Lactancia materna y diarrea aguda en los primeros tres meses de vida

Macías-Carrillo, Claudia, Franco-Marina, Francisco, Long-Dunlap, Kurt, Hernández-Gaytán, Sendy Isarel, Martínez-López, Yolanda and Lopez-Cervantes, Malaquías (2005) Lactancia materna y diarrea aguda en los primeros tres meses de vida. Salud pública de México, 47 1: 49-57.

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Author Macías-Carrillo, Claudia
Franco-Marina, Francisco
Long-Dunlap, Kurt
Hernández-Gaytán, Sendy Isarel
Martínez-López, Yolanda
Lopez-Cervantes, Malaquías
Title Lactancia materna y diarrea aguda en los primeros tres meses de vida
Translated title Breastfeeding and acute diarrhea in the first three months of life
Language of Title spa
Journal name Salud pública de México   Check publisher's open access policy
Translated journal name Public Health of Mexico
Language of Journal Name spa
ISSN 0036-3634
1606-7916
Publication date 2005-01-01
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 47
Issue 1
Start page 49
End page 57
Total pages 9
Place of publication Cuernavaca, Mexique
Publisher Instituto Nacional de Salud Pública
Language spa
eng
Subject 1117 Public Health and Health Services
Formatted abstract
Objective To assess the effect of exclusive breastfeeding and its interactions with selected socioeconomic factors, on the incidence of acute infantile diarrhea during the first three months of life.

Material and Methods. A prospective cohort study with a follow up of three months was conducted in 327 mother and child pairs, living in the city of Durango, Mexico, between April and June 1994. Data analyses included simple univariate and bivariate cross-tabulations, as well as multivariate logistic regression models with random effects.

Results Infants who were not exclusively breastfed were at a significantly increased risk of having acute diarrhea during early infancy (ORcombined breastfeeding= 3.23; 95% CI 1.84-5.68 and ORartificial breastfeeding=4.36; 95% CI 2.32-8.19). Moreover, the protective effect of breastfeeding was independent from the effects of the following factors: poor maternal education, lack of social support for baby care, and being an adolescent mother. However, lack of potable water and lack of sewerage were potential effect modifiers of type of lactation ΔG=9.26; p=0.09; ORno water/no sewerage=2.58; 95% CI 1.10-6.03 in the final multivariate model), for simultaneous lack of potable water and sewerage, which is greater than the sum of the individual OR for each variable.

Conclusions Similar to previous studies, exclusive breastfeeding was found to have great importance, since this practice protects the child´s health and allows for a better development, despite unfavorable social and economic conditions. In particular, it seems that the protection conferred by breastfeeding is stronger when home conditions are poor, but this same condition presents an intervention opportunity, particularly the assurance of potable water provision for the infant when breastfeeding is not an option.
Keyword Breast feeding
Infant morbidity
Acute diarrhea
Sanitation
Epidemiology
Mexico
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
 
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Created: Sat, 14 Mar 2009, 01:51:40 EST by Gina Velli on behalf of School of Public Health