Journal of Pediatrics Review

Published by: Kowsar

Defining Behavior Patterns Towards Exclusive Breastfeeding Using Latent Class Analysis

Pryscila de Argolo Cerqueira 1 , * , Leila D A F Amorim 2 , Tatiana de O Vieira 3 , Janaina S Dias 4 , Heli V Brandao 3 and Graciete O Vieira 3
Authors Information
1 Department of Health, Estacio University, Feira de Santana, Brazil
2 Department of Statistics, Federal University of Bahia, Salvador, Brazil
3 Department of Health, State University of Feira de Santana, Feira de Santana, Brazil
4 Department of Health, Physical therapy at the “Cleriston Andrade” General Hospital, Feira de Santana, Brazil
Article information
  • Journal of Pediatrics Review: January 2018, 6 (1); e10575
  • Published Online: October 10, 2017
  • Article Type: Research Article
  • Received: January 24, 2017
  • Revised: May 3, 2017
  • Accepted: May 17, 2017
  • DOI: 10.5812/jpr.10575

To Cite: de Argolo Cerqueira P, D A F Amorim L, de O Vieira T, S Dias J, V Brandao H, et al. Defining Behavior Patterns Towards Exclusive Breastfeeding Using Latent Class Analysis, J Pediatr Rev. 2018 ;6(1):e10575. doi: 10.5812/jpr.10575.

Copyright © 2017, Journal of Pediatrics Review. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Geneva: World Health Organization; 2002.
  • 2. Karall D, Ndayisaba JP, Heichlinger A, Kiechl-Kohlendorfer U, Stojakovic S, Leitner H, et al. Breast-feeding Duration: Early Weaning-Do We Sufficiently Consider the Risk Factors?. J Pediatr Gastroenterol Nutr. 2015;61(5):577-82. doi: 10.1097/MPG.0000000000000873. [PubMed: 26020371].
  • 3. Wenzel D, Ocana-Riola R, Maroto-Navarro G, de Souza SB. A multilevel model for the study of breastfeeding determinants in Brazil. Matern Child Nutr. 2010;6(4):318-27. doi: 10.1111/j.1740-8709.2009.00206.x. [PubMed: 21050386].
  • 4. Blair PS, Heron J, Fleming PJ. Relationship between bed sharing and breastfeeding: longitudinal, population-based analysis. Pediatrics. 2010;126(5):e1119-26. doi: 10.1542/peds.2010-1277. [PubMed: 20956410].
  • 5. Cooper SLD. Nourishing choice: using latent class analysis in mixed methods to identify factors promoting long-term breastfeeding among primiparous women in Colorado. Denver: University of Colorado; 2012.
  • 6. Amorim LDA, Santos CAST, Moraes LTLP, Santos TNL. Epidemiologia & Saúde: fundamentos, métodos, aplicações. In: Almeida Filho N BM, editor. Rio de Janeiro: Guanabara Koogan; 2012. Modelos de equações estruturais em epidemiologia; p. 273-81.
  • 7. Nylund KL, Asparouhov T, Muthén BO. Deciding on the number of classes in latent class analysis and growth mixture modeling: A monte carlo simulation study. Struct Equ Modeling. 2007;14(4):535-69. doi: 10.1080/10705510701575396.
  • 8. Vieira TO, Vieira GO, Giugliani ER, Mendes CM, Martins CC, Silva LR. Determinants of breastfeeding initiation within the first hour of life in a Brazilian population: cross-sectional study. BMC Public Health. 2010;10:760. doi: 10.1186/1471-2458-10-760. [PubMed: 21143893].
  • 9. Vieira GO, Fernandes LG, de Oliveira NF, Silva LR, Vieira Tde O. Factors associated with cesarean delivery in public and private hospitals in a city of northeastern Brazil: a cross-sectional study. BMC Pregnancy Childbirth. 2015;15:132. doi: 10.1186/s12884-015-0570-8. [PubMed: 26043857].
  • 10. van Lang ND, Ferdinand RF, Ormel J, Verhulst FC. Latent class analysis of anxiety and depressive symptoms of the Youth Self-Report in a general population sample of young adolescents. Behav Res Ther. 2006;44(6):849-60. doi: 10.1016/j.brat.2005.06.004. [PubMed: 16122697].
  • 11. McCutcheon A. Latent Class Analysis. Thousand Oaks: Sage; 1987.
  • 12. Shin SH, Hong HG, Hazen AL. Childhood sexual abuse and adolescent substance use: a latent class analysis. Drug Alcohol Depend. 2010;109(1-3):226-35. doi: 10.1016/j.drugalcdep.2010.01.013. [PubMed: 20197217].
  • 13. Garson GD. Structural equation modeling. Asheboro: Statistical Associates Publishers; 2015.
  • 14. Hair JF, Anderson RE, Tathan RL, Black WC. Análise multivariada de dados. Porto Alegre: Bookman; 2005.
  • 15. de Jager E, Skouteris H, Broadbent J, Amir L, Mellor K. Psychosocial correlates of exclusive breastfeeding: a systematic review. Midwifery. 2013;29(5):506-18. doi: 10.1016/j.midw.2012.04.009. [PubMed: 23099152].
  • 16. Cronin C, McCarthy G. First-time mothers - identifying their needs, perceptions and experiences. J Clin Nurs. 2003;12(2):260-7. doi: 10.1046/j.1365-2702.2003.00684.x. [PubMed: 12603559].
  • 17. Feldens CA, Vitolo MR, Rauber F, Cruz LN, Hilgert JB. Risk factors for discontinuing breastfeeding in southern Brazil: a survival analysis. Matern Child Health J. 2012;16(6):1257-65. doi: 10.1007/s10995-011-0885-7. [PubMed: 21948218].
  • 18. Hasselmann MH, Werneck GL, Silva CV. Symptoms of postpartum depression and early interruption of exclusive breastfeeding in the first two months of life. Cad Saude Publica. 2008;24 Suppl 2:S341-52. doi: 10.1590/S0102-311X2008001400019. [PubMed: 18670714].
  • 19. O'Brien M, Buikstra E, Fallon T, Hegney D. Exploring the influence of psychological factors on breastfeeding duration, phase 1: perceptions of mothers and clinicians. J Hum Lact. 2009;25(1):55-63. doi: 10.1177/0890334408326071. [PubMed: 18971506].
  • 20. Whalen B, Cramton R. Overcoming barriers to breastfeeding continuation and exclusivity. Curr Opin Pediatr. 2010;22(5):655-63. doi: 10.1097/MOP.0b013e32833c8996. [PubMed: 20693904].
  • 21. Februhartanty J, Bardosono S, Septiari AM. Problems during lactation are associated with exclusive breastfeeding in DKI Jakarta province: father's potential roles in helping to manage these problems. Mal J Nutr. 2006;12(2):167-80.
  • 22. World Health Organization . Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva: World Health Organization; 2009.
  • 23. Faleiros FTV, Trezza EMC, Carandina L. Aleitamento materno: fatores de influência na sua decisão e duração. Rev Nutr. 2006;19(5):623-30. doi: 10.1590/s1415-52732006000500010.
  • 24. Meyerink RO, Marquis GS. Breastfeeding initiation and duration among low-income women in Alabama: the importance of personal and familial experiences in making infant-feeding choices. J Hum Lact. 2002;18(1):38-45. doi: 10.1177/089033440201800106. [PubMed: 11845735].
  • 25. Perez-Escamilla R, Lutter C, Segall AM, Rivera A, Trevino-Siller S, Sanghvi T. Exclusive breast-feeding duration is associated with attitudinal, socioeconomic and biocultural determinants in three Latin American countries. J Nutr. 1995;125(12):2972-84. [PubMed: 7500175].
  • 26. O'Connor NR, Tanabe KO, Siadaty MS, Hauck FR. Pacifiers and breastfeeding: a systematic review. Arch Pediatr Adolesc Med. 2009;163(4):378-82. doi: 10.1001/archpediatrics.2008.578. [PubMed: 19349568].
  • 27. Jaafar SH, Ho JJ, Jahanfar S, Angolkar M. Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding. Cochrane Database Syst Rev. 2016;(8). CD007202. doi: 10.1002/14651858.CD007202.pub4. [PubMed: 27572944].
  • 28. Buccini GDS, Perez-Escamilla R, Paulino LM, Araujo CL, Venancio SI. Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta-analysis. Matern Child Nutr. 2017;13(3). doi: 10.1111/mcn.12384. [PubMed: 27863027].
  • 29. Das RR, Sankar MJ, Agarwal R, Paul VK. Is "Bed Sharing" Beneficial and Safe during Infancy? A Systematic Review. Int J Pediatr. 2014;2014:468538. doi: 10.1155/2014/468538. [PubMed: 24678324].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments