title: Factors associated with exclusive breastfeeding in children under four months old in Botucatu-SP, Brazil.
abstract: This study aimed to identify factors associated with exclusive breastfeeding (AME) and the reasons mothers presented to introduce complementary feeding in the first four months of life. A total of 380 mothers (92.2%) of children under four months old vaccinated in a Multi-vaccination Campaign were interviewed. To identify factors associated to AME, univariate and multiple logistic regressions analyses were performed. Thirty-eight percent of the children were on AME; 33.4% consumed cow milk; 29.2% tea; and 22.4% water. The mothers justified introduction of cow milk by factors related to quantity/quality of maternal milk and "necessity" of the child. The use of a pacifier (odds ratio=2.63; CI95%=1.7-4.06) and difficulty to breastfeed (odds ratio=1.57; CI95%=1.02-2.41) were associated with the absence of AME. The populational attributable risk percentage for the use of a pacifier was estimated at 46.8 %. Thus, modifiable risk factors were associated with AME interruption.
authors: Botucatu Medical School, São Paulo State University Júlio de Mesquita Filho. carvalha@fmb.unesp.br
authors: Maria Antonieta
authors: MA
authors: de Barros Leite Carvalhaes
authors: Cristina Maria Garcia
authors: CM
authors: de Lima Parada
authors: Marilene Plácido
authors: MP
authors: da Costa
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D001942:Breast Feeding / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008895:Milk, Human; D014886:Weaning