1528/2011 - Rede e apoio social e práticas alimentares de crianças no quarto mês de vida Social network, social support and feeding practices of infants in their fourth month of life
• Caroline Maria da Costa Morgado - Morgado, C. M. C. - Departamento de Epidemiologia do Instituto de Medicina Social da Universidade do Estado do Rio de Janeiro - <carol.morgado@globo.com> +
O objetivo deste trabalho foi investigar a associação entre rede e apoio social e as práticas alimentares de lactentes no quarto mês de vida. Estudo seccional com 294 crianças selecionadas em 4 Unidades de Saúde do município do Rio de Janeiro/RJ/Brasil. Para avaliar as práticas alimentares foi aplicado um recordatório 24h, para medir rede social foram feitas perguntas relacionadas ao número de amigos e parentes “com quem a mãe pode contar” e participação em atividades sociais. A versão em português da escala empregada no “Medical Outcomes Study" foi utilizada para aferir apoio social. Análises foram realizadas por meio de modelos de regressão logística multinomial. A maioria dos lactentes recebeu leite de peito (84%), mas apenas 16% o receberam exclusivamente. Crianças filhas de mães com menor número de parentes com quem contar e com baixo apoio social apresentaram maior chance de estarem em aleitamento artificial em relação ao aleitamento materno exclusivo (AME). Destaca-se a necessidade de integrar os membros da rede social da mulher à atenção pré-natal, ao parto e puerpério para prover o apoio social que atenda as suas necessidades e, assim, contribuir para manutenção do AME.
Palavras-chave:
aleitamento materno
consumo alimentar
rede social
apoio social
lactente
Abstract:
The aim of this study was to investigate the association between social network, social support and feeding practices of infants in their fourth month of age. This is cross-sectional study among 294 children selected at 4 Primary Health Care Units in Rio de Janeiro/ Brazil. To evaluate the feeding practices, a 24-hour dietary recall was applied to the mothers. To measure social network, questions related to the number of people to whom the woman can rely on were asked as well as the participation in social activities. A scale used on the Medical Outcomes Study was used to measure social support. The analysis was based on multinomial logistic regression models. Most of the infants (84%) received breast milk, but only 16% were on exclusive breastfeeding. Children whose mothers had a small number of relatives to count on and with low social support were more likely to be on bottle-feeding than on exclusive breastfeeding. The need to integrate members of the social network of the woman during pre-natal, birth and the after birth period should be highlighted, in a way that social support can serve the mother´s requirements, contributing to the beginning and maintenance of exclusive breastfeeding.
Keywords:
breastfeeding
food consumption
social network
social support
infant
Social network, social support and feeding practices of infants in their fourth month of life
Resumo (abstract):
The aim of this study was to investigate the association between social network, social support and feeding practices of infants in their fourth month of age. This is cross-sectional study among 294 children selected at 4 Primary Health Care Units in Rio de Janeiro/ Brazil. To evaluate the feeding practices, a 24-hour dietary recall was applied to the mothers. To measure social network, questions related to the number of people to whom the woman can rely on were asked as well as the participation in social activities. A scale used on the Medical Outcomes Study was used to measure social support. The analysis was based on multinomial logistic regression models. Most of the infants (84%) received breast milk, but only 16% were on exclusive breastfeeding. Children whose mothers had a small number of relatives to count on and with low social support were more likely to be on bottle-feeding than on exclusive breastfeeding. The need to integrate members of the social network of the woman during pre-natal, birth and the after birth period should be highlighted, in a way that social support can serve the mother´s requirements, contributing to the beginning and maintenance of exclusive breastfeeding.
Palavras-chave (keywords):
breastfeeding
food consumption
social network
social support
infant
Morgado, C. M. C., Werneck, G. L., Hasselmann, M.H. Rede e apoio social e práticas alimentares de crianças no quarto mês de vida. Cien Saude Colet [periódico na internet] (2011/Out). [Citado em 06/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/rede-e-apoio-social-e-praticas-alimentares-de-criancas-no-quarto-mes-de-vida/8765?id=8765
