Health determinants associated with exclusive breastfeeding: a scoping review

Revista CEFAC Pub Date : 2023-01-01 DOI:10.1590/1982-0216/20232556822

Ananda Larisse Bezerra da Silva, Cecilia Rafaela Salles Ferreira, Priscilla Guerra dos Santos, Elizabete Regina Araújo Oliveira, Maria Helena Monteiro de Barros Miotto

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Abstract

ABSTRACT Purpose: to map health determinants associated with exclusive breastfeeding. Methods: a scoping review conducted according to the JBI methodology and recommendations in PRISMA-Extension for Scoping Reviews. Data were collected in the MEDLINE/PubMed, LILACS, CINAHL, Scopus, and EMBASE databases and in the Brazilian Digital Library of Theses and Dissertations for the grey literature. The results were synthesized and organized into three theoretical models: distal, intermediate, and proximal. Literature Review altogether, 3,998 titles were found, of which 145 were included in the review, after all selection stages. They had various methodological designs and were published between 2002 and 2022. The following health determinants associated with exclusive breastfeeding were mapped: maternal educational attainment, family income, attendance to and frequency of prenatal care, breastfeeding guidance and practices, time until first breastfeeding, newborn’s sex, maternal employment and maternity leave, pacifier use, and exclusive breastfeeding guidance at health services. Conclusion: determinants that can facilitate or hinder exclusive breastfeeding are extrinsic and intrinsic to the mother and infant. Public policies are needed to protect every person’s right to breastfeeding.

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与纯母乳喂养有关的健康决定因素:范围审查

目的:绘制与纯母乳喂养相关的健康决定因素。方法:根据JBI方法和PRISMA-Extension for scope Reviews中的建议进行范围审查。数据收集于MEDLINE/PubMed、LILACS、CINAHL、Scopus和EMBASE数据库，灰色文献收集于巴西论文数字图书馆。结果被综合并组织成三个理论模型:远端、中间和近端。文献综述共发现3998篇，其中145篇入选。他们有不同的方法设计，并在2002年至2022年间出版。以下与纯母乳喂养有关的健康决定因素被绘制出来:母亲的受教育程度、家庭收入、产前护理的出席率和频率、母乳喂养指导和做法、直到第一次母乳喂养的时间、新生儿的性别、母亲的就业和产假、奶嘴的使用，以及在卫生服务机构的纯母乳喂养指导。结论:促进或阻碍纯母乳喂养的决定因素是母亲和婴儿的外在和内在因素。需要制定公共政策来保护每个人的母乳喂养权利。

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Revista CEFAC

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12 weeks