Factors Associated with Adequate Breastfeeding: Evidence from the Peruvian Demographic and Health Survey, 2019

Mariela Yamunaque-Carranza, Sebastian A. Medina-Ramirez, Carlos S. Mamani-García, Brenda Caira-Chuquineyra, Daniel Fernandez-Guzman, Diego Urrunaga-Pastor () and Guido Bendezu-Quispe
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Mariela Yamunaque-Carranza: Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo 14012, Peru
Sebastian A. Medina-Ramirez: Departamento de Ciencias Básicas, Facultad de Medicina Humana, Universidad Peruana Unión (UPeU), Lima 15464, Peru
Carlos S. Mamani-García: Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa 04001, Peru
Brenda Caira-Chuquineyra: Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa 04001, Peru
Daniel Fernandez-Guzman: Grupo Peruano de Investigación Epidemiológica, Unidad para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima 15074, Peru
Diego Urrunaga-Pastor: Facultad de Ciencias de la Salud, Universidad Científica del Sur, Carrera de Medicina Humana, Lima 15067, Peru
Guido Bendezu-Quispe: Centro de Investigación Epidemiológica en Salud Global, Universidad Privada Norbert Wiener, Lima 15046, Peru

IJERPH, 2022, vol. 19, issue 20, 1-13

Abstract: Objective: To assess the factors associated with adequate breastfeeding (ABF) among Peruvian mothers during 2019. Materials and Methods: We performed a secondary analysis of the 2019 Demographic and Family Health Survey (ENDES) database of Peru. ABF was defined based on the recommendations of the World Health Organization, which defined it as starting breastfeeding within the first hour of life and continuing with exclusive breastfeeding for up to 6 months. To determine the factors associated with ABF, a Poisson generalized linear models with log-link function was used. Adjusted prevalence ratios (aPR) with their respective 95% confidence intervals (95% CI) were calculated. Results: A prevalence of ABF of 48.1% was identified among 11,157 women who reported at least one child in the last five years. Most of them were young (68.6%) and lived in urban areas (65.5%). Furthermore, being unemployed (aPR:1.02; 95% CI:1.00–1.04); residing on the coast, except for Metropolitan Lima (aPR:1.08; 95% CI:1.04–1.11), the highlands (aPR:1.14; 95% CI:1.11–1.18), and the jungle (aPR:1.20; 95% CI: 1.16–1.24); having had a vaginal delivery (aPR:1.30; 95% CI:1.27–1.05); and having two children (aPR:1.03; 95% CI:1.01–1.05) or three or more children (aPR:1.03; 95% CI:1.01–1.05) were associated with a higher frequency of ABF. Conclusions: One out of two women between 18–59 with children performed ABF. The factors associated with ABF were the current occupation, region of residence, type of delivery, and parity. Health policies and strategies should be implemented, considering our results, to promote maternal counseling by health personnel in order to increase the prevalence of ABF in the Peruvian population.

Keywords: breastfeeding initiation; breastfeeding continuation; newborn; health surveys; Peru (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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