QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pérez-Escamilla, R. Articles by Sanghvi, T. Search for Related Content PubMed PubMed Citation Articles by Pérez-Escamilla, R. Articles by Sanghvi, T.

Exclusive Breast-Feeding Duration Is Associated with Attitudinal, Socioeconomic and Biocultural Determinants in Three Latin American Countries^1,2,3,4,

Rafael Pérez-Escamilla^*,5, Chessa Lutter, Maria Segall^**, Ada Rivera, Sandra Treviño-Siller and Tina Sanghvi

^* Department of Nutritional Sciences, University of Connecticut, Storrs, CT Wellstart International, Washington, DC ^** Department of Epidemiology, University of Campinas, Brazil Instituto Hondureño de Seguridad Social, San Pedro Sula, Honduras Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico Latin American and Caribbean Health and Nutrition Sustainability Project (LAC\HNS), Washington, DC.

International health organizations have recommended exclusive breast-feeding (EBF) (i.e., breast milk as the only source of food) as the optimal infant feeding method during the first 4–6 mo of life. Therefore, it is important to document the determinants of EBF in different populations. Low-income urban women from Brazil (n = 446, 2 maternity wards), Honduras (n = 1582, 3 maternity wards) and Mexico (n = 765, 3 maternity wards) were interviewed at birth and in their homes at 1 mo and 2–4 mo after delivery. Multivariate survival analyses (Cox model) indicated that planned duration of EBF (all 3 countries), having a female Infant, and not being employed (Brazil and Honduras), lower socioeconomic status (Honduras and Mexico) and higher birth weight (control hospital in Brazil and Honduras) were positively associated (P 0.10) with EBF. Women who delivered in the maternity wards that had more developed breast-feeding promotion programs were more successful with EBF. The association between maternal education and EBF was modified by the maternity ward in Mexico and Honduras. Being 18 y and having a partner living (Brazil) or not (Mexico) living at home were positively associated with EBF. These findings can contribute toward the design of EBF promotion efforts in Latin America.

KEY WORDS: • exclusive breast-feeding • human lactation • infant feeding determinants • Latin America

¹ Portions of this paper were presented at the 122nd annual meeting of the American Public Health Association. Pérez-Escamilla, R., Lutter, C.K., Segall, A., Teruya, K., Rivera, A., Philipps, M., Treviño-Siller, S., Wickham, C. & Sanghvi, T. (1994) When and why women stop exclusive breastfeeding in low-income urban areas from Latin America, Abstract no. 1068, p. 37. American Public Health Association, Washington, DC.

² Supported by the United States Agency for International Development under Contract No. LAC-0657-C-00-0051 Health and Nutrition Sustainability, University Research Corporation/International Science and Technology Institute.

³ The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.

⁴ Scientific Contribution No. 1629, Storrs Agricultural Experimental Station, University of Connecticut, Storrs.

⁵ To whom correspondence should be addressed.

Manuscript received 19 April 1995. Revision accepted 22 August 1995.

This article has been cited by other articles:

				A. L. Webb, D. W. Sellen, U. Ramakrishnan, and R. Martorell Maternal Years of Schooling but Not Academic Skills Is Independently Associated With Infant-Feeding Practices in a Cohort of Rural Guatemalan Women J Hum Lact, August 1, 2009; 25(3): 297 - 306. [Abstract] [PDF]

				S. Rasheed, E. A. Frongillo, C. M. Devine, D. S. Alam, and K. M. Rasmussen Maternal, Infant, and Household Factors Are Associated with Breast-Feeding Trajectories during Infants' First 6 Months of Life in Matlab, Bangladesh J. Nutr., August 1, 2009; 139(8): 1582 - 1587. [Abstract] [Full Text] [PDF]

				L. Rosane Odeh Susin and E. Regina Justo Giugliani Inclusion of Fathers in an Intervention to Promote Breastfeeding: Impact on Breastfeeding Rates J Hum Lact, November 1, 2008; 24(4): 386 - 392. [Abstract] [PDF]

				S. I. Venancio, S. R. D. M. Saldiva, L. Mondini, R. B. Levy, and M. M. L. Escuder Early Interruption of Exclusive Breastfeeding and Associated Factors, State of Sao Paulo, Brazil J Hum Lact, May 1, 2008; 24(2): 168 - 174. [Abstract] [PDF]

				A. K. Anderson, G. Damio, D. J. Chapman, and R. Perez-Escamilla Differential Response to an Exclusive Breastfeeding Peer Counseling Intervention: The Role of Ethnicity J Hum Lact, February 1, 2007; 23(1): 16 - 23. [Abstract] [PDF]

				R. Perez-Escamilla Evidence Based Breast-Feeding Promotion: The Baby-Friendly Hospital Initiative J. Nutr., February 1, 2007; 137(2): 484 - 487. [Abstract] [Full Text] [PDF]

				T. Gonzalez-Cossio, J. Rivera-Dommarco, H. Moreno-Macias, E. Monterrubio, and J. Sepulveda Poor Compliance with Appropriate Feeding Practices in Children under 2 y in Mexico J. Nutr., November 1, 2006; 136(11): 2928 - 2933. [Abstract] [Full Text] [PDF]

				L. L. Foo, S. J. S. Quek, S. A. Ng, M. T. Lim, and M. Deurenberg-Yap Breastfeeding prevalence and practices among Singaporean Chinese, Malay and Indian mothers Health Promot. Int., September 1, 2005; 20(3): 229 - 237. [Abstract] [Full Text] [PDF]

				M. Flores, M. R. Pasquel, I. Maulen, and J. Rivera Exclusive Breastfeeding in 3 Rural Localities in Mexico J Hum Lact, August 1, 2005; 21(3): 276 - 283. [Abstract] [PDF]

				M. F. Rea, S. I. Venancio, L. E. Batista, and T. Greiner Determinants of the Breastfeeding Pattern Among Working Women in Sdo Paulo J Hum Lact, September 1, 1999; 15(3): 233 - 239. [Abstract] [PDF]

				R. J. Cohen, K. H. Brown, L. L. Rivera, and K. G. Dewey Promoting Exclusive Breastfeeding for 4-6 Months in Honduras: Attitudes of Mothers and Barriers to Compliance J Hum Lact, March 1, 1999; 15(1): 9 - 18. [Abstract] [PDF]

				G. J. Gonzalez-Perez, M. G. Vega-Lopez, and C. Cabrera-Pivaral Using Logistic Regression to Describe the Length of Breastfeeding: A Study in Guadalajara, Mexico J Hum Lact, December 1, 1998; 14(4): 297 - 303. [Abstract] [PDF]

				V. K. Raj and S. B. Plichta The Role of Social Support in Breastfeeding Promotion: A Literature Review J Hum Lact, March 1, 1998; 14(1): 41 - 45. [Abstract] [PDF]