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Original Articles
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
  • 12,754 View
  • 281 Download
  • 7 Web of Science
  • 9 Crossref
AbstractAbstract PDF
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.
Summary

Citations

Citations to this article as recorded by  
  • Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries
    Carlos Javier Avendaño-Vásquez, Magda Liliana Villamizar-Osorio, Claudia Jazmin Niño-Peñaranda, Judith Medellín-Olaya, Nadia Carolina Reina-Gamba
    World Journal of Clinical Pediatrics.2024;[Epub]     CrossRef
  • 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
  • Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital
    Siddika Songül Yalçin
    Revista de Salud Pública.2023; 25(1): 1.     CrossRef
  • Strong Negative Association between Cesarean Delivery and Early Initiation of Breastfeeding Practices among Vietnamese Mothers—A Secondary Analysis of the Viet Nam Sustainable Development Goal Indicators on Children and Women Survey
    Tam Thi Thanh Nguyen, Kimihiro Nishino, Lan Thi Huong Le, Souphalak Inthaphatha, Eiko Yamamoto
    Nutrients.2023; 15(21): 4501.     CrossRef
  • The effect of skin-to-skin contact on early initiation of breastfeeding among women in Vietnam
    Hoang Thi Nam Giang, Le Tho Minh Hieu, Do Thi Thuy Duy, Mai Thi Phuong, Tran Dinh Trung
    Pediatrics & Neonatology.2023;[Epub]     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
Current status of newborn hearing screening in low-income families in the southeastern region of Korea
You Sun Chung, Su-Kyoung Park
Epidemiol Health. 2018;40:e2018044.   Published online September 14, 2018
DOI: https://doi.org/10.4178/epih.e2018044
  • 9,760 View
  • 161 Download
  • 3 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The aim of this study was to analyze the current status and problems of hearing screening tests for newborns in low-income families in the southeastern Korea.
METHODS
This study analyzed data from the Ministry of Health and Welfare’s project on the early detection of hearing loss in newborns in low-income families in the southeastern Korea (2011-2015).
RESULTS
The referral rate was 1.33, 1.69, and 1.27% in Daegu, Gyeongbuk, and Ulsan, respectively. The confirmatory test rate was 36.09, 23.38, and 52.94% in Daegu, Gyeongbuk, and Ulsan, respectively. The incidence of hearing loss (adjusted) was 0.41, 0.62, and 0.41% in Daegu, Gyeongbuk, and Ulsan, respectively. After confirming hearing loss, newborns with hearing handicaps were mostly lost to follow-up, and rehabilitation methods, such as hearing aids or cochlear implants, were not used. The screening tests were performed within 1 month of birth, and the confirmatory tests were generally performed within 3 months of birth. However, more than 3 months passed before the confirmatory tests were performed in infants with risk factors for hearing loss in Gyeongbuk and Ulsan.
CONCLUSIONS
Hearing screening tests were conducted in newborns from low-income families in southeastern Korea who received a coupon for free testing, but the newborns that were referred after the screening tests were not promptly linked to the hospitals where confirmatory tests were performed. Furthermore, hearing rehabilitation was not consistently performed after hearing loss was confirmed. To successful early hearing loss detection and intervention, a systematic tracking system of hearing loss children is needed.
Summary

Citations

Citations to this article as recorded by  
  • Neonatal Hearing Screening Results with Screening ABR Protocol
    Neslihan SARI, Ayşe BÜLBÜL, Nilay FİLOĞLU ERSÜ
    Pediatric Practice and Research.2022; 10(2): 97.     CrossRef
  • Neonatal and maternal risk factors for hearing loss in children based on population-based data of Korea
    Junhui Jeong, Tae Mi Youk, Jangwon Oh, Tae Seong Eo, Hyun Seung Choi
    International Journal of Pediatric Otorhinolaryngology.2021; 147: 110800.     CrossRef
  • Comparison of hearing screening results of Syrian refugees and Turkish newborns
    Sercan Çıkrıkçı, Huseyin Deni̇z, Secaattin Gülşen
    International Journal of Pediatric Otorhinolaryngology.2020; 135: 110095.     CrossRef
  • The use of hearing aids in children under two years of age with moderate hearing loss
    Katarzyna Cywka, Anna Sztabnicka, Piotr Skarżyński
    Nowa Audiofonologia.2020; 8(3): 28.     CrossRef
  • Newborn hearing screening results of refugees living in our city and the factors affecting the results
    Abitter Yücel, Necat Alataş, Hilal Yücel, Mustafa Güllüev, Ekrem Özsöz, Cüneyt Uğur
    International Journal of Pediatric Otorhinolaryngology.2019; 123: 187.     CrossRef

Epidemiol Health : Epidemiology and Health