Flores Thaynã Ramos, Nunes Bruno Pereira, Neves Rosália Garcia, Wendt Andrea T, Costa Caroline Dos Santos, Wehrmeister Fernando C, Bertoldi Andréa Dâmaso
Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2017 Nov 21;33(11):e00068816. doi: 10.1590/0102-311X00068816.
The objective was to assess the prevalence of maternal breastfeeding and associated factors in Brazilian children under two years of age. This was a cross-sectional nationwide study in 2013. The outcomes were breastfeeding in children under 24 months and exclusive breastfeeding under six months of age. A hierarchical analysis was performed for associated factors. The analyses were stratified by age (0-5 months and 29 days; 6-11 months and 29 days; 12-23 months and 29 days of age). Prevalence of maternal breastfeeding was 56% for the total sample, and as follows according to age: 80% (0-5 months and 29 days), 62.3% (6-11 months and 29 days), and 40.1% (12-23 months and 29 days). In the adjusted analyses, in all the age brackets, higher prevalence of breastfeeding was associated with consumption of fewer milk products. In children from 6 months to 11 months and 29 days, living in the North of Brazil, black skin color, and the lowest quintile of household assets were associated with higher breastfeeding prevalence. In children from 12 months to 23 months and 29 days of age, higher breastfeeding prevalence was associated with black skin color, consumption of healthy liquids and foods, living in urban areas, head-of-household's higher educational level, and more household assets. Overall prevalence of exclusive breastfeeding was 20.6% and was higher in the South, in families with head-of-household's higher educational level, and more household assets. The prevalence rates for breastfeeding and exclusive breastfeeding of Brazilian children under two years can be considered low. Existing policies to increase the prevalence rates of maternal breastfeeding at any age should be reinforced.
本研究旨在评估巴西两岁以下儿童的母乳喂养率及其相关因素。这是一项2013年的全国性横断面研究。研究结果包括24个月以下儿童的母乳喂养情况以及6个月以下儿童的纯母乳喂养情况。对相关因素进行了分层分析。分析按年龄分层(0至5个月29天;6至11个月29天;12至23个月29天)。总体样本中,母亲母乳喂养率为56%,按年龄分布如下:80%(0至5个月29天),62.3%(6至11个月29天),40.1%(12至23个月29天)。在调整分析中,在所有年龄组中,母乳喂养率较高与较少食用奶制品有关。在6个月至11个月29天的儿童中,居住在巴西北部、黑色皮肤以及家庭资产处于最低五分位数与较高的母乳喂养率有关。在12个月至23个月29天的儿童中,较高的母乳喂养率与黑色皮肤、饮用健康饮品和食用健康食物、居住在城市地区、户主较高的教育水平以及更多的家庭资产有关。纯母乳喂养的总体比例为20.6%,在南部地区、户主教育水平较高的家庭以及家庭资产较多的家庭中比例更高。巴西两岁以下儿童的母乳喂养和纯母乳喂养率可被认为较低。应加强现行政策以提高各年龄段母亲的母乳喂养率。