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首页> 外文期刊>Cadernos de Saúde Pública >Determinants of exclusive breastfeeding in low birthweight infants under six months of ageDeterminantes de la lactancia materna exclusiva en lactantes menores de seis meses nacidos con bajo peso
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Determinants of exclusive breastfeeding in low birthweight infants under six months of ageDeterminantes de la lactancia materna exclusiva en lactantes menores de seis meses nacidos con bajo peso

机译：在六个月的六个月六个月内六个月的初始母乳母亲在婴儿六个月内出生的初始母乳喂养的决定因素

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The study aimed to assess factors associated with exclusive breastfeeding in low birthweight infants under six months of age in 64 Brazilian municipalities. This cross-sectional study included the 2,745 low birth weight infants under six months of age in the Survey on Prevalence of Breastfeeding (2008) in Brazilian municipalities. The outcome was exclusive breastfeeding. Individual determinants included socioeconomic characteristics (infants’ age and sex), maternal characteristics (age bracket, work status, and parity), and characteristics of health services (birth in a Child-Friendly Hospital; place of outpatient follow-up; type of delivery). Two contextual determinants were also included: “number of Human Milk Banks per municipality per 10,000 live births” and “municipal human development index”. The individualized effect of the study factor on the outcome was assessed by multilevel Poisson regression with level of significance under 5%. Exclusive Breastfeeding was more prevalent in low birth weight infants whose mothers were 20-35 years of age, who were not working away from home or were on maternity leave, who had given birth in a Child-Friendly Hospital, and who lived in municipalities with more human milk banks per 10,000 live births. The result of the positive and independent effect of strategies that were already part of the National Breastfeeding Policy (birth in a Child-Friendly Hospital, living in a municipality with more human milk banks, and adopting laws that guarantee maternity leave) on exclusive breastfeeding in low birth weight infants points to the need to expand the coverage of these measures in order to meet the breastfeeding targets proposed by the World Health Organization.
机译：该研究旨在评估与64个巴西市中时龄六个月的低出生婴幼儿的独家母乳喂养有关的因素。这种横截面研究包括在巴西市母乳喂养（2008年）患病率调查的六个月内的2,745名低出生体重婴儿。结果是独家母乳喂养。个人决定因素包括社会经济特征（婴儿年龄和性别），母体特征（年龄括号，工作地位和平价）以及健康服务的特征（儿童友好医院的出生;门诊后续行动;交货类型）。两种语境决定因素也包括：“每10,000名活产的人类牛奶银行数量”和“市人类发展指数”。通过多级泊松回归评估了研究因素对结果的个性化效果，其意义下降5％以下。在低出生体重婴儿中的独家母乳喂养更为普遍，其母亲为20-35岁，他们没有从家里或产假，他们在儿童友好的医院出生，并居住在市政当局每10,000个活产的人类牛奶银行更多。在国家母乳喂养政策的一部分是一部分的策略的积极和独立效应（儿童友好医院的诞生，与更多人类牛奶银行的市，并采用保证妇女留下的法律）在独家母乳喂养中低出生体重婴儿指出需要扩大这些措施的覆盖范围，以满足世界卫生组织提出的母乳喂养目标。

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