Renata Ribeiro Rigotti1, Maria Inês Couto de Oliveira2, Cristiano Siqueira Boccolini3. 1. Universidade Federal Fluminense, Niterói, RJ, Brasil, renata.rrigotti@gmail.com. 2. Departamento de Epidemiologia e Bioestatística, Instituto de Saúde Coletiva, Universidade Federal Fluminense. 3. Departamento de Nutrição Social, Instituto de Nutrição, Universidade Estadual do Rio de Janeiro.
Abstract
INTRODUCTION: The World Health Organization recommends breastfeeding for two years or more and advises against bottle feeding and pacifier use. OBJECTIVE: Investigate the association between bottle feeding and pacifier use, and breastfeeding in the second half-year of life. METHODS: Survey in a municipality of Rio de Janeiro state, in 2006, interviewing those responsible for 580 children aged 6-11 months. Bottle feeding and pacifier use, and variables which in the bivariate analysis were associated with the outcome 'absence of breastfeeding' (≥ 0.20), were selected for multiple analysis. Adjusted prevalence ratios were obtained by a Poisson regression model. RESULTS: 40% of the children 6-11 months were not being breastfed, 47% used a pacifier and 57% used a bottle. Pacifier use (PR = 3.245; CI95%: 2.490-4.228) and bottle feeding (PR = 1.605; CI95%: 1.273-2.023) were shown to be strongly associated with the outcome, and also with: mother's low schooling (PR = 0.826; CI95%: 0.689-0.990); low birth weight (PR = 1.488; CI95%: 1.159-1.910); mother not being the baby carer (PR = 1.324; CI95%: 1.080-1.622); and increasing age of the baby in days (PR = 1.004; CI95%: 1.002-1.006). CONCLUSIONS: The use of pacifiers and bottles can reduce continued breastfeeding. Stronger discouragement of these artifacts should be adopted in public health policies.
INTRODUCTION: The World Health Organization recommends breastfeeding for two years or more and advises against bottle feeding and pacifier use. OBJECTIVE: Investigate the association between bottle feeding and pacifier use, and breastfeeding in the second half-year of life. METHODS: Survey in a municipality of Rio de Janeiro state, in 2006, interviewing those responsible for 580 children aged 6-11 months. Bottle feeding and pacifier use, and variables which in the bivariate analysis were associated with the outcome 'absence of breastfeeding' (≥ 0.20), were selected for multiple analysis. Adjusted prevalence ratios were obtained by a Poisson regression model. RESULTS: 40% of the children 6-11 months were not being breastfed, 47% used a pacifier and 57% used a bottle. Pacifier use (PR = 3.245; CI95%: 2.490-4.228) and bottle feeding (PR = 1.605; CI95%: 1.273-2.023) were shown to be strongly associated with the outcome, and also with: mother's low schooling (PR = 0.826; CI95%: 0.689-0.990); low birth weight (PR = 1.488; CI95%: 1.159-1.910); mother not being the baby carer (PR = 1.324; CI95%: 1.080-1.622); and increasing age of the baby in days (PR = 1.004; CI95%: 1.002-1.006). CONCLUSIONS: The use of pacifiers and bottles can reduce continued breastfeeding. Stronger discouragement of these artifacts should be adopted in public health policies.
Authors: Lael Ridgway; Rhian Cramer; Helen L McLachlan; Della A Forster; Méabh Cullinane; Touran Shafiei; Lisa H Amir Journal: Birth Date: 2016-07-15 Impact factor: 3.689
Authors: Xialing Wu; Xiao Gao; Tingting Sha; Guangyu Zeng; Shiping Liu; Ling Li; Cheng Chen; Yan Yan Journal: Int J Environ Res Public Health Date: 2019-03-06 Impact factor: 3.390