medigraphic.com
Instituto Nacional de Salud Pública

2003, Number S4

<< Back Next >>

salud publica mex 2003; 45 (S4)

Breast-feeding practices in Mexico: Results from the Second National Nutrition Survey 1999

González-Cossío T, Moreno-Macías H, Rivera JA, Villalpando S, Shamah-Levy T, Monterrubio EA, Hernández-Garduño A

Language: English
References: 46
Page: 477-489
PDF size: 144.38 Kb.


ABSTRACT

Objective. To assess breast-feeding (BF) practices and determinants of exclusive BF (EBF) ‹4 and ‹6 months (mo) among women and infants ‹23 mo in the NNS-1999. Material and Methods. BF practices from the day and night before the interview were ascertained, and median duration estimated. Determinants of EBF‹4 and ‹6 mo were analysed by logistic regression models for complex surveys. Results. Prevalence of EBF‹4 mo was 25.7%, and of ‹6 mo 20.3%. The overall rate of continued BF (second year) was 30.9%, median duration of BF 9 mo, and the national proportion of children ever breast-fed 92.3%. The probability (p) of EBF‹4 mo was determined by infant age and sex, by maternal socio-economic level (SEL) and ethnicity, and by the interaction between infant sex and SEL. The pEBF‹6 mo was determined by infant age and length, by maternal ethnicity, and employment. Conclusions. EBF rates and duration are low in Mexico and have improved only slightly in the last 20 y. Infant and maternal characteristics determine the pEBF. If improvements in infant health are a national priority, aggressive interventions to promote and protect BF are urgently needed in Mexico, as well as formal evaluation of current initiatives.


REFERENCES

  1. Institute of Medicine, Subcommittee on Nutrition During Lactation, Committee on Nutritional Status during Pregnancy and Lactation, Food and Nutrition Board. Nutrition during Lactation.Washington, DC: National Academy Press, 1991.

  2. Victora CG,Vaughan P, Lombardi C, Fuchs S, Gigante L, Smith P et al. Evidence for protection by breast-feeding against infant deaths from infectious diseases in Brazil. Lancet I987;Aug 8;2(8554):319-322.

  3. 3.Yoon PW, Black R, Moulton L, Becker S. Effect of not breastfeeding on the risk of diarrheal and respiratory mortality in children under 2 years of age in Metro Cebu, the Philippines. Am J Epidemiol 1996;143: 1 142- 1148.

  4. López-Alarcón M, Villalpando S, Fajardo A. Breast-feeding lowers the frequency and duration of acute respiratory infection and diarrhea in infants under six months of age. J Nutr 1997;127:436-443.

  5. Feachem R, Koblinsky M. Interventions for the control of diarrhoeal diseases among young children: Promotion of breast-feeding. Bull World Health Organ 1984;62(2):271-294.

  6. Martínez JC, Habicht JP, Ashworth A, Kirkwood B.Weaning in Southern Brazil: Is There a "Weanling's Dilemma"? J Nutr 1994;124: 1189-1 198.

  7. Marquis GS, Habicht JP, Lanata CF, Black RE, Rasmussen KM. Breast milk or animal-product foods improve linear growth of Peruvian toddlers consuming marginal diets. Am J Clin Nutr 1997;66:1 102-1 109.

  8. Anderson JW, Johnstone B, Remley D. Breast-feeding and cognitive development:A meta-analysis. Am J Clin Nutr 1999;70:525-535.

  9. Dewey KG. Is breastfeeding protective against child obesity? J Hum Lact 2003 Feb; 19(1):9-18.

  10. Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: Collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96 973 women without the disease. Lancet 2002;360(9328):187-195.

  11. Tovar-Guzmán V, Hernández-Girón C, Lazcano-Ponce E, Romieu I, Hernández-Avila M. Breast cancer in Mexican women:An epidemiological study with cervical cancer control. Rev Saude Publica 2000;34(2): 113-119.

  12. Romieu I, Hernández-Avila M, Lazcano E, López L, Romero-Jaime R. Breast cancer and lactation history in mexican women. Am J Epidemiol 1996;143(6):543-552.

  13. McNeilly AS. Lactational control of reproduction. Reprod Fertil Dev 2001;13:583-590.

  14. Howie PW. Natural regulation of fertility. Br Med Bull 1993;49: 182-199.

  15. Dewey K, Cohen R, Landa-Rivera L, Canahuati J, Brown K. Effects of age at introduction of complementary foods to breast-fed infants on duration of lactational amenorrhoea in Honduran women.Am J Clin Nutr 1997;65:1403-1409.

  16. Dewey K, Cohen R, Brown K, Landa-Rivera L. Effects of exclusive breastfeeding for four versus six months on maternal nutritional status and infant motor development: Results of two randomised trials in Honduras. J Nutr 2001; 131:262-267.

  17. Rivera JA, Barquera S, Campirano F, Campos I, Safdie M, Tovar V. Epidemiological and nutritional transition in Mexico: Rapid increase of non-communicable chronic diseases and obesity. Public Health Nutr 2002;5(1 A):1 13-122.

  18. UNICEF End Decade Databases - Breastfeeding Available from: http://childinfo.org/eddb/brfeed/grpexamr.htm. Consulted on 6/19/2000.

  19. Notzon F.Trends in infant feeding in developing countries. Pediatrics 1984;74(Suppl):648-665.

  20. Gómez-Dantés H, Garnica ME, Sepúlveda J, Valdespino-Gómez JL, Lam N, Herrera M. Patrones de lactancia y ablactación en México. Encuesta Nacional de Salud 1986. Salud Publica Mex 1989;31:725-734.

  21. Dimond HJ, Ashworth A. Infant feeding practices in Kenya, Mexico and Malaysia.The rarity of the exclusively breast-fed infant. Human Nutr 1987;41A:51-64.

  22. Ysunza OA. El abandono de la lactancia materna en México. I. Tendencias recientes. Rev Invest Clin 1986;3(supl):41-46.

  23. Anonymous. Mexico 1987: Results from the Demographic and Health survey (DHS). Stud Fam Plann 1990;21:181-185.

  24. Long-Dunlap K, Rivera J, Rivera M, Hernández-Avila M, Lezana MA. Feeding patterns of Mexican infants recorded in the 1988 National Nutrition Survey. Salud Pública Mex 1995;37:120-129.

  25. Organización Mundial de la Salud. 54a. Asamblea Mundial de la Salud. Punto 13.1 del orden del día provisional. Estrategia mundial para la alimentación del lactante y del niño pequeño. Informe de la Secretaría. Ginebra: OMS, 2001;A54/7.

  26. Rivera J, Shamah T, Villalpando S, González-Cossío T, Hernández B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado Nutricio de niños y Mujeres en México. Cuernavaca, Morelos, México: INSP, 2001.

  27. Lung'aho M, Huffman SL, Labbok MH, Sommerfelt E, Baker J.Tool kit for monitoring and evaluating breastfeeding practices and programs. Washington, DC:Wellstart International, Expanded Promotion of Breastfeeding Program, Septiembre 1996; USAID Policy & Technical Monographs.

  28. Hosmer D Jr, Lemeshow S. Applied survival analysis. Nueva York (NY): John Wiley and Sens, 1999:28-31.

  29. Lehtonen R, Pahkinen E. Practical methods for design and analysis of complex surveys. Chichester, England: John Wiley & Sons, 1995:269-281.

  30. Hair JF,Anderson R,Tatham R, Black W. Multivariate data analysis with readings. 3a ed. Nueva York (NY): Macmillan Publishing Company, 1992:223-253.

  31. Hosmer DW, Lemeshow S. Applied logistic regression. Nueva York (NY):Wiley & Sons, 1989:140-145.

  32. Gujarati D. Basic econometrics. Nueva York (NY): Mc Graw Hill, 1997:330-334.

  33. Pérez-Escamilla R. Breastfeeding in Africa and the Latin American and Caribbean Region:The potential role of ubanisation. J Trop Pediactr 1994;40:137.143.

  34. Pérez-Escamilla R, Lutter CH, Segall AM, Rivera A,Treviño-Siller S, Sanghvi T. Exclusive breast-feeding duration is associated with attitudinal, socioeconomic and biocultural determinants in three Latin American countries. J Nutr 1995;125:2972-2984.

  35. Adair LS, Popkin B, Guilkey DK.The duration of breast-feeding: How is it affected by biological, sociodemographic, health sector, and food industry factors? Demography 1993;30:63-80.

  36. Trivers RL,Willard DE. Natural selection of parental ability to vary the sex ratio of offspring. Science 1973;179:90-92.

  37. Brown K, Black RE, López-Romaña G, Credd de Kanashiro H. Infant-feeding practices and their relationship with diarrhoeal and other diseases in Huascar (Lima) Perú. Pediatrics 1989;83:31-40.

  38. Picado J, Olson C, Rasmussen KM. Metodología combinada para entender la duración del amamantamiento en barrios pobres de Managua, Nicaragua. Rev Panam Salud Publica 1997;2:398-407.

  39. Simondon KB, Simondon F, Costes R, Delaunay V, Diallo A. Breast-feeding is associated with improved growth in length, but not weight, in rural Senegalese toddlers. Am J Clin Nutr 2001;73:959-967.

  40. Habicht JP.The association between prolonged breastfeeding and poor growth-What are the implications? Adv Exp Med Biol 2000;478:193-200.

  41. Cohen RJ, Haddix K, Hurtado E, Dewey KG. Maternal activity budgets: Feasibility of exclusive breastfeeding for six months among urban women in Honduras. Soc Sci Med 1995;41:527-536.

  42. Roe B,Whittington L, Fein SB,Teisl MF. Is there a competition between breast-feeding and maternal employment? Demography 1999;36:157-171.

  43. Valdes V, Pugin E, Schooley J, Catalán S, Aravena R. Clinical support can make a difference in exclusive breastfeeding success among working women. J Trop Pediatr 2000;46:149-154.

  44. Secretaría de Salud. Creación del Comité Nacional de Lactancia Materna. México, DF: Diario Oficial de la Federación, 1991;Acuerdo Número 95 de la Secretaría de Salud.

  45. Fairbank L, O'Meara S, Renfrew MJ,Woolridge M, Sowden AJ, Lister-Sharp D.A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technology Assess 2000;4(25):1-171.

  46. Kramer MS, Chalmers B, Hodnett ED, Sevkovskaya Z, Dzikovich I, Shapiro S et al. Promotion of breastfeeding intervention trial (PROBIT): A randomised trial in the Republic of Belarus. JAMA 2001;285:413-420.




2020     |     www.medigraphic.com