Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region

Vincenzo Restivo, Alessandra Casuccio, Salvatore Scondotto, Achille Cernigliaro, Angela Giusti, Sofia Colaceci, Sabrina Scelfo, Provvidenza Maria Ficano, Barbara Ottaviani, Maria Paola Ferro, Stefania Spila Alegiani

Risultato della ricerca: Article

Abstract

Despite the advantages of breastfeeding being widely recognized, the economic level can have an influence on breastfeeding rates, with rich women breastfeeding longer than poor in high-income countries. In Italy, socio-economic differences affect breastfeeding start and continuation among most deprived people, such as in Southern Italy. The objective of the study was to evaluate the prevalence of the initiation and continuation of exclusive breastfeeding and its association with the levels of socio-economic deprivation in Sicily. A prospective cohort study with a two-phase survey in three breastfeeding detection times was conducted. Overall, 1,055 mothers were recruited with a mean age of 31 years. Breastfeeding decreased from 86% during hospitalization to 69% at the first month and 42% at the sixth month, yet at the same time, exclusive breastfeeding increased from 34% to 38% during hospitalization to the first month and went down to 20.2% at the sixth month. The adjusted multivariate analysis showed no association with individual inequalities. On the other hand, the context inequalities had a significant association with the risk of not following exclusive breastfeeding in the deprived class (odds ratio (OR): 2.08, confidence interval (CI) 95% 1.01-4.27) and in the very deprived class (OR: 1.83, CI 95% 1.00-3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child.
Lingua originaleEnglish
pagine (da-a)3514-
Numero di pagine11
RivistaInternational Journal of Environmental Research and Public Health
Volume16
Stato di pubblicazionePublished - 2019

Fingerprint

Sicily
Breast Feeding
Economics
Italy
Hospitalization
Odds Ratio
Mothers
Confidence Intervals
Cohort Studies
Multivariate Analysis
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cita questo

Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region. / Restivo, Vincenzo; Casuccio, Alessandra; Scondotto, Salvatore; Cernigliaro, Achille; Giusti, Angela; Colaceci, Sofia; Scelfo, Sabrina; Ficano, Provvidenza Maria; Ottaviani, Barbara; Ferro, Maria Paola; Alegiani, Stefania Spila.

In: International Journal of Environmental Research and Public Health, Vol. 16, 2019, pag. 3514-.

Risultato della ricerca: Article

Restivo, V, Casuccio, A, Scondotto, S, Cernigliaro, A, Giusti, A, Colaceci, S, Scelfo, S, Ficano, PM, Ottaviani, B, Ferro, MP & Alegiani, SS 2019, 'Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region', International Journal of Environmental Research and Public Health, vol. 16, pagg. 3514-.
Restivo, Vincenzo ; Casuccio, Alessandra ; Scondotto, Salvatore ; Cernigliaro, Achille ; Giusti, Angela ; Colaceci, Sofia ; Scelfo, Sabrina ; Ficano, Provvidenza Maria ; Ottaviani, Barbara ; Ferro, Maria Paola ; Alegiani, Stefania Spila. / Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region. In: International Journal of Environmental Research and Public Health. 2019 ; Vol. 16. pagg. 3514-.
@article{99339647c68c4beca7cebe632d7a68bf,
title = "Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region",
abstract = "Despite the advantages of breastfeeding being widely recognized, the economic level can have an influence on breastfeeding rates, with rich women breastfeeding longer than poor in high-income countries. In Italy, socio-economic differences affect breastfeeding start and continuation among most deprived people, such as in Southern Italy. The objective of the study was to evaluate the prevalence of the initiation and continuation of exclusive breastfeeding and its association with the levels of socio-economic deprivation in Sicily. A prospective cohort study with a two-phase survey in three breastfeeding detection times was conducted. Overall, 1,055 mothers were recruited with a mean age of 31 years. Breastfeeding decreased from 86{\%} during hospitalization to 69{\%} at the first month and 42{\%} at the sixth month, yet at the same time, exclusive breastfeeding increased from 34{\%} to 38{\%} during hospitalization to the first month and went down to 20.2{\%} at the sixth month. The adjusted multivariate analysis showed no association with individual inequalities. On the other hand, the context inequalities had a significant association with the risk of not following exclusive breastfeeding in the deprived class (odds ratio (OR): 2.08, confidence interval (CI) 95{\%} 1.01-4.27) and in the very deprived class (OR: 1.83, CI 95{\%} 1.00-3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child.",
author = "Vincenzo Restivo and Alessandra Casuccio and Salvatore Scondotto and Achille Cernigliaro and Angela Giusti and Sofia Colaceci and Sabrina Scelfo and Ficano, {Provvidenza Maria} and Barbara Ottaviani and Ferro, {Maria Paola} and Alegiani, {Stefania Spila}",
year = "2019",
language = "English",
volume = "16",
pages = "3514--",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

}

TY - JOUR

T1 - Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region

AU - Restivo, Vincenzo

AU - Casuccio, Alessandra

AU - Scondotto, Salvatore

AU - Cernigliaro, Achille

AU - Giusti, Angela

AU - Colaceci, Sofia

AU - Scelfo, Sabrina

AU - Ficano, Provvidenza Maria

AU - Ottaviani, Barbara

AU - Ferro, Maria Paola

AU - Alegiani, Stefania Spila

PY - 2019

Y1 - 2019

N2 - Despite the advantages of breastfeeding being widely recognized, the economic level can have an influence on breastfeeding rates, with rich women breastfeeding longer than poor in high-income countries. In Italy, socio-economic differences affect breastfeeding start and continuation among most deprived people, such as in Southern Italy. The objective of the study was to evaluate the prevalence of the initiation and continuation of exclusive breastfeeding and its association with the levels of socio-economic deprivation in Sicily. A prospective cohort study with a two-phase survey in three breastfeeding detection times was conducted. Overall, 1,055 mothers were recruited with a mean age of 31 years. Breastfeeding decreased from 86% during hospitalization to 69% at the first month and 42% at the sixth month, yet at the same time, exclusive breastfeeding increased from 34% to 38% during hospitalization to the first month and went down to 20.2% at the sixth month. The adjusted multivariate analysis showed no association with individual inequalities. On the other hand, the context inequalities had a significant association with the risk of not following exclusive breastfeeding in the deprived class (odds ratio (OR): 2.08, confidence interval (CI) 95% 1.01-4.27) and in the very deprived class (OR: 1.83, CI 95% 1.00-3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child.

AB - Despite the advantages of breastfeeding being widely recognized, the economic level can have an influence on breastfeeding rates, with rich women breastfeeding longer than poor in high-income countries. In Italy, socio-economic differences affect breastfeeding start and continuation among most deprived people, such as in Southern Italy. The objective of the study was to evaluate the prevalence of the initiation and continuation of exclusive breastfeeding and its association with the levels of socio-economic deprivation in Sicily. A prospective cohort study with a two-phase survey in three breastfeeding detection times was conducted. Overall, 1,055 mothers were recruited with a mean age of 31 years. Breastfeeding decreased from 86% during hospitalization to 69% at the first month and 42% at the sixth month, yet at the same time, exclusive breastfeeding increased from 34% to 38% during hospitalization to the first month and went down to 20.2% at the sixth month. The adjusted multivariate analysis showed no association with individual inequalities. On the other hand, the context inequalities had a significant association with the risk of not following exclusive breastfeeding in the deprived class (odds ratio (OR): 2.08, confidence interval (CI) 95% 1.01-4.27) and in the very deprived class (OR: 1.83, CI 95% 1.00-3.38) at the six-month survey. These results indicate that the context inequalities begin to emerge from the return home of the mother and the child.

UR - http://hdl.handle.net/10447/387156

M3 - Article

VL - 16

SP - 3514-

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

ER -