Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-26T07:01:59.305Z Has data issue: false hasContentIssue false

Breast-feeding, water and sanitation, and childhood malnutrition in the Philippines

Published online by Cambridge University Press:  31 July 2008

Robert J. Magnani
Affiliation:
School of Public Health and Tropical Medicine, Tulane University, New Orleans
Nancy B. Mock
Affiliation:
School of Public Health and Tropical Medicine, Tulane University, New Orleans
William E. Bertrand
Affiliation:
School of Public Health and Tropical Medicine, Tulane University, New Orleans
Daniel C. Clay
Affiliation:
Department of Sociology, Michigan State University, East Lansing, USA

Summary

This study examines effects and interactions of socioeconomic status, access to water supply and sanitation, and breast-feeding practices in relation to child growth in two provincial cities in the Philippines. Multivariate analysis identified food expenditure per head, education of the household head and gender of the child as significant predictors of nutritional status. The duration of partial and full breast-feeding was negatively (though non-significantly) associated with growth. Sanitation facilities and breast-feeding are, however, important determinants during the first year of life. Among children over 1 year of age, socioeconomic variables and gender are the most important predictors. Breast-feeding is shown to provide more important health benefits for children in lower income households. The need for further studies on the causes of gender differences in nutritional status was apparent.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Briend, A. (1990) Is diarrhoea a major cause of malnutrition among under-fives in developing countries? A review of available evidence. Eur. J. clin. Nutr. 44, 611.Google Scholar
Briend, A., Wojtyniak, B. & Rowland, M. G. M. (1988) Breastfeeding, nutritional state and child survival in rural Bangladesh. Br. Med. J. 296, 879.Google Scholar
Butz, W. P., Habicht, J. P. & DaVanzo, J. (1984) Environmental factors in the relationship between breastfeeding and infant mortality: the role of sanitation and water in Malaysia. Am. J. Epidemiol. 119, 516.Google Scholar
DaVanzo, J., Butz, W. P. & Habicht, J. P. (1983) How biological and behavioral influences on mortality in Malaysia vary during the first year of life. Popul. Stud. 37, 381.CrossRefGoogle Scholar
Fay, R. (1983) Contingency Table Analysis with Complex Sample Designs (C-PLEX). US Bureau of the Census, Washington, DC.Google Scholar
Food and Nutrition Research Institute (1990) Regional Updating of Nutritional Status of Filipino Children, 1989–1990. FNRI, Department of Science and Technology, Manila.Google Scholar
Habicht, J.P., DaVanzo, J. & Butz, W. P. (1986) Does breastfeeding really save lives, or are apparent benefits due to biases? Am. J. Epidemiol. 122, 279.Google Scholar
Jelliffe, D. B. & Jelliffe, E. F. (1988) Programmes to Promote Breast-feeding. Oxford University Press, New York.Google Scholar
Launer, L. J., Habicht, J. P. & Kardjati, S. (1990) Breastfeeding in Indonesia protects infants in Indonesia against illness and weight loss due to illness. Am. J. Epidemiol. 131, 322.Google Scholar
Lechtig, A., Jelliffe, D. B. & Jelliffe, E. F. (1986) The First Workshop on National Breastfeeding Programs in Latin America—a personal view. Trop. Pediat. 32, 274.Google Scholar
Martorell, R. & O’Gara, C. (1985) Breastfeeding, infant health and socioeconomic status. J. Med. Anthropol. 9, 173.Google Scholar
Merrick, T. W. (1985) The effect of piped water on early childhood mortality in urban Brazil: 1970 to 1976. Demography, 22, 1.Google Scholar
Olivia-Rasbach, J. & Neville, M. C. (1986) Longitudinal growth patterns of a reference population of breast-fed infants. Fed. Proc. 45, 362.Google Scholar
Seward, J. F. & Sedula, M. K. (1984) Infant feeding and infant growth. Pediatr. 74, 728.Google Scholar
US Bureau of the Census (1984) Evaluating the Impact of the Provincial Water Project in the Philippines. US Department of Commerce, Washington, D.C.Google Scholar