Violência entre parceiros íntimos e aleitamento materno exclusivo em países da América Latina e Caribe

• Autor(a) principal: Tomé, Patricia Gomes
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/7336
• topic: Intimate partner violence; Exclusive breastfeeding; Demographic surveys; Child´s health; Violência entre parceiros íntimos; Aleitamento materno exclusivo; Inquéritos demográficos; Saúde da mulher; Saúde da criança; Nutrição; Amamentação; Violência conjugal; Crianças - Cuidado e tratamento; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

The purpose of this study was to investigate the association between intimate partner violence (IPV) and the practice of exclusive breastfeeding (EBF) in mothers living in member countries of Latin America and the Caribbean. It is cross-sectional study conducted with data from Demographic and Health Survey (DHS). The study sample consisted of women aged 15 to 49 with children under 6 months. The VPI was measured through the DHS domestic violence module consisting of an adaptation of CTS2 (Conflict Tactics Scales 2). The VPI was typified as physical and/or sexual. The practice of EBF was measured using a standardized questionnaire as well as the socio-economic variables (level of education, socio-economic score, maternal age, maternal employment, marital status, age of the child, the child's sex, weight birth, type of delivery, parity, birth place). Initially, prevalence estimates for the outcome under the different categories of exposure were performed. Subsequently, the odds ratios were calculated (odds ratio - OR) by logistic regression of the EBF practice for each type of exposure. Covariates associated with the outcome with p-values ≤0,20 composed a multivariate model and a p-value <0.05 was adopted as statistically significant indicator to remain in the final model. All analyzes were performed for each country considering the complex sample design. Results show that were in EBF 11.6% of children in Colombia, 30.8% in Honduras, 38.5% in Haiti, 7% in the Dominican Republic and 65% in Peru. Mothers of children under 6 months between 25-27% reported having experienced physical violence in Colombia and Peru, and between 12-17% in Honduras, Haiti and the Dominican Republic. Reported having suffered sexual violence 3% between colombian, honduran and peruvian, 4% between dominican and 9% among haitian. After adjusting for covariates, only the unexposed haitian women to physical IPV were significantly more likely to be exclusively offering breast milk (OR = 2.71, CI 1.12 to 6.64). In the socio-cultural context of Haiti, it can be inferred about the need to incorporate measures that effectively confront the issue of intimate partner violence, identifying it as early as possible (pre-natal consultation, for example ) so and adverse effects of IPV are mitigated