Guatemala City,...
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ftdoajarticles:oai:doaj.org/article:317d50d5dd55417d8b795cd655dee14f 2023-05-15T15:14:24+02:00 Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala Dearden Kirk Altaye Mekibib Maza Irma de Oliva Maritza de Stone-Jimenez Maryanne Morrow Ardythe L. Burkhalte Barton R. 2002-01-01T00:00:00Z https://doaj.org/article/317d50d5dd55417d8b795cd655dee14f EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000900007 https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/317d50d5dd55417d8b795cd655dee14f Revista Panamericana de Salud Pública, Vol 12, Iss 3, Pp 185-192 (2002) Breast-feeding infant nutrition child development health promotion health education Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2002 ftdoajarticles 2022-12-31T13:04:35Z Objective. This survey was conducted to identify factors affecting early initiation of breast-feeding and exclusive breast-feeding among mothers in peri-urban Guatemala City, Guatemala. Materials and Methods. In early November 1999 a census was begun in four communities of peri-urban Guatemala City, Guatemala, to identify all children < 6 months old as well as all pregnant women who were expected to deliver during the two-month data-gathering period. After the census was completed, a survey of breast-feeding practices was administered to all mothers of infants < 6 months of age. Results. The most important determinant of early initiation of breast-feeding was place of delivery. Children born at home (odds ratio (OR) = 4.1, 95% confidence interval (CI): 1.2- 13.3) and at Ministry of Health health centers (OR = 4.9, 95% CI: 1.6-15.0) were significantly more likely than children born at private hospitals to initiate breast-feeding early. The most important determinant of exclusive breast-feeding was whether or not the mother worked outside the home. After controlling for infant's age and sex and mother's ethnicity, women who did not work outside the home were 3.2 times as likely (95% CI: 1.6-6.4) to exclusively breast-feed as were women who worked outside the home. Lack of exclusive breast-feeding was often associated with giving a bottle. Conclusions. Our findings suggest that global efforts must be continued to improve breast-feeding practices in delivery hospitals. In addition, community-based support of breast-feeding is needed well after delivery. Mothers who work outside the home should be provided with options to maintain exclusive breast-feeding when they are physically separated from their infants due to the demands of work. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Breast-feeding infant nutrition child development health promotion health education Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Breast-feeding infant nutrition child development health promotion health education Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Dearden Kirk Altaye Mekibib Maza Irma de Oliva Maritza de Stone-Jimenez Maryanne Morrow Ardythe L. Burkhalte Barton R. Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
topic_facet |
Breast-feeding infant nutrition child development health promotion health education Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. This survey was conducted to identify factors affecting early initiation of breast-feeding and exclusive breast-feeding among mothers in peri-urban Guatemala City, Guatemala. Materials and Methods. In early November 1999 a census was begun in four communities of peri-urban Guatemala City, Guatemala, to identify all children < 6 months old as well as all pregnant women who were expected to deliver during the two-month data-gathering period. After the census was completed, a survey of breast-feeding practices was administered to all mothers of infants < 6 months of age. Results. The most important determinant of early initiation of breast-feeding was place of delivery. Children born at home (odds ratio (OR) = 4.1, 95% confidence interval (CI): 1.2- 13.3) and at Ministry of Health health centers (OR = 4.9, 95% CI: 1.6-15.0) were significantly more likely than children born at private hospitals to initiate breast-feeding early. The most important determinant of exclusive breast-feeding was whether or not the mother worked outside the home. After controlling for infant's age and sex and mother's ethnicity, women who did not work outside the home were 3.2 times as likely (95% CI: 1.6-6.4) to exclusively breast-feed as were women who worked outside the home. Lack of exclusive breast-feeding was often associated with giving a bottle. Conclusions. Our findings suggest that global efforts must be continued to improve breast-feeding practices in delivery hospitals. In addition, community-based support of breast-feeding is needed well after delivery. Mothers who work outside the home should be provided with options to maintain exclusive breast-feeding when they are physically separated from their infants due to the demands of work. |
format |
Article in Journal/Newspaper |
author |
Dearden Kirk Altaye Mekibib Maza Irma de Oliva Maritza de Stone-Jimenez Maryanne Morrow Ardythe L. Burkhalte Barton R. |
author_facet |
Dearden Kirk Altaye Mekibib Maza Irma de Oliva Maritza de Stone-Jimenez Maryanne Morrow Ardythe L. Burkhalte Barton R. |
author_sort |
Dearden Kirk |
title |
Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
title_short |
Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
title_full |
Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
title_fullStr |
Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
title_full_unstemmed |
Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala |
title_sort |
determinants of optimal breast-feeding in peri-urban guatemala city, guatemala |
publisher |
Pan American Health Organization |
publishDate |
2002 |
url |
https://doaj.org/article/317d50d5dd55417d8b795cd655dee14f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 12, Iss 3, Pp 185-192 (2002) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000900007 https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/317d50d5dd55417d8b795cd655dee14f |
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1766344865240580096 |