ArticleInternational journal of epidemiology2019
Breastfeeding exclusivity and duration: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015.
Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed.
- Social Transfers for Exclusive Breastfeeding in Brazil: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Unveiling Key Factors in Child Development: From Breastfeeding to Teachers' Care in Brazilian Early Childcare Centers.International journal of environmental research and public health · 2025Article
- Use of modern contraceptive methods and pregnancy planning: a cohort study.Revista de saude publica · 2025Article
- Inequalities in large-scale breastfeeding programmes in Bangladesh, Burkina Faso and Vietnam.Maternal & child nutrition · 2024Article
- Prevalence, trend, and inequality of prolonged exclusive breastfeeding among children aged 6-23 months old in India from 1992-2021: A cross-sectional study of nationally representative, individual-level data.Journal of global health · 2024Article
- Prevalence and predictors of breastfeeding in the MINA-Brazil cohort.Revista de saude publica · 2024Article
- Secular trends and social inequalities in child behavioural problems across three Brazilian cohort studies (1993, 2004 and 2015).Epidemiology and psychiatric sciences · 2023Article
- Socio-economic inequalities in the effect of public policies and the COVID-19 pandemic on exclusive breastfeeding in Chile.Public health · 2023Article
- How do the determinants of exclusive breast-feeding change over time? A multi-survey quasi-longitudinal study in Lao People's Democratic Republic.Public health nutrition · 2022Article
- Maternal perspectives on infant feeding practices in Soweto, South Africa.Public health nutrition · 2021Article
- Predicting risk of early discontinuation of exclusive breastfeeding at a Brazilian referral hospital for high-risk neonates and infants: a decision-tree analysis.International breastfeeding journal · 2021Article
- Intergenerational breastfeeding practices among parents and children: 1993 Pelotas (Brazil) birth cohort.Maternal & child nutrition · 2021Article
- Validation of maternal recall on exclusive breastfeeding 12 months after childbirth.Public health nutrition · 2020Article
- Maternal mood symptoms in pregnancy and postpartum depression: association with exclusive breastfeeding in a population-based birth cohort.Social psychiatry and psychiatric epidemiology · 2020Article
- Infant nutrition and growth: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015.International journal of epidemiology · 2019Article
- Hospital admissions in the first year of life: inequalities over three decades in a southern Brazilian city.International journal of epidemiology · 2019Article
- Commentary: A tale of many cities in one: the Pelotas (Brazil) Birth Cohorts, 1982-2015.International journal of epidemiology · 2019Article
- Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015.International journal of epidemiology · 2019Article
- Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life.Jornal de pediatriaArticle
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Abstract
backgroundBrazil has made substantial improvements in the duration of breastfeeding. We use data from four population-based cohorts to examine how trends and inequalities in breastfeeding indicators changed over time in a Brazilian city.
methodsData from four birth cohorts, each including all births in a calendar year (1982, 1993, 2004 and 2015) in the city of Pelotas were used. Information on breastfeeding was collected when children were aged between 3 and 20 months. The prevalences of continued breastfeeding at 1 year of age and of exclusive breastfeeding at 3 months were calculated according to family income, maternal skin colour and sex.
resultsPrevalence of breastfeeding at 12 months increased from 16% to 41% in the 33-year period. The prevalence of exclusive breastfeeding at 3 months increased from 7% in 1993 to 45% in 2015. Increases in exclusive breastfeeding at 3 months were seen in all socioeconomic groups, but the 2015 rates remain highest (57.2%) among the women in the richest quintile, and lowest among those in the poorest quintile (34.6%). Black mothers were more likely to breastfeed at 12 months than Whites in the four cohorts. In the earlier cohorts, breastfeeding at 12 months was more common among the poor, but by 2015 these differences had disappeared.
conclusionsThere were important positive changes in breastfeeding practices during this period, but less than half of the children in 2015 were receiving the full benefits of breast milk. Improved breastfeeding practices are being adopted by high-income women to a greater extent than by poor women.
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