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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

dc.contributor.author	Valero Chillerón, María Jesús
dc.contributor.author	Mena-Tudela, Desirée
dc.contributor.author	Cervera-Gasch, Águeda
dc.contributor.author	González Chordá, Víctor
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.citation	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.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.subject	Obstetrícia
dc.title	Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study
dc.type	journal article	es_ES
dc.date.updated	2022-05-02T07:28:52Z
dc.identifier.doi	10.3390/ijerph19095411
dc.identifier.idgrec	152141
dc.rights.accessRights	open access	es_ES