Freqüência e variáveis associadas ao aleitamento materno em crianças com até 12 meses de idade no município de Araçatuba, São Paulo, Brazil
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Data
2008-12-01
Autores
Saliba, Nemre Adas [UNESP]
Zina, Lívia Guimarães [UNESP]
Moimaz, Suzely Adas Saliba [UNESP]
Saliba, Orlando [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Instituto de Medicina Integral Prof. Fernando Figueira
Resumo
OBJETIVOS: avaliar a prevalência do aleitamento materno em crianças assistidas em Araçatuba, São Paulo, Brasil; verificar a associação com variáveis materno-infantis e o conhecimento das mães sobre a relação da amamentação com saúde bucal. MÉTODOS: estudo transversal. Os dados foram coletados durante a Campanha Nacional de Vacinação, em 2005. Foram entrevistadas 100 mães de crianças com até 12 meses de idade. A freqüência do aleitamento foi estimada por meio da análise de sobrevivência, e foram realizadas análises estatísticas para verificação da associação entre aleitamento e variáveis independentes. RESULTADOS: a prevalência do aleitamento aos 6 e 12 meses foi de 22,2% (exclusivo) e 65% (total). A duração mediana da amamentação exclusiva foi de 3,65 meses. As variáveis associadas ao desmame foram uso de mamadeira (χ2=9,537; p=0,002) e chupeta (χ2= 14,667; p=0,001). Poucas mães (33) demonstraram saber a influência do aleitamento sobre a saúde bucal de seus filhos, sendo o cirurgião-dentista o profissional mais citado como responsável por essa informação. CONCLUSÕES: a prevalência da amamentação foi satisfatória, porém foram baixas as taxas de aleitamento exclusivo, e como fatores determinantes destacaram-se o uso de mamadeiras e chupetas associado ao desmame. É dever de órgãos governamentais, meios de comunicação e profissionais de saúde compactuarem ações efetivas em prol do aleitamento.
OBJECTIVES: to evaluate the prevalence of breastfeeding among infants receiving care in Araçatuba, in the State of São Paulo, Brazil; to assess associated variables relating to mother and child and the mother's knowledge regarding the relationship between breastfeeding and oral health. METHODS: cross-sectional study. Data was collected during the National Immunization Campaign, in 2005. One hundred mothers of children up to 12 months of age were interviewed. The frequency of breastfeeding was estimated using a survival analysis and statistical analyses were carried out to assess the association between breastfeeding and independent variables. RESULTS: the prevalence of breastfeeding, at 6 and 12 months was 22.2% (exclusive) and 65% (total). The mean duration of exclusive breastfeeding was 3.65 months. The variables associated with weaning were use of a bottle (χ2=9.537; p=0.002) and of a pacifier (χ2=14.667; p=0.001). Few mothers (33) demonstrated knowledge of the influence of breastfeeding on their children's oral health, the dentist being more often mentioned as responsible for providing this information. CONCLUSIONS: the prevalence of breastfeeding was satisfactory, although rates for exclusive breastfeeding were low. The use of a bottle and a pacifier were positively associated as determining factors with weaning. The government, media and health professionals must improve effective actions to promote breastfeeding.
OBJECTIVES: to evaluate the prevalence of breastfeeding among infants receiving care in Araçatuba, in the State of São Paulo, Brazil; to assess associated variables relating to mother and child and the mother's knowledge regarding the relationship between breastfeeding and oral health. METHODS: cross-sectional study. Data was collected during the National Immunization Campaign, in 2005. One hundred mothers of children up to 12 months of age were interviewed. The frequency of breastfeeding was estimated using a survival analysis and statistical analyses were carried out to assess the association between breastfeeding and independent variables. RESULTS: the prevalence of breastfeeding, at 6 and 12 months was 22.2% (exclusive) and 65% (total). The mean duration of exclusive breastfeeding was 3.65 months. The variables associated with weaning were use of a bottle (χ2=9.537; p=0.002) and of a pacifier (χ2=14.667; p=0.001). Few mothers (33) demonstrated knowledge of the influence of breastfeeding on their children's oral health, the dentist being more often mentioned as responsible for providing this information. CONCLUSIONS: the prevalence of breastfeeding was satisfactory, although rates for exclusive breastfeeding were low. The use of a bottle and a pacifier were positively associated as determining factors with weaning. The government, media and health professionals must improve effective actions to promote breastfeeding.
Descrição
Palavras-chave
Aleitamento materno, Saúde bucal, Bem-estar da criança, Fatores de risco, Breast feeding, Oral health, Child welfare, Risk factors
Como citar
Revista Brasileira de Saúde Materno Infantil . Instituto de Medicina Integral Prof. Fernando Figueira, v. 8, n. 4, p. 481-490, 2008.