title: [Factors determining the breastfeeding in children attending public and not-for-profit daycare centers in São Paulo, Brazil].
abstract: Cross-sectional study with 270 children and their mothers in eight public and philanthropic daycare centers in the city of São Paulo, Brazil. The objective is to identify the determinants of exclusive breastfeeding (EBF) and breastfeeding (BF). The Mann-Whitney/ Wilcoxon test and survival analysis; Kaplan Meier curves and Cox multiple regression models were used for statistical analyses. The median of exclusive breastfeeding duration was 79.1 +/- 55.6 days and breastfeeding was 185.3 +/- 174.2 days. In multivariate analysis, the following risk factors of early weaning for exclusive breastfeeding were identified: pacifier use (HR = 1.65, 95% CI = 1.24 to 2.2); previous hospital admission (HR = 1.35, 95% CI = 1.01 to 1.80); mother working outside home (HR = 1.33, 95% CI = 1.00 to 1.76). For breastfeeding were identified: pacifier use (HR = 2.54, 95% CI = 1.87 to 3.45) and mother who works outside the home (HR = 1.51, 95% CI = 1.14-1.99). The results show that it is necessary to continue to promote and support breastfeeding, mainly the exclusive breastfeeding until six months of age. The daycare centers should incorporate this idea, once they may have direct control over some of the early weaning determinants, and are also good places to deliver messages and guidance on nutrition education to mothers and caregivers in contact with children under three years old.
authors.affiliation: Disciplina de Nutrologia del Departamento de Pediatria de la Universidade Federal de São Paulo. Sāo Paulo, Brasil.
authors.forename: Pazzis Mestas
authors.initials: PM
authors.lastname: Zapana
authors.forename: Mariana de Novaes
authors.initials: Mde N
authors.lastname: Oliveira
authors.forename: Jose Augusto de Aguiar Carrazedo
authors.initials: JA
authors.lastname: Taddei
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D001942:Breast Feeding / Q000706:statistics & numerical data*; D002656:Child Day Care Centers; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D017150:Public Sector; D012307:Risk Factors; D012959:Socioeconomic Factors; D014886:Weaning; D055815:Young Adult