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Updated: May 11, 2026

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
[Factors associated with breastfeeding in two municipalities with low human development index in Northeast Brazil]
Mirella Gondim Ozias Aquino de Oliveira1, Pedro Israel Cabral de Lira, Malaquias Batista Filho
1Departamento de Nutrição da Universidade Federal de Pernambuco, Recife, PE. mirellaozias@gmail.com
Insights
Breastfeeding duration in Gameleira and São João do Tigre was below recommendations. Better socioeconomic status and prenatal care positively influenced exclusive/predominant breastfeeding duration, acting as protective factors.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Context:
- Breastfeeding is crucial for infant nutrition and health.
- Understanding factors influencing breastfeeding duration is vital for public health interventions.
- Previous studies highlight socioeconomic and healthcare access as key determinants.
Purpose:
- To determine the duration of breastfeeding in children under two years old.
- To identify factors associated with exclusive and predominant breastfeeding.
- To analyze the influence of socioeconomic conditions and prenatal care on breastfeeding duration.
Summary:
- A cross-sectional study in Pernambuco and Paraiba, Brazil, analyzed 504 children under two.
- Survival analysis revealed median exclusive breastfeeding durations of 19 and 23 days, and exclusive/predominant breastfeeding durations of 79 and 91 days.
- Higher maternal education, better sanitation, consumer goods, and comprehensive prenatal care were associated with longer breastfeeding durations.
Impact:
- Findings indicate breastfeeding durations fall short of recommended guidelines.
- Improved socioeconomic status and accessible prenatal care emerged as significant protective factors for breastfeeding.
- Results can inform targeted interventions to promote optimal breastfeeding practices in similar settings.
Objective:
To determine the duration of breastfeeding and to identify factors associated with exclusive / predominant breastfeeding in children under two years old.
Methods:
This is a cross-sectional study conducted from March to June 2005 in the municipalities of Gameleira and São João do Tigre, located in the interior of Pernambuco and Paraiba States. The sample comprised 504 children under two years (280 residents in Gameleira and 224 in São João do Tigre). Survival analysis was used to estimate the median duration of survival time of breastfeeding and the associations with socioeconomic conditions, factors related to mothers and children and health care.
Results:
The duration of exclusive and exclusive/predominant breastfeeding and breastfeeding were of 19, 79 and 179 days in Gameleira and 23, 91 and 169 days in São João do Tigre, respectively. Mothers with better socioeconomic conditions, as represented by education, sanitation, and possession of consumer goods, had a higher median duration of exclusive/ predominant breastfeeding in both towns. Prenatal care represented by higher number of attendance, earlier onset and feeding and breastfeeding advice had a positive influence on breastfeeding duration.
Conclusions:
Breastfeeding duration was lower than the recommendation. Despite the families precarious living conditions, a better socioeconomic status and prenatal care were protective factors for exclusive/ predominant breastfeeding duration in these areas.
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