Factores asociados a la lactancia materna exclusiva en población pobre de áreas urbanas de Colombia

Objective: Identifying factors associated with exclusive breastfeeding by poor urban women in Colombia. Methodology: A random sample of women living in poor neighborhoods from four Colombian cities (Cali, Cartagena, Medellín and Ibague) was made (survey method), using a cross-sectional design; survival analysis techniques were applied. Results Bivariate analysis identified hospital bottle use, the women's marital status, and relationship with the head of household as having had a significant effect on the duration of exclusive breastfeeding. Multivariate analysis identified the non-use of bottles in hospital as favoring a longer breast feeding period. Conclusions: Reducing hospital bottle use is readily achievable by health system action; increasing the time mothers spend with their infants is more difficult. A relevant finding was that more mothers were unaware of breastfeeding's maternal benefits than those who were unaware of its benefits for the baby. If mothers were made more aware of the maternal benefits, an increasing number might insist on being the main caregiver and take care of their children for longer periods of time.