Uneven chances of breastfeeding in Spain
Autor: | Adela Castelló-Pastor, Mireia Jané, Isabel Río, Carmen Barona, Rosana Larraz, Álvaro Luque, Francisco Bolumar, María Sandín-Vázquez |
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Přispěvatelé: | Ministerio de Ciencia e Innovación (España) |
Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Pediatrics
medicine.medical_specialty Perinatal care Breastfeeding Feeding behavior Obstetrics and Gynaecology medicine Pediatrics Perinatology and Child Health Quality of Health Care Maternal and child health business.industry Research lcsh:Public aspects of medicine lcsh:RJ1-570 Obstetrics and Gynecology lcsh:Pediatrics lcsh:RA1-1270 Feeding Behavior Perinatal Care Pediatrics Perinatology and Child Health Determinants of breastfeeding Quality of health care business Method of birth Demography |
Zdroj: | International Breastfeeding Journal, Vol 7, Iss 1, p 22 (2012) Repisalud Instituto de Salud Carlos III (ISCIII) International Breastfeeding Journal |
Popis: | Background No large scale studies on breastfeeding onset patterns have been carried out in Spain. This work aims to explore the prevalence and the risk factors for not initiating breastfeeding in hospitals from Catalonia (CAT) and Valencia (V), two regions accounting approximately for 30% of the annual births in Spain. Methods The prevalence of not initiating breastfeeding was calculated by maternal/neonatal characteristics and type of hospital, and logistic regression models were used to estimate crude and adjusted risks of not breastfeeding in each region. Results Prevalence of breastfeeding initiation was 81.7% and 82.5% in Catalonia and Valencia, respectively. We identified conspicuous regional differences in the adjusted-risk of not breastfeeding, especially for multiple [CAT = 3.12 (95% CI: 2.93, 3.31), V = 2.44 (95% CI: 2.23, 2.67)] and preterm and low birth weight deliveries [very preterm and very low birth weight: CAT = 7.61 (95% CI: 6.50, 8.92), V = 4.03 (95% CI: 3.13, 5.19); moderate preterm and moderate low birth weight: CAT = 4.28 (95% CI: 4.01, 4.57), V = 2.55 (95% CI:2.34, 2.79)]. Conclusions Our results suggest the existence of regional variations in breastfeeding initiation in Spain. Taking into account the known short and long-term benefits of breastfeeding it is recommended that further research should explore these differences in order to prevent potential inequities in neonatal, child and adult health. |
Databáze: | OpenAIRE |
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