Multimorbidity and breastfeeding practices: findings  from a population-based survey in Peru during 2024

Dayana Barriga Rodriguez; José Chaquila Cubillas

doi:10.12873/461jachaquila

Autores

Dayana Barriga-Rodriguez Carrera Profesional de Nutrición, Universidad Peruano Cayetano Heredia, Lima, Perú https://orcid.org/0000-0002-4603-9619
José A. Chaquila Sociedad Peruana de Nutrición https://orcid.org/0000-0002-2303-0486

DOI:

https://doi.org/10.12873/461jachaquila

Palavras-chave:

Doenças não transmissíveis, Saúde materna, Promoção da saúde, Cuidado pós-natal

Resumo

Objetivo: Examinar a associação entre multimorbidade e as práticas de amamentação entre mulheres peruanas em idade reprodutiva que participaram de uma pesquisa nacional.
Materiais e Métodos: Este foi um análise secundária da Pesquisa Demográfica e de Saúde Familiar do Peru de 2024. A variável de exposição foi a multimorbidade, construída a partir de três possíveis doenças crônicas não transmissíveis (DCNT): obesidade, diabetes mellitus tipo 2 e hipertensão. Essa variável incluiu três categorias: nenhuma condição, uma condição e duas ou mais condições. Os desfechos foram duas práticas de amamentação: amamentação exclusiva (AE) e início precoce da amamentação (IPA), ambas categorizadas dicotomicamente. Potenciais fatores de confusão também foram considerados. Foram realizadas análises bivariadas e multivariadas utilizando regressão de Poisson com variância robusta.
Resultados: No total, 8.163 mulheres foram elegíveis para a análise. No geral, 65,3% não praticaram AE e 45,3% apresentaram início tardio da amamentação. Além disso, 42,1% tinham uma DCNT e 4,4% tinham duas ou mais. Um maior número de DCNT esteve associado a menor prevalência de práticas ótimas de amamentação, mostrando um padrão dose–resposta. No modelo multivariado, mulheres com duas ou mais DCNT apresentaram 33% menor prevalência de IPA (RP: 0,67; IC 95%: 0,55–0,82). Entretanto, a multimorbidade não esteve significativamente associada à AE.
Conclusão: Esses achados ressaltam a necessidade de estratégias de apoio direcionadas às mulheres com múltiplas DCNT para promover práticas ótimas de amamentação no contexto latino-americano.

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