Systematic Reviews
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Mar 9, 2024; 13(1): 89086
Published online Mar 9, 2024. doi: 10.5409/wjcp.v13.i1.89086
Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries
Carlos Javier Avendaño-Vásquez, Magda Liliana Villamizar-Osorio, Claudia Jazmin Niño-Peñaranda, Judith Medellín-Olaya, Nadia Carolina Reina-Gamba
Carlos Javier Avendaño-Vásquez, Judith Medellín-Olaya, School of Nursing, Antonio Nariño University, Bogotá 111511, Colombia
Magda Liliana Villamizar-Osorio, Claudia Jazmin Niño-Peñaranda, School of Nursing, Universidad Cooperativa de Colombia, Bucaramanga 102536, Colombia
Nadia Carolina Reina-Gamba, School of Nursing, Universidad Nacional de Colombia, Colombia 111511, Colombia
Author contributions: Avendaño-Vásquez CJ; Villamizar-Osorio ML; and Niño-Peñaranda CJ contributed to this paper with conception and design, literature review and analysis, manuscript drafting, critical revision, and editing, and approval of the final version; Medellín-Olaya J; and Reina-Gamba NC contributed to this study with conception and design, editing, and approval of the final version.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Carlos Javier Avendaño-Vásquez, PhD, Professor, School of Nursing, Antonio Nariño University, Cra. 1 47a15, Bogota 111511, Colombia. cjavasquez@uan.edu.co
Received: October 20, 2023
Peer-review started: October 20, 2023
First decision: December 29, 2023
Revised: January 6, 2024
Accepted: February 18, 2024
Article in press: February 18, 2024
Published online: March 9, 2024
Abstract
BACKGROUND

A progressive decrease in exclusive breastfeeding (BF) is observed in Latin America and the Caribbean compared with global results. The possibility of being breastfed and continuing BF for > 6 months is lower in low birth weight than in healthy-weight infants.

AIM

To identify factors associated with BF maintenance and promotion, with particular attention to low- and middle-income countries, by studying geographic, socioeconomic, and individual or neonatal health factors.

METHODS

A scoping review was conducted in 2018 using the conceptual model of social determinants of health published by the Commission on Equity and Health Inequalities in the United States. The extracted data with common characteristics were synthesized and categorized into two main themes: (1) Sociodemographic factors and proximal determinants involved in the initiation and maintenance of BF in low-birth-weight term infants in Latin America; and (2) individual characteristics related to the self-efficacy capacity for BF maintenance and adherence in low-birth-weight term infants.

RESULTS

This study identified maternal age, educational level, maternal economic capacity, social stratum, exposure to BF substitutes, access to BF information, and quality of health services as mediators for maintaining BF.

CONCLUSION

Individual self-efficacy factors that enable BF adherence in at-risk populations should be analyzed for better health outcomes.

Keywords: Breastfeeding, Low birth weight, Latin America, Self-efficacy, Social determinants of health

Core Tip: Analyzing sociodemographic and individual conditions for maintaining breastfeeding (BF) is fundamental for meeting the second sustainable developmental goal. However, analysis of the feeding behavior in low-birth-weight term newborns in Latin America is limited. Few studies have assessed the mediating factors for BF maintenance, paving the way for the challenges faced by at-risk populations, mainly in developing countries. Evidence-based interventions should be based on an understanding of the social and individual factors affecting feeding practices for at-risk populations.