HOME > EDICIONES > Año 2010, Volumen 60 - Número 4
Trabajos de Investigación
Factores que determinan la lactancia materna en niños matriculados en Jardines Infantiles públicas y filantrópicas en São Paulo, Brasil
Pazzis Mestas Zapana, Mariana de Novaes Oliveira, José Augusto de Aguiar Carrazedo Taddei
Disciplina de Nutrologia del Departamento de Pediatría de la Universidade Federal de São Paulo. São Paulo, Brasil
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SUMMARY
Factors determining the breastfeeding in children attending public and not-for-profit daycare centers in São Paulo, Brazil
Cross-sectional study with 270 children and their mothers in eight public and philanthropic daycare centers in the city of São Paulo, Brazil. The objective is to identify the determinants of exclusive breastfeeding (EBF) and breastfeeding (BF). The Mann-Whitney/Wilcoxon test and survival analysis; Kaplan Meier curves and Cox multiple regression models were used for statistical analyses. The median of exclusive breastfeeding duration was 79.1 ± 55.6 days and breastfeeding was185.3 ± 174.2 days. In multivariate analysis, the following risk factors of early weaning for exclusive breastfeeding were identified: pacifier use (HR = 1.65, 95% CI = 1.24 to 2.2); previous hospital admission (HR = 1.35, 95% CI = 1.01 to 1.80); mother working outside home (HR = 1.33, 95% CI = 1.00 to 1.76). For breastfeeding were identified: pacifier use (HR = 2.54, 95% CI = 1.87 to 3.45) and mother who works outside the home (HR = 1.51, 95% CI = 1.14 - 1 99). The results show that it is necessary to continue to promote and support breastfeeding, mainly the exclusive breastfeeding until six months of age. The daycare centers should incorporate this idea, once they may have direct control over some of the early weaning determinants, and are also good places to deliver messages and guidance on nutrition education to mothers and caregivers in contact with children under three years old.
Key words: Exclusive breastfeeding, daycare centers, weaning, infant.
Recibido: 14/08/2010
Aceptado: 03/11/2010
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PRIVACIDAD | ACCESIBILIDAD
ALAN-VE ISSN 0004-0622 - Depósito Legal: pp 199602DF83
Sociedad Latinoamericana de Nutrición
Producción editorial en Venezuela: Capítulo Venezolano - RIF: J-30843129-0
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