Intergenerational breastfeeding practices among parents and children: 1993 Pelotas (Brazil) birth cohort
Autor: | Helen Gonçalves, Giovanna Gatica-Domínguez, Maria Cecília Formoso Assunção, Leonardo Pozza Santos, Isabel Oliveira Bierhals, Juliana dos Santos Vaz, Gilberto Kac, Ana Paula Neutzling Gomes, Ana M. B. Menezes |
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Rok vydání: | 2020 |
Předmět: |
Adult
0301 basic medicine Breastfeeding Mothers birth studies Cohort Studies Young Adult 03 medical and health sciences Social support symbols.namesake 0302 clinical medicine Humans Medicine 030212 general & internal medicine Poisson regression Prospective cohort study child 030109 nutrition & dietetics Nutrition and Dietetics business.industry Public Health Environmental and Occupational Health parents Infant Obstetrics and Gynecology Original Articles prospective studies First generation Breast Feeding Pediatrics Perinatology and Child Health Cohort symbols Original Article Female business Birth cohort Breast feeding Brazil Demography |
Zdroj: | Maternal & Child Nutrition |
ISSN: | 1740-8709 1740-8695 |
Popis: | The objective of this study was to investigate intergenerational breastfeeding practices according to parental sex and age at delivery in the 1993 Pelotas (Brazil) birth cohort study. This is a prospective birth cohort study, and at the 22‐year follow‐up, a substudy with all children of the cohort members who had become parents was conducted (93Cohort‐II). First generation breastfeeding data were collected at 3 months and 4‐year‐old follow‐ups. In the 93Cohort‐II, parents answered a questionnaire about their children's breastfeeding practices. Adjusted Tobit and Poisson regression models with robust variance were applied to estimate the association between predominant parental breastfeeding duration and exclusive breastfeeding duration of the children at 3 and 6 months. Out of 3,810 cohort participants, 955 (25%) had delivered at least one live‐born infant, and 1,222 children were assessed. Fifty‐four percent of parents were ≤19 years old. Direct effects of predominant parental breastfeeding duration on exclusive breastfeeding duration of their children were only observed when data were stratified by parental age: children born to parents aged ≥20 years old and who were predominantly breastfed for at least 3 months presented higher exclusive breastfeeding duration and higher prevalence of being exclusively breastfed for at least 3 months. When analyses were stratified by mothers and fathers, the result remained significant only among mothers. Longer predominant breastfeeding duration in the first generation was associated with longer exclusive breastfeeding duration in the second generation, but only among older mothers. Education and social support surrounding breastfeeding should be intensified among fathers and younger parents to create a positive environment supportive of breastfeeding. |
Databáze: | OpenAIRE |
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