Time trends and social inequalities in infant and young child feeding practices: national estimates from Brazil’s Food and Nutrition Surveillance System, 2008–2019

Autor: Giesy Ribeiro de Souza, Rita de Cássia Ribeiro-Silva, Mariana Santos Felisbino-Mendes, Natanael de Jesus Silva, Rafaella da Costa Santin de Andrade, Jéssica Pedroso, Ana Maria Spaniol, Gisele Ane Bortolini, Eduardo Augusto Fernandes Nilson, Sara Araújo da Silva, Bárbara Hatzlhoffer Lourenço, Aline Santos Rocha, Ila Rocha Falcão, Maria Yury Travassos Ichihara, Dayana Rodrigues Farias, Maurício Lima Barreto
Rok vydání: 2023
Předmět:
Zdroj: Public Health Nutrition. :1-27
ISSN: 1475-2727
1368-9800
DOI: 10.1017/s1368980023001039
Popis: Objective: To describe the time trends and socioeconomic inequalities in infant and young child feeding practices in accordance with the Brazilian deprivation index (BDI). Design: This time-series study analysed the prevalence of multiple breastfeeding and complementary feeding indicators based on data from the Brazilian Food and Nutrition Surveillance System, 2008–2019. Prais-Winsten regression models were used to analyse time trends. Annual percent change (APC) and 95% Confidence Intervals were calculated. Setting: Primary health care services, Brazil. Participants: 911,735 Brazilian children under two years old. Results: Breastfeeding and complementary feeding practices differed between the extreme BDI quintiles. Overall, the results were more favourable in the municipalities with less deprivation (Q1). Improvements in some complementary feeding indicators were observed over time and evidenced such disparities: minimum dietary diversity (Q1: Δ 47.8% - 52.2%, APC +1.44, p=0.006), minimum acceptable diet (Q1: Δ 34.5% - 40.5%, APC +5.17, p=0.004), and consumption of meat and/or eggs (Q1: Δ 59.7% - 80.3%, APC +6.26, p Conclusions: Improvements in some complementary food indicators were observed over time. However, the improvements were not equally distributed among the BDI quintiles, with children from the municipalities with less deprivation benefiting the most.
Databáze: OpenAIRE