Anales de Pediatria
Volume 81, Issue 1, 2014, Pages 32-38

Immigration and factors associated with breastfeeding. CALINA study [Inmigración y factores asociados con la lactancia materna. Estudio CALINA] (Article)

Oves Suárez B. , Escartín Madurga L. , Samper Villagrasa M.P. , Cuadrón Andrés L. , Álvarez Sauras M.L. , Lasarte Velillas J.J. , Moreno Aznar L.A. , Rodríguez Martínez G.*
  • a Grupo de Investigación GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, Spain
  • b Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
  • c Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
  • d Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain
  • e Grupo de Investigación GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, Spain
  • f Centro de Salud Torre Ramona, Zaragoza, Spain
  • g Grupo de Investigación GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, Spain
  • h Grupo de Investigación GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, Spain, Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain

Abstract

Objective To identify socio-cultural, obstetric and perinatal characteristics associated with complete breastfeeding (CBF) during the first 4 months of age, depending on maternal origin. Material and methods Socio-cultural, obstetric and perinatal aspects associated with breastfeeding depending on maternal origin were evaluated in a longitudinal study in a representative infant population from Aragon (n = 1452). Results The prevalence of CBF was higher in immigrant mothers than in those from Spain. CBF was maintained in 37.2% of mothers from Spain at 4 months, compared with 43% of immigrants (P=.039) (RR Spanish/immigrants = 0.76; 95% CI: 0.58-0.99); at 6 months this occurred in 13.9% vs. 23.8%, respectively (P<.001) (RR Spanish/immigrants = 0.52; 95% CI: 0.37-0.72). The factors associated with CBF at 4 months are different between both groups. Mothers born in Spain are older (P=.002), have higher academic level (P=.001), greater parity (P=.003), and a higher probability of vaginal delivery (P=.005); and their children have the highest anthropometric values at birth. However, in immigrant mothers, the maintenance of CBF was associated with a higher maternal body mass index and with working at home. In both groups, CBF remains more frequently in those mothers who do not smoke (P=.001). Conclusions The prevalence of CBF during the first months of life is higher in immigrant mothers than in those from Spain, and socio-cultural, obstetric and perinatal factors are different, depending on maternal origin. © 2013 Asociación Española de Pediatría. Publicado por Elsevier España, S.L. Todos los derechos reservados.

Author Keywords

Feeding Immigration Prevalence breastfeeding

Index Keywords

immigrant complete breast feeding longitudinal study human immigration Longitudinal Studies statistics and numerical data social aspect Breast Feeding Humans Infant, Newborn male Spain female Infant newborn cultural factor Article mother migration vaginal delivery Emigration and Immigration parity anthropometry body mass
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903303572&doi=10.1016%2fj.anpedi.2013.09.008&partnerID=40&md5=398f468a95b7e5ddcf270a3ec84f98f2
DOI: 10.1016/j.anpedi.2013.09.008
ISSN: 16954033
Cited by: 11
Original Language: Spanish