Author:

• Mariana Pujól von Seehausen - von Seehausen, Mariana Pujól - Universidade Federal Fluminense, Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva - <maripujol@hotmail.com>

Co-author(s):

• Maria Inês Couto de Oliveira - Maria Inês Couto de Oliveira - Rio de Janeiro, Rio de Janeiro - Universidade Federal Fluminense, Instituto de Saúde Coletiva, Departamento de Epidemiologia e Bioestatística - <marinesco@superig.com.br> +
• Cristiano Siqueira Boccolini - Boccolini, C.S. - Fundação Oswaldo Cruz, Laboratório de Informação em Saúde, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde - <cristianoboccolini@gmail.com>
ORCID: https://orcid.org/0000-0002-4804-5641

Thematic Area:

Alimentação, Nutrição e Saúde

Abstract:

Objective: To estimate the prevalence and to analyze the factors associated with cross-nursing.
Methods: Cross-sectional study conducted in 2013 by means of interview with a representative sample of mothers of infants less than one year old (n=695) assisted by nine primary health units in Rio de Janeiro City, Brazil. We studied sociodemographic characteristics; pregnancy, childbirth and primary care assistance; maternal habits and baby features. We obtained adjusted prevalence ratios (PR) by Poisson Regression, retaining in the final model variables associated with the outcome (p ≤ 0.05).
Results: Cross-nursing was practiced by 29.4% of the mothers. Most practitioner mothers were relatives or friends. The following variables were directly associated with cross-nursing: being an adolescent mother (PR=1.595), smoking (PR=1.396), alcohol consumption (PR=1.613), inappropriate baby feeding habits (PR=1.371) and infant‘s age in months (PR=1.066). Maternal formal employment was inversely associated with the practice (PR=0.579).
Conclusions: cross-nursing has a relevant prevalence among mothers assisted by primary health care units in Rio de Janeiro City. This issue should be addressed, especially among the most vulnerable groups, due to the association with adolescence and with unhealthy habits.

Keywords:

Breast FeedingCross-nursingPrimary health careCross-sectional studiesChild health

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