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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2025
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| author | Hernández Ávila, Alejandra |
| author_browse | Hernández Ávila, Alejandra |
| author_facet | Hernández Ávila, Alejandra |
| author_sort | Hernández Ávila, Alejandra |
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| description | 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. |
| first_indexed | 2026-10-16T04:21:39Z |
| format | Article |
| fullrecord | <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><identifier>dialnet-ART0001825252</identifier><datestamp>2026-02-04</datestamp><dc:title>Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia</dc:title><dc:creator>Hernández Ávila, Alejandra</dc:creator><dc:subject>lactancia materna</dc:subject><dc:subject>Lactancia Materna Predominante</dc:subject><dc:subject>Lactancia Materna Exclusiva</dc:subject><dc:subject>determinantes sociales de la salud</dc:subject><dc:subject>Prevalencia</dc:subject><dc:subject>Colombia</dc:subject><dc:subject>breastfeeding</dc:subject><dc:subject>predominant breastfeeding</dc:subject><dc:subject>exclusive breastfeeding</dc:subject><dc:subject>social determinants of health</dc:subject><dc:subject>prevalence</dc:subject><dc:subject>Colombia</dc:subject><dc:description>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.</dc:description><dc:description>Objetivos. Analizar los determinantes sociales de la salud (DSS) estructurales e intermediarios y su relación con la lactancia materna exclusiva (LME). Métodos. Estudio transversal analítico con base en los registros del Sistema de Vigilancia Epidemiológica Alimentaria y Nutricional (SISVAN); la población correspondió a todos los registros de niñas/os de 0 a 6 meses. Las variables fueron analizadas mediante estadística descriptiva, siendo estimadas la prevalencia y la mediana de edad de la LME. Fue usada la prueba de chi-cuadrado de Pearson para determinar relación significativa entre los DDS y la LME. Resultados. Fue analizada una muestra de 1149 registros, el 95,5 % de los niños estaban con LM; la prevalencia de la LME a los 5 meses fue de 75,6 %. El 97,3 % de las/os niñas/os contaba con afiliación al régimen en salud, el 86,3 % eran residentes en el área urbana y el 0,2 % estaba inscrito con pertenencia étnica. Se halló asociación entre los DSS intermediario acceso al sistema de salud, en tipo de afiliación “otro” (OR = 6,58; IC 95 %: 2,92-14,83; p = 0,001) respecto al régimen contributivo. Conclusiones. Se establece que el DSS intermediario relacionado con el acceso al sistema de salud (tipo de afiliación) incide en la práctica de la LME en el municipio de Yopal.</dc:description><dc:date>2025</dc:date><dc:type>text (article)</dc:type><dc:format>application/pdf</dc:format><dc:identifier>https://dialnet.unirioja.es/servlet/oaiart?codigo=10566491</dc:identifier><dc:identifier>(Revista) ISSN 2707-6954</dc:identifier><dc:identifier>(Revista) ISSN 2707-6946</dc:identifier><dc:source>Revista Peruana De Ciencias De La Salud, ISSN 2707-6946, Vol. 7, Nº. 4, 2025 (Ejemplar dedicado a: Revista Peruana de Ciencias de la Salud (oct-dic)), pags. 1-10</dc:source><dc:language>spa</dc:language><dc:rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI</dc:rights></oai_dc:dc> |
| id | dialnet-ART0001825252 |
| institution | Dialnet |
| language | spa |
| last_indexed | 2026-10-16T04:21:39Z |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| record_format | oai_dc |
| spelling | dialnet-ART00018252522026-02-04Determinantes sociales en salud y lactancia materna exclusiva en Yopal, ColombiaHernández Ávila, Alejandralactancia maternaLactancia Materna PredominanteLactancia Materna Exclusivadeterminantes sociales de la saludPrevalenciaColombiabreastfeedingpredominant breastfeedingexclusive breastfeedingsocial determinants of healthprevalenceColombiaObjectives. 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.Objetivos. Analizar los determinantes sociales de la salud (DSS) estructurales e intermediarios y su relación con la lactancia materna exclusiva (LME). Métodos. Estudio transversal analítico con base en los registros del Sistema de Vigilancia Epidemiológica Alimentaria y Nutricional (SISVAN); la población correspondió a todos los registros de niñas/os de 0 a 6 meses. Las variables fueron analizadas mediante estadística descriptiva, siendo estimadas la prevalencia y la mediana de edad de la LME. Fue usada la prueba de chi-cuadrado de Pearson para determinar relación significativa entre los DDS y la LME. Resultados. Fue analizada una muestra de 1149 registros, el 95,5 % de los niños estaban con LM; la prevalencia de la LME a los 5 meses fue de 75,6 %. El 97,3 % de las/os niñas/os contaba con afiliación al régimen en salud, el 86,3 % eran residentes en el área urbana y el 0,2 % estaba inscrito con pertenencia étnica. Se halló asociación entre los DSS intermediario acceso al sistema de salud, en tipo de afiliación “otro” (OR = 6,58; IC 95 %: 2,92-14,83; p = 0,001) respecto al régimen contributivo. Conclusiones. Se establece que el DSS intermediario relacionado con el acceso al sistema de salud (tipo de afiliación) incide en la práctica de la LME en el municipio de Yopal.2025text (article)application/pdfhttps://dialnet.unirioja.es/servlet/oaiart?codigo=10566491(Revista) ISSN 2707-6954(Revista) ISSN 2707-6946Revista Peruana De Ciencias De La Salud, ISSN 2707-6946, Vol. 7, Nº. 4, 2025 (Ejemplar dedicado a: Revista Peruana de Ciencias de la Salud (oct-dic)), pags. 1-10spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI |
| spellingShingle | lactancia materna Lactancia Materna Predominante Lactancia Materna Exclusiva determinantes sociales de la salud Prevalencia Colombia breastfeeding predominant breastfeeding exclusive breastfeeding social determinants of health prevalence Colombia Hernández Ávila, Alejandra Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title | Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title_full | Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title_fullStr | Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title_full_unstemmed | Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title_short | Determinantes sociales en salud y lactancia materna exclusiva en Yopal, Colombia |
| title_sort | determinantes sociales en salud y lactancia materna exclusiva en yopal colombia |
| topic | lactancia materna Lactancia Materna Predominante Lactancia Materna Exclusiva determinantes sociales de la salud Prevalencia Colombia breastfeeding predominant breastfeeding exclusive breastfeeding social determinants of health prevalence Colombia |
| url | https://dialnet.unirioja.es/servlet/oaiart?codigo=10566491 |
| work_keys_str_mv | AT hernandezavilaalejandra determinantessocialesensaludylactanciamaternaexclusivaenyopalcolombia |