Socio-economic inequalities in the effect of public policies and the COVID-19 pandemic on exclusive breastfeeding in Chile

被引:4
|
作者
Navarro-Rosenblatt, D. [1 ]
Benmarhnia, T. [2 ]
Bedregal, P. [3 ]
Lopez-Arana, S. [4 ]
Rodriguez-Osiac, L. [5 ]
Garmendia, M. -L. [6 ]
机构
[1] Univ Chile, Sch Publ Hlth, PhD Program, Ave Independencia 939, Santiago, Chile
[2] Univ Calif San Diego, Dept Family Med & Publ Hlth, 9500 Gilman Dr, La Jolla, CA 92093 USA
[3] Pontificia Univ Catolica Chile, Sch Publ Hlth, Ave Libertador Bernardo OHiggins 340, Santiago, Chile
[4] Univ Chile, Fac Med, Dept Nutr, Ave Independencia 1027, Santiago, Chile
[5] Univ Chile, Sch Publ Hlth, Ave Independencia 939, Santiago, Chile
[6] Univ Chile, Inst Nutr & Food Technol, Ave Libano 5524, Santiago, Chile
关键词
Exclusive breastfeeding; Interrupted time-series; Health policy; COVID-19; Maternity leave; Socio-economic inequalities; Chile; MATERNITY LEAVE; HEALTH; INEQUITIES; REGRESSION; IMPACT;
D O I
10.1016/j.puhe.2022.11.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To assess the impact of the addition of 12 maternity leave (ML) weeks (2011), a pay for per-formance (P4P) exclusive breastfeeding (EBF) promotion strategy (2015), and the COVID-19 pandemic in EBF inequalities in Chile.Study design: Interrupted time-series analyses (ITSAs).Methods: Aggregated national EBF data by municipality and month were collected from 2009 to 2020. We assess the impact of the three events in EBF inequalities using two procedures: 1. ITSA stratified by municipal SES quintiles (Q1-Q5); 2. Calculating the EBF slope index of inequality (SII).Results: The EBF prevalence was higher in lower SES municipalities before and after the three time-events. No impact in EBF inequalities was observed after the extended ML. The P4P strategy increased EBF at six months in all SES quintiles (effect size between 4% and 5%), but in a higher level in poorer municipalities (SII:-0.36% and-1.05%). During COVID-19, wealthier municipalities showed a slightly higher EBF at six months prevalence (SII: 1.44%).Conclusion: The null impact of the extended ML in EBF inequalities could be explained by a low access to ML among affiliated to the public health system (20%). The P4P strategy includes multiple interventions that seemed effective in increasing EBF across all SES quintiles, but further in lower quintiles. The re-strictions in healthcare access in poorer municipalities could explain EBF inequalities during COVID-19.(c) 2022 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:61 / 68
页数:8
相关论文
共 50 条
  • [41] Socio-Economic Impacts and Challenges of the Coronavirus Pandemic (COVID-19): An Updated Review
    Delardas, Orestis
    Kechagias, Konstantinos S.
    Pontikos, Pantelis N.
    Giannos, Panagiotis
    SUSTAINABILITY, 2022, 14 (15)
  • [42] A socio-economic analysis of the role of medical drones in the era of the COVID-19 pandemic
    Hidayat, Niko Azhari
    Sebayang, Abed Nego Okthara
    Jumintono
    ECONOMIC ANNALS-XXI, 2022, 197 (5-6): : 32 - 36
  • [43] Socio-economic inequalities in the breadth of internet use before and during the COVID-19 pandemic among older adults in England
    Malkowski, Olivia S.
    Townsend, Nick P.
    Kelson, Mark J.
    Foster, Charlie E. M.
    Western, Max J.
    PLOS ONE, 2024, 19 (05):
  • [44] Economic lessons for COVID-19 pandemic policies
    Viscusi, W. Kip
    SOUTHERN ECONOMIC JOURNAL, 2021, 87 (04) : 1064 - 1089
  • [45] Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India
    Aizawa, Toshiaki
    PLOS ONE, 2025, 20 (04):
  • [46] Socio-economic and corporate factors and COVID-19 pandemic: a wake-up call
    Muhammad Khalid Anser
    Sheikh Usman Yousaf
    Shabir Hyder
    Abdelmohsen A. Nassani
    Khalid Zaman
    Muhammad Moinuddin Qazi Abro
    Environmental Science and Pollution Research, 2021, 28 : 63215 - 63226
  • [47] COVID-19 Pandemic: Evaluation of Socio-Economic Impact on Aesthetic Plastic Surgery Providers
    Paprottka, Felix J.
    Rolfes, Sebastian Bernd
    Richter, Dirk Frank
    Kaye, Kai O.
    AESTHETIC PLASTIC SURGERY, 2021, 45 (04) : 1877 - 1887
  • [48] COVID-19 Pandemic: Evaluation of Socio-Economic Impact on Aesthetic Plastic Surgery Providers
    Felix J. Paprottka
    Sebastian Bernd Rolfes
    Dirk Frank Richter
    Kai O. Kaye
    Aesthetic Plastic Surgery, 2021, 45 : 1877 - 1887
  • [49] Modeling of COVID-19 Pandemic vis-a-vis Some Socio-Economic Factors
    Oshinubi, Kayode
    Rachdi, Mustapha
    Demongeot, Jacques
    FRONTIERS IN APPLIED MATHEMATICS AND STATISTICS, 2022, 7
  • [50] Socio-Economic Risk Assessment and Peril Analysis in the Context of the COVID-19 Pandemic and Emergencies
    Novikova, Olga
    Khandii, Olena
    Shamileva, Larisa
    EUROPEAN JOURNAL OF SUSTAINABLE DEVELOPMENT, 2021, 10 (01): : 636 - 649