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

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 depri...

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Autores principales: Cernigliaro, Achille, Palmeri, Sara, Casuccio, Alessandra, Scondotto, Salvatore, Restivo, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801793/
https://www.ncbi.nlm.nih.gov/pubmed/31547173
http://dx.doi.org/10.3390/ijerph16193514
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author Cernigliaro, Achille
Palmeri, Sara
Casuccio, Alessandra
Scondotto, Salvatore
Restivo, Vincenzo
author_facet Cernigliaro, Achille
Palmeri, Sara
Casuccio, Alessandra
Scondotto, Salvatore
Restivo, Vincenzo
author_sort Cernigliaro, Achille
collection PubMed
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% 1.01–4.27) and in the very deprived class (OR: 1.83, CI 95% 1.00–3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child.
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spelling pubmed-68017932019-10-31 Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region Cernigliaro, Achille Palmeri, Sara Casuccio, Alessandra Scondotto, Salvatore Restivo, Vincenzo Int J Environ Res Public Health Article 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% 1.01–4.27) and in the very deprived class (OR: 1.83, CI 95% 1.00–3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child. MDPI 2019-09-20 2019-10 /pmc/articles/PMC6801793/ /pubmed/31547173 http://dx.doi.org/10.3390/ijerph16193514 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cernigliaro, Achille
Palmeri, Sara
Casuccio, Alessandra
Scondotto, Salvatore
Restivo, Vincenzo
Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title_full Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title_fullStr Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title_full_unstemmed Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title_short Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region
title_sort association of the individual and context inequalities on the breastfeeding: a study from the sicily region
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801793/
https://www.ncbi.nlm.nih.gov/pubmed/31547173
http://dx.doi.org/10.3390/ijerph16193514
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