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Instituto Nacional de Salud Pública

2002, Number 6

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salud publica mex 2002; 44 (6)

The relationship between family structure and exclusive breastfeeding prevalence in Nicaragua

Espinoza H

Language: English
References: 37
Page: 499-507
PDF size: 60.66 Kb.


ABSTRACT

Objective. To examine the relationship between family structure and the prevalence of exclusive breastfeeding (EBF) in Nicaragua. Material and Methods. A subset of the Nicaraguan Demographic and Health Survey conducted in 1998 was obtained by selecting all last-born infants less than 4 months old at the time of the survey. Weighted chi-squared and multivariate logistic regression analyses were used to examine the association. Results. Interviewee women heads of household and interviewee women whose husbands were the heads of the household had a significantly lower prevalence of EBF. Exposure to the health care system was not related to EBF. Conclusions. New approaches are needed to promote that men support women’s decisions to breastfeed. Health institutions should effectively communicate the benefits of breastfeeding on both the mother and the child.


REFERENCES

  1. World Health Organization. Joint WHO/UNICEF Meeting on Infant and Young Child Feeding. Statement and Recommendations. Ginebra, Switzerland: World Health Organization, 1979.

  2. Ley de promoción, protección y mantenimiento de la lactancia materna y regulación de la comercialización de sucedáneos de la leche materna [Law to promote, protect and sustain breastfeeding, and to regulate breastmilk substitutes]. Managua, Nicaragua: La Gaceta1999, June 28; No 122.

  3. World Health Organization. The World Health Report. Ginebra, Switzerland: World Health Organization, 1998.

  4. Lutter CK. Breastfeeding promotion: Is its effectiveness supported by scientific evidence and global changes in breastfeeding behaviors? Adv Exp Med Biol 2000;478:355-368.

  5. Mukuria AG, Bentley M, Kogi-Makau W, Caulfield L, Bandeen-Roche K. Early complementary feeding: The role of social support networks. In: Wellstart International’s Expanded Promotion of Breastfeeding Program. Washington, DC: Wellstart International,1996.

  6. Hornik R. Alternative models of behaviors change. En: Wasserheit JN, ed. Research Issues in Human Behavior and STDs Era. Washington, DC: American Society for Microbiology, 1991:201-218.

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

  8. Cohen RJ, Brown KH, Landa L, Dewey KG. Promoting exclusive breastfeeding for 4-6 months in Honduras: Attitudes of mothers and barriers of compliance. J Hum Lact 1999;15:9-18.

  9. Collinson H, Broadbent L, Daphne D, Ginsburg E, Nuttall C, Somers J, ed. Women and revolution. Nueva Jersey: Zed Books, 1990.

  10. Demographic and Health Survey. Encuesta Nacional de Demografia y Salud, Nicaragua. Calverston, Maryland: Macro International, 1998.

  11. Forman MR. Review of research on the factors associated with choice and duration of infant feeding in less developed countries. Pediatrics 1984;74:667-693.

  12. Pérez-Escamilla R, Maulen-Radovan I, Dewey K. The association between cesarean delivery and breastfeeding outcomes among Mexican women. Am J Public Health 1996;86:832-836.

  13. World Health Organization. Indicators for assessing breast-feeding practices. Report of an informal meeting. Geneva, Switzerland: World Health Organization, 1991.

  14. Pérez-Escamilla R, Segura-Millán S, Pollitt E, Dewey K. Determinants of lactation performance across time in an urban population in Mexico. Soc Sci Med 1993;37(8):1069-1078.

  15. Largaespada C. Soy la última en comer: crisis económica y familiar de las mujeres trabajadoras de Managua, Nicaragua [I am the last one to eat: Economic and familial crisis among working women in Managua, Nicaragua]. Managua:Editorial Nueva Nicaragua, 1993.

  16. Lamontagne JF, Engle PL, Zeitlin MF. Maternal employment, child care, and nutritional status of 12-18-month-old children in Managua, Nicaragua. Soc Sci Med 1998;46(3):403-414.

  17. Bryant CA. The impact of kin, friend and neighbor networks on infant feeding practices: Cuban, Puerto Rican and Anglo families in Florida. Soc Sci Med 1982;16: 1757-1765.

  18. Latin American Working Group. Central American women speak for themselves. Toronto, Ontario, Canada: Latin American Working Group, 1983.

  19. Ellsberg MC, Peña R, Herrera A, Liljestrand J,Winkvist A. Wife abuse among women of childbearing age in Nicaragua. Am J Public Health 1999;89(2):241-244.

  20. Ley de promoción de la lactancia materna [Law to promote breastfeeding]. Managua, Nicaragua: La Gaceta 1981, December 15; No 292.

  21. Ley de reforma agraria [Law for the agricultural reform]. Managua, Nicaragua: La Gaceta 1981, October 2; No 222.

  22. Ley Orgánica del Ministerio de Salud [Law for the Ministry of Health functions]. Managua, Nicaragua: La Gaceta 1982, May 3; No 102.

  23. 23.Ley reguladora de las relaciones entre madre, padre e hijos [Law to regulate relations between mothers, fathers, and children]. Managua, Nicaragua: La Gaceta 1982, July 3; No 156.

  24. Ley de alimentos [Law of nurturing]. Managua, Nicaragua: La Gaceta 1992, March 24; No 57.

  25. Código de la niñez y la adolescencia [The code for children and adolescents] (1998, May 27). Managua, Nicaragua. La Gaceta 1998, May 27; No 97.

  26. Bryant CA, Coreil J, D’Angelo SL, Bailey FC, Lazarov M. A strategy for promoting breastfeeding among economically disadvantaged women and adolescents. NAACOG’s Clinical Issues 1992;3(4):723–730.

  27. Bentley ME, Caulfield LE, Gross SM, Bronner Y, Jensen J, Kessler LA et al. Sources of influence on intention to breastfeed among African-American women at entry to WIC. J Hum Lact1999;15(1):27-34.

  28. Kessler LA, Gielen AC, Diener-West M, Paige DM. The effect of a woman’s significant other on her breastfeeding decision. J Hum Lact 1995;11(2):103-109.

  29. Ruel MT. Urbanization in Latin America: Constraints and opportunities for child feeding and care. Food Nutr Bull 2000;21(1):12-24.

  30. UNICEF. Breastfeeding: A right of mothers and infants; mother and baby friendly hospitals, health centers and universities. Managua, Nicaragua: UNICEF, 1999.

  31. World Health Organization. Contemporary patterns of breastfeeding: Report on the WHO collaborative on breastfeeding. Geneve, Switzerland: World Health Organization, 1981.

  32. Lillig K, Lackey CJ. Economics and social factors influencing women’s infant feeding decision in a rural Mexican community. J Trop Pediatr 1982;28:240-247.

  33. Picado JI, Olson CM, Rasmussen KM. Metodología combinada para entender la duración del amamantamiento en barrios pobres de Managua, Nicaragua [A combined methodology for understanding the duration of breastfeeding in the poor neighborhoods of Managua]. Rev Panam Salud Publica 1997;2(6):398-407.

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

  35. Wellstart International. Lactancia Materna en Nicaragua: diagnóstico de prácticas y promoción. Managua, Nicaragua: Wellstart International, 1994.

  36. Las mujeres están obligadas a dar el pecho a sus hijos [Women are mandated to breastfeed]. Managua, Nicaragua: La Tribuna 1998, June 19. Available from http://www.latribuna.com.ni/cron/1998/19junio-1998/hoy/ Nacional/4.html. Accessed January 1999.

  37. Vargas O. Pobreza en Nicaragua: un abismo que se agranda [Poverty in Nicaragua is growing]. Managua, Nicaragua: Universidad Politécnica, 1998.




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