Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia
Objectives. To analyze the structural and intermediate social determinants of health (SDH) and their relationship with exclusive breastfeeding (EBF). Methods. An analytical cross-sectional study based on records from the Food and Nutrition Epidemiological Surveillance System (SISVAN, by its Spanish...
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| Format: | Article |
| Language: | Spanish |
| Published: |
2025
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| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=10566491 |
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| Summary: | Objectives. To analyze the structural and intermediate social determinants of health (SDH) and their relationship with exclusive breastfeeding (EBF). Methods. An analytical cross-sectional study based on records from the Food and Nutrition Epidemiological Surveillance System (SISVAN, by its Spanish acronym); the population comprised all records of infants aged 0 to 6 months. Variables were analyzed using descriptive statistics, estimating the prevalence and median age of EBF. Pearson’s chi-square test was used to determine significant associations between SDH and EBF. Results. A sample of 1,149 records was analyzed; 95.5% of children were receiving breastfeeding, and the prevalence of EBF at 5 months was 75.6%. Overall, 97.3% of infants had health insurance coverage, 86.3% resided in urban areas, and 0.2% were registered as belonging to an ethnic group. An association was found between the intermediate SDH related to access to the health system, specifically “other” affiliation type (OR = 6.58; 95% CI: 2.92–14.83; p = 0.001), compared with the contributory regime. Conclusions. The intermediate SDH related to access to the health system (type of affiliation) influences the practice of EBF in the municipality of Yopal. |
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