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Relationship between breast- and bottle-feeding and non-nutritive sucking habits
Ana Larissa Fernandes de Holanda1, Shirley Alexandre dos Santos, Marina Fernandes de Sena
1Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Natal/RN, Brazil. lmafaldo@bol.com.br
Insights
Extended breastfeeding (over 6 months) protects against pacifier sucking habits in children. Sociodemographic factors also influence non-nutritive sucking behaviors in toddlers.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Non-nutritive sucking habits (pacifier and thumb sucking) are common in early childhood.
- Understanding factors influencing the persistence of these habits is crucial for child health.
- Sociodemographic influences and breastfeeding duration are key areas of investigation.
Purpose of the Study:
- To assess the persistence of non-nutritive sucking habits in children aged 3-5 years.
- To examine the relationship between breastfeeding duration and these habits.
- To identify sociodemographic factors associated with non-nutritive sucking.
Main Methods:
- A case-control study involving 1107 children aged 3-5 years in Natal, Brazil.
- Participants included children with pacifier or thumb sucking habits and a control group without habits.
- Data collected via structured questionnaires on sociodemographic conditions and breastfeeding duration.
Main Results:
- Breastfeeding for over 6 months was a significant protective factor against persistent pacifier sucking (aOR=0.311).
- Pacifier use was more prevalent in 3-year-olds, higher-income families, and those with higher parental education.
- Thumb sucking showed associations with female sex, lower paternal education, and being the last male child; breastfeeding duration was not significant for thumb sucking.
Conclusions:
- Prolonged breastfeeding (> 6 months) acts as a protective factor against persistent pacifier sucking.
- The mother-child relationship's subjective aspects warrant further investigation regarding non-nutritive sucking habits.
Purpose:
The objective of the present study was to assess the persistence of non-nutritive sucking habits and its relationship with breastfeeding, as well as to establish the influence of sociodemographic factors on these habits among children aged 3 to 5 years.
Materials And Methods:
A case-control study was conducted with 1107 children from public and private daycare centres in Natal, Brazil: 450 in the case group (312 pacifier suckers and 138 thumb suckers) and 657 in the control group (habit-free). Data regarding sociodemographic conditions and duration of breastfeeding were obtained using a structured questionnaire.
Results:
Breastfeeding for a duration of > 6 months (adjusted odds ratio = 0.311; 95% confidence interval = 0.226 to 0.428) was an independent protective factor against persistent pacifier sucking. The use of pacifiers was more frequent among 3-year-old children and among those from a higher income family and a higher level of schooling of parents. The relation between duration of breastfeeding and thumb sucking was not statistically significant (P = 0.087). There was an association between the thumb sucking habit with sex (female), low level of schooling of father and the child being born as the last male child in the birth order. No relation was found between breastfeeding and habit frequency (day/night and night) (P = 0.301). An association with habit frequency was found with the age of 3 years, female, the family income group that ranged between US $176 and US $875, and those attending private institutions.
Conclusions:
Breastfeeding for a duration of > 6 months was a protective factor against the persistence of pacifier sucking, but the subjectivity of the mother-child relationship must be investigated further.
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