Do Differences in Prelacteal Feeding Explain Differences in Subsequent Breastfeeding Between Haiti and the Dominican Republic?
Objective: Although Haiti and the Dominican Republic (DR) share the same island of Hispaniola, exclusive breastfeeding is much higher in Haiti. As prelacteal feeding also differs between the two countries, it was hypothesize that prelacteal feeding would account for the subsequent differences in bre...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 4; pp. 462 - 472 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142294241&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142294241 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Apr2020 vid: 24 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 142294241 142294241 142294241 10.1007/s10995-020-02891-w 142294241 ppf: 462 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Do Differences in Prelacteal Feeding Explain Differences in Subsequent Breastfeeding Between Haiti and the Dominican Republic? aug: au: McLennan, John D. Sampasa-Kanyinga, Hugues affil: Department of Pediatrics, University of Calgary, Calgary, Canada sug: subj: Breast Feeding Haiti Breast Feeding Dominican Republic Infant Formula Human Secondary Analysis Haiti Dominican Republic Bivariate Statistics Logistic Regression Interviews Female Adolescence Adult Middle Age Descriptive Statistics Analysis of Variance Post Hoc Analysis Odds Ratio Confidence Intervals Data Analysis Software Chi Square Test Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Objective: Although Haiti and the Dominican Republic (DR) share the same island of Hispaniola, exclusive breastfeeding is much higher in Haiti. As prelacteal feeding also differs between the two countries, it was hypothesize that prelacteal feeding would account for the subsequent differences in breastfeeding exclusivity between the two countries, while controlling for other potentially influencing differences. Methods: Data for infants under 6 months of age were extracted from the cross-sectional Demographic and Health Surveys from Haiti (2012) and the DR (2013). Bivariate analysis and ordered logistic regression models were used. Results: Data were available for 686 Haitian infants [mean age: 2.9 (SD: 1.6) months] and 264 Dominican infants [mean age: 2.6 (SD: 1.6) months]. Haitian infants were more likely to be exclusively breastfed than Dominican infants, 41.3% versus 8.0%, at the time of the survey, and less likely to have been exposed to any prelacteal feeds, 20.1% versus 69.8%, respectively. Furthermore, Dominican infants were more likely to have been exposed to milk-based prelacteal feeds. Dominican status, any prelacteal feeds, and milk-based prelacteal feeds significantly and independently reduced the odds of breastfeeding exclusivity. Conclusions for Practice: Identification of factors beyond prelacteal feeding are necessary to explain the substantially lower breastfeeding exclusivity in the DR compared to Haiti and to determine why so many Dominican infants are exposed to milk-based prelacteal feeds. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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