Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study
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Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study

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Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study

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dc.contributor.author Valero Chillerón, María Jesús
dc.contributor.author Mena-Tudela, Desirée
dc.contributor.author Cervera-Gasch, Águeda
dc.contributor.author González Chordá, Victor
dc.contributor.author Soriano-Vidal, Francisco Javier
dc.contributor.author Quesada Rico, José Antonio
dc.contributor.author Castro-Sánchez, Enrique
dc.contributor.author Vila-Candel, Rafael
dc.date.accessioned 2022-05-02T07:28:52Z
dc.date.available 2022-05-02T07:28:52Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/10550/82482
dc.description.abstract Background: International organizations recommend initiating breastfeeding within the first hour of life and maintaining exclusive breastfeeding for the first 6 months. However, worldwide rates of exclusive breastfeeding for 6-month-old infants is far from meeting the goal proposed by the World Health Organization, which is to reach a minimum of 50% of infants. Education is one of the factors affecting the initiation and continuation of breastfeeding, and incidentally, it is also related to lower health literacy. This study explored the influence of health literacy on maintenance of exclusive breastfeeding at 6 months postpartum. Methods: A longitudinal multicenter study with 343 women were recruited between January 2019 and January 2020. The first questionnaire was held during the puerperium (24-48 h) with mothers practicing exclusive breastfeeding, with whom 6-month postpartum breastfeeding follow-up was performed. Socio-demographic, clinical and obstetric variables were collected. Breastfeeding efficiency was assessed using the LATCH breastfeeding assessment tool. The health literacy level was evaluated by the Newest Vital Sign screening tool. A multivariate logistic regression model was used to detect protective factors for early exclusive breastfeeding cessation. Results: One third of the women continued exclusive breastfeeding at 6 months postpartum. Approximately half the participants had a low or inadequate health literacy level. An adequate health literacy level, a high LATCH breastfeeding assessment tool score (>9 points) and being married were the protective factors against exclusive breastfeeding cessation at 6 months postpartum. Conclusion: Health literacy levels are closely related to maintaining exclusive breastfeeding and act as a protective factor against early cessation. A specific instrument is needed to measure the lack of 'literacy in breastfeeding', in order to verify the relationship between health literacy and maintenance of exclusive breastfeeding.
dc.language.iso eng
dc.relation.ispartof International Journal Of Environmental Research And Public Health, 2022, vol. 19, num. 5411
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Valero Chillerón, María Jesús Mena-Tudela, Desirée Cervera-Gasch, Águeda González Chordá, Victor Soriano-Vidal, Francisco Javier Quesada Rico, José Antonio Castro-Sánchez, Enrique Vila-Candel, Rafael 2022 Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study International Journal Of Environmental Research And Public Health 19 5411
dc.subject Obstetrícia
dc.title Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study
dc.type info:eu-repo/semantics/article
dc.date.updated 2022-05-02T07:28:52Z
dc.identifier.doi https://doi.org/10.3390/ijerph19095411
dc.identifier.idgrec 152141

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