Association Between Breastfeeding and Child Stunting in Mexico

Background: Globally, the prevalence of child stunting has been decreasing over the past decades. However, in low- and middle-income countries such as Mexico, stunting is still the most prevalent form of undernutrition affecting a large number of children in the most vulnerable conditions. Breastfee...

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Autores principales:	Ana Paola Campos, Mireya Vilar-Compte, Summer Sherburne Hawkins
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/959c29957f744bcface767fcc1473ebd
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spelling	oai:doaj.org-article:959c29957f744bcface767fcc1473ebd2021-12-02T11:42:02ZAssociation Between Breastfeeding and Child Stunting in Mexico2214-999610.5334/aogh.2836https://doaj.org/article/959c29957f744bcface767fcc1473ebd2020-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2836https://doaj.org/toc/2214-9996Background: Globally, the prevalence of child stunting has been decreasing over the past decades. However, in low- and middle-income countries such as Mexico, stunting is still the most prevalent form of undernutrition affecting a large number of children in the most vulnerable conditions. Breastfeeding has been identified as one of the key affordable and modifiable maternal health behaviors protecting against child stunting. Objective: To examine the association between breastfeeding (defined as never breastfed, any breastfeeding for <6 months, and any breastfeeding for ≥6 months) and other individual-, household-, and area-level factors with child stunting (defined as length/height-for-age-z-score for sex under –2 standard deviations of the World Health Organization child growth standards’ median) in Mexico. Methods: Secondary data analysis using the 2012 Mexican Health and Nutrition Survey, which allowed representativeness of rural and urban areas at national level and among 4 regions in Mexico. Our subset included data on 2,089 singleton Mexican children aged 6–35 months with information on previously identified risk and protective factors for stunting. We conducted fixed- and mixed-effects logistic regression models sequentially controlling for each level of factors. Findings: Overall, 12.3% of children were stunted and 71.1% were breastfed for ≥6 months. Any breastfeeding and being female were consistent protective factors against child stunting across all models. In contrast, child low birthweight, maternal short stature, higher number of children aged <5 years per household, and moderate to severe food insecurity were consistent risk factors for child stunting across all models. Conclusions: According to our findings, efforts to reduce child stunting in Mexico should include prenatal strategies aiming to prevent low birthweight offspring particularly among short-stature women, moderate to severe food insecure households, families with a higher number of children aged <5 years, and indigenous communities. Postnatal components should include multilevel strategies to support breastfeeding.Ana Paola CamposMireya Vilar-CompteSummer Sherburne HawkinsUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Ana Paola Campos Mireya Vilar-Compte Summer Sherburne Hawkins Association Between Breastfeeding and Child Stunting in Mexico
description	Background: Globally, the prevalence of child stunting has been decreasing over the past decades. However, in low- and middle-income countries such as Mexico, stunting is still the most prevalent form of undernutrition affecting a large number of children in the most vulnerable conditions. Breastfeeding has been identified as one of the key affordable and modifiable maternal health behaviors protecting against child stunting. Objective: To examine the association between breastfeeding (defined as never breastfed, any breastfeeding for <6 months, and any breastfeeding for ≥6 months) and other individual-, household-, and area-level factors with child stunting (defined as length/height-for-age-z-score for sex under –2 standard deviations of the World Health Organization child growth standards’ median) in Mexico. Methods: Secondary data analysis using the 2012 Mexican Health and Nutrition Survey, which allowed representativeness of rural and urban areas at national level and among 4 regions in Mexico. Our subset included data on 2,089 singleton Mexican children aged 6–35 months with information on previously identified risk and protective factors for stunting. We conducted fixed- and mixed-effects logistic regression models sequentially controlling for each level of factors. Findings: Overall, 12.3% of children were stunted and 71.1% were breastfed for ≥6 months. Any breastfeeding and being female were consistent protective factors against child stunting across all models. In contrast, child low birthweight, maternal short stature, higher number of children aged <5 years per household, and moderate to severe food insecurity were consistent risk factors for child stunting across all models. Conclusions: According to our findings, efforts to reduce child stunting in Mexico should include prenatal strategies aiming to prevent low birthweight offspring particularly among short-stature women, moderate to severe food insecure households, families with a higher number of children aged <5 years, and indigenous communities. Postnatal components should include multilevel strategies to support breastfeeding.
format	article
author	Ana Paola Campos Mireya Vilar-Compte Summer Sherburne Hawkins
author_facet	Ana Paola Campos Mireya Vilar-Compte Summer Sherburne Hawkins
author_sort	Ana Paola Campos
title	Association Between Breastfeeding and Child Stunting in Mexico
title_short	Association Between Breastfeeding and Child Stunting in Mexico
title_full	Association Between Breastfeeding and Child Stunting in Mexico
title_fullStr	Association Between Breastfeeding and Child Stunting in Mexico
title_full_unstemmed	Association Between Breastfeeding and Child Stunting in Mexico
title_sort	association between breastfeeding and child stunting in mexico
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/959c29957f744bcface767fcc1473ebd
work_keys_str_mv	AT anapaolacampos associationbetweenbreastfeedingandchildstuntinginmexico AT mireyavilarcompte associationbetweenbreastfeedingandchildstuntinginmexico AT summersherburnehawkins associationbetweenbreastfeedingandchildstuntinginmexico
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Association Between Breastfeeding and Child Stunting in Mexico

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