0078/2014 - Association between bottle feeding and the use of pacifiers and lack of breastfeeding in the second semester of life
Associação entre o uso de mamadeira e de chupeta e a ausência de amamentação no segundo semestre de vida
Publicado
Author:
• Renata Ribeiro Rigotti - Rigotti,Renata Ribeiro - Niterói, Rio de Janeiro, - Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal Fluminense - <renata.rrigotti@gmail.com>Co-author(s):
• Maria Inês Couto de Oliveira - Maria Inês Couto de Oliveira - Rio de Janeiro, Rio de Janeiro - Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense - <marinesco@superig.com.br> +• CRISTIANO SIQUEIRA BOCCOLINI - Boccolini, C.S. - Niterói, RJ - Departamento de Nutrição Social, Instituto de Nutrição, Universidade Estadual do Rio de Janeiro - <cristianoboccolini@yahoo.com.br>
Thematic Area:
Saúde da Criança e do AdolescenteAbstract:
Introduction: WHO recommends breastfeeding for two years or more and contraindicates pacifier use and bottle feeding. Objective: To investigate the association between the use of bottles and pacifiers and breastfeeding in the 2nd semester of life. Methods: Survey conducted in a municipality of Rio de Janeiro State during the 2006 Immunization Campaign, being interviewed the companions of 580 children 6-11 months old. Bottle feeding and pacifier use, and confounders associated with the outcome "lack of breastfeeding" (p≤0,20) in bivariate analysis were selected for multivariate analysis. Adjusted prevalence ratios were obtained by Poisson regression with robust variance model. Results: 40% of children 6-11 months old were being breastfed, 47% used pacifiers and 57% were bottle-fed. Pacifier use (PR=3.245, 95%CI: 2.490-4.228), and bottle feeding (PR=1.605, 95%CI: 1.273-2.023) shown to be stronglyassociated with the outcome, beyond: low maternal education (PR=0.826; 95%CI: 0.689-0.990), low birth weight (PR=1.488, 95%CI: 1.159-1.910), mother not being the child’s companion (PR=1.324, 95%CI: 1.080-1.622), and increasing age of the child in days (PR=1.004, 95%CI: 1.002-1.006). Conclusions: The use of pacifiers and bottles may impair continued breastfeeding. Discouraging these artefacts should be strengthened in terms of public policies on nutrition and health.Keywords: breastfeeding, bottle feeding, pacifiers, child nutrition, epidemiological studies.
