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Horacio Chacón-Torrico 1 Article
Determinants of early initiation of breastfeeding in Peru: analysis of the 2018 Demographic and Family Health Survey
Akram Hernández-Vásquez, Horacio Chacón-Torrico
Epidemiol Health. 2019;41:e2019051.   Published online December 25, 2019
DOI: https://doi.org/10.4178/epih.e2019051
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Abstract
OBJECTIVES
Early initiation of breastfeeding (EIBF) is one of the most cost-effective strategies to reduce neonatal mortality. We sought to determine the prevalence and determinants of EIBF in Peru.
METHODS
We performed a cross-sectional analytical study of the 2018 Peruvian Demographic and Family Health Survey as a secondary data source. In total, 19,595 children born during the 5 years prior to the survey were included in the study. The dependent variable (EIBF status), socio-demographic variables, and pregnancy-related variables were analyzed using a multivariate logistic regression model to identify the determinants of EIBF.
RESULTS
The prevalence of EIBF in the study population was 49.7%. Cesarean deliveries were associated with a lower likelihood of EIBF (adjusted odds ratio [aOR], 0.06; 95% confidence interval [CI], 0.05 to 0.07) than were vaginal deliveries. Newborns born at public health centers (aOR, 1.37; 95% CI, 1.15 to 1.65) had a higher rate of EIBF than those not born at public or private health centers. Women from the jungle region (aOR, 2.51; 95% CI, 2.17 to 2.89) had higher odds of providing EIBF than those from the coast. Mothers with more than a secondary education (aOR, 0.65; 95% CI, 0.55 to 0.76) were less likely to breastfeed during the first hour of the newborn’s life than women with primary or no education.
CONCLUSIONS
More than half of Peruvian children do not breastfeed during the first hour after birth. The major determinants of EIBF status were the delivery mode and the region of maternal residence. Strategies are needed to promote early breastfeeding practices.
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  • Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: Analysis of census data from programme evaluation in three remote districts of the Loreto region
    Stefan Reinders, Magaly M. Blas, Melissa Neuman, Luis Huicho, Carine Ronsmans
    The Lancet Regional Health - Americas.2023; 18: 100404.     CrossRef
  • Effects of maternal education on early initiation and exclusive breastfeeding practices in sub-Saharan Africa: a secondary analysis of Demographic and Health Surveys from 2015 to 2019
    Wako Golicha Wako, Zelalem Wayessa, Anteneh Fikrie
    BMJ Open.2022; 12(3): e054302.     CrossRef
  • Timing of Breastfeeding Initiation Mediates the Association between Delivery Mode, Source of Breastfeeding Education, and Postpartum Depression Symptoms
    Xinran Shen, Shunna Lin, Hui Li, Nubiya Amaerjiang, Wen Shu, Menglong Li, Huidi Xiao, Sofia Segura-Pérez, Rafael Pérez-Escamilla, Xin Fan, Yifei Hu
    Nutrients.2022; 14(14): 2959.     CrossRef
  • Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study
    Sewunet Sako, Girma Gilano, Be'emnet Tekabe, Sintayehu Abebe
    BMJ Open.2022; 12(10): e062905.     CrossRef
  • Socioeconomic determinants and inequalities in exclusive breastfeeding among children in Peru
    Akram Hernández-Vásquez, Rodrigo Vargas-Fernández
    Frontiers in Nutrition.2022;[Epub]     CrossRef

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