IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i19p3514-d269273.html
   My bibliography  Save this article

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

Author

Listed:
  • Achille Cernigliaro

    (Department of Health Services and Epidemiological Observatory, Regional Health Authority, 90145 Palermo, Italy)

  • Sara Palmeri

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties, “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy)

  • Alessandra Casuccio

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties, “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy)

  • Salvatore Scondotto

    (Department of Health Services and Epidemiological Observatory, Regional Health Authority, 90145 Palermo, Italy)

  • Vincenzo Restivo

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties, “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy)

  • In Primis Working Group

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties, “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy)

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.

Suggested Citation

  • Achille Cernigliaro & Sara Palmeri & Alessandra Casuccio & Salvatore Scondotto & Vincenzo Restivo & In Primis Working Group, 2019. "Association of the Individual and Context Inequalities on the Breastfeeding: A Study from the Sicily Region," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3514-:d:269273
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/19/3514/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/19/3514/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vincenzo Restivo & Claudio Costantino & Antonello Marras & Giuseppe Napoli & Sabrina Scelfo & Tiziana Scuderi & Alessandra Casuccio & Achille Cernigliaro & Angela Giusti & Stefania Spila Alegiani, 2018. "Pap Testing in a High-Income Country with Suboptimal Compliance Levels: A Survey on Acceptance Factors among Sicilian Women," IJERPH, MDPI, vol. 15(9), pages 1-10, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Claudio Costantino & Alessandra Casuccio & Vincenzo Restivo, 2020. "Potential Risks and Factors of Women’s Health Promotion," IJERPH, MDPI, vol. 17(24), pages 1-7, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chia-Hao Liu & Yu-Chieh Lee & Jeff Chien-Fu Lin & I-San Chan & Na-Rong Lee & Wen-Hsun Chang & Wei-Min Liu & Peng-Hui Wang, 2019. "Radical Hysterectomy After Neoadjuvant Chemotherapy for Locally Bulky-Size Cervical Cancer: A Retrospective Comparative Analysis between the Robotic and Abdominal Approaches," IJERPH, MDPI, vol. 16(20), pages 1-19, October.
    2. Claudio Costantino & Alessandra Casuccio & Vincenzo Restivo, 2020. "Potential Risks and Factors of Women’s Health Promotion," IJERPH, MDPI, vol. 17(24), pages 1-7, December.
    3. Xingyuan Wang & Yun Liu & Hongchen Liu, 2020. "Examining Users’ Adoption of Precision Medicine: The Moderating Role of Medical Technical Knowledge," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    4. Giuseppa Minutolo & Palmira Immordino & Alessia Dolce & Mario Valenza & Emanuele Amodio & Walter Mazzucco & Alessandra Casuccio & Vincenzo Restivo, 2022. "Could a Behavioral Model Explain Adherence to Second-Level Colonoscopy for Colon Cancer Screening? Results of a Cross-Sectional Study of the Palermo Province Population," IJERPH, MDPI, vol. 19(5), pages 1-12, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3514-:d:269273. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.