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Health Promotion International, Vol. 9, No. 4, 251-257, 1994
© Oxford University Press 1994


research-article

Working conditions and the decision to breastfeed in Spain

VINCENTA ESCRIBÀ, CONCHA COLOMER, ROSA MAS and ROSA GRIFOL

The Valencian Institute of Studies in Public Health (IVESP) Valencia, Spain La Fe Hospital, University Hospital Obstetrical Service, Valencian Health Services Valencia, Spain

Address for correspondence: Address for correspondence: Vicenta Escribà IVESP c/Juan de Garay, 21 46017 Valencia, Spain

The aim of this paper is to determine occupational factors related to the decision to breastfeed. A survey was carried out on 602 primiparous or secundiparous employed women who delivered a live baby in a large public hospital in the city of Valencia. Information was collected by means of a personal interview conducted in hospital 2 days after childbirth. Bivariate and multi-variate statistical analysis techniques were employed. It was found that the probability of deciding to breastfeed is lower among women in the lower occupational grades (domestic service workers, etc.) with an adjusted odds ratio (ORadjusted) of 0.4 and in secundiparous women with an ORadjusted of 0.4. Proportionately more women both in the 26–30 years age group and who intend to stay at home for 12–24 weeks after the birth decide to breastfeed (ORadjusted of 1.9 and 1.7 respectively). We conclude that analysing the breastfeeding decisions in a structural analytic framework (maternity leave options and working conditions) is a more useful approach to research on this subject. Successful attempts to promote breastfeeding must take into account options for making choices.

Key words: brestfeeding; sociodemographic factors; work


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