6533b7cffe1ef96bd1259a6c

RESEARCH PRODUCT

Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region

Null CernigliaroNull PalmeriNull CasuccioNull ScondottoNull RestivoNull In Primis Working Group

subject

AdultMultivariate analysisAdolescentHealth Toxicology and MutagenesisBreastfeedingMotherslcsh:MedicineContext (language use)complementary breastfeedingWomen’s healthArticle03 medical and health sciencesYoung Adult0302 clinical medicine030225 pediatricsindividual deprivationMedicineHumans030212 general & internal medicineProspective Studiespredominant breastfeedingSocioeconomic statusSicilybusiness.industryIncidence (epidemiology)lcsh:RPublic Health Environmental and Occupational HealthOdds ratioExclusive breastfeedingMiddle AgedBreast FeedingSocioeconomic Factorscontext deprivationFemaleSouthern ItalybusinessBreast feedingDemographyCohort studyprospective study

description

Despite the advantages of breastfeeding being widely recognized, the economic level can have an influence on breastfeeding rates, with rich women breastfeeding longer than poor in high-income countries. In Italy, socio-economic differences affect breastfeeding start and continuation among most deprived people, such as in Southern Italy. The objective of the study was to evaluate the prevalence of the initiation and continuation of exclusive breastfeeding and its association with the levels of socio-economic deprivation in Sicily. A prospective cohort study with a two-phase survey in three breastfeeding detection times was conducted. Overall, 1,055 mothers were recruited with a mean age of 31 years. Breastfeeding decreased from 86% during hospitalization to 69% at the first month and 42% at the sixth month, yet at the same time, exclusive breastfeeding increased from 34% to 38% during hospitalization to the first month and went down to 20.2% at the sixth month. The adjusted multivariate analysis showed no association with individual inequalities. On the other hand, the context inequalities had a significant association with the risk of not following exclusive breastfeeding in the deprived class (odds ratio (OR): 2.08, confidence interval (CI) 95% 1.01&ndash

yearjournalcountryeditionlanguage
2019-09-20International Journal of Environmental Research and Public Health
10.3390/ijerph16193514http://dx.doi.org/10.3390/ijerph16193514