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Breastmilk Substitutes Marketing Violations and Associated Factors in Rio de Janeiro, Brazil.
de Oliveira, Maria Inês Couto; Boccolini, Cristiano Siqueira; Fonseca Sally, Enilce de Oliveira.
Afiliação
  • de Oliveira MIC; 28110 Department of Epidemiology and Biostatistics, Institute of Collective Health, Fluminense Federal University (UFF), Rua Marquês de Paraná, 303, 3rd floor, Centro, Niterói, Rio de Janeiro, Brazil.
  • Boccolini CS; 37903 Health Information Laboratory, Institute of Scientific and Technological Communication and Information in Health (ICICT), Oswaldo Cruz Foundation (FIOCRUZ).
  • Fonseca Sally EO; 28110 Social Nutrition Department, Faculty of Nutrition, Fluminense Federal University (UFF).
J Hum Lact ; 37(1): 158-168, 2021 Feb.
Article em En | MEDLINE | ID: mdl-33351692
BACKGROUND: Aiming to protect breastfeeding, the World Health Organization released the International Code of Marketing of Breastmilk Substitutes in 1981, which was adopted by the vast majority of the 118 member countries, including Brazil. The Brazilian Code regulates the marketing of infant formulas, baby bottles, teats, pacifiers, milk, and processed complementary food. RESEARCH AIMS: (1) To determine if retail stores had violated the Brazilian Code and (2) to analyze factors associated with these violations. METHODS: This cross-sectional study included all drugstores, supermarkets, and department stores in the Southern Zone of Rio de Janeiro City, Brazil. Trained health professionals observed retail stores for marketed products and violations of the Brazilian Code and then interviewed their managers. Factors associated with the retail stores violating the Brazilian Code (outcome) were analyzed, employing a logistic regression model with 95% Confidence Interval. RESULTS: Of the retail stores (N = 349) evaluated, 62.8% violated the Brazilian Code, ranging from 1 to 37 violations per retail store. The most common promotion strategies were price discounts and special displays. Retail stores being part of a chain store (aOR = 4.59) and their manager receiving visits from industry business representatives (aOR = 2.14) were associated with the presence of violations. CONCLUSIONS: The prevalence of Brazilian Code violations was high, especially in chain stores. The association between regular visits by industry representatives and violations suggests an indirect influence of manufacturers on the promotion of human milk substitutes. We recommend strengthening compliance with the Brazilian Code through calling on governmental surveillance agencies and civil society mobilization.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Leite Humano Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Hum Lact Assunto da revista: ENFERMAGEM / OBSTETRICIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Leite Humano Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Hum Lact Assunto da revista: ENFERMAGEM / OBSTETRICIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos