{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:50:18Z","timestamp":1777852218024,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T00:00:00Z","timestamp":1547769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In Italy, there is no widespread standardized national monitoring system for breastfeeding practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aims:<\/jats:title>\n                    <jats:p>To estimate breastfeeding indicators according to World Health Organization recommendations and associated socioeconomic factors, highlighting the potential and limitations of vaccination centers as sources of data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in the vaccination centers of 13 Local Health Districts in Italy. Data on breastfeeding practices were collected via structured questionnaires between February and November, 2015, from 14,191 mothers recruited during vaccination appointments for the 1st, 2nd and 3rd doses against Diphtheria, Tetanus, and Pertussis, and for the 1st dose against Measles, Mumps, and Rubella. Crude breastfeeding rates and direct age standardized rates were compared. Logistic regression models were used to explore socio-demographic characteristics associated with breastfeeding indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 14,191 mothers were recruited, with a response rate higher than 94%. Exclusive breastfeeding rates among children aged 2\u20133 months and 4\u20135 months were 44.4% and 25.8%, respectively; breastfeeding rates among children aged 11\u201312 and 13\u201315 months were 34.2% and 24.9%; 10.4% never breastfed. Strong geographical and socioeconomic differences were found. Some differences also emerged between crude and standardized rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We conclude that a survey system in vaccination centers is practicable and its use could produce, with standardized methodology, representative regional and national breastfeeding estimates that could monitor progress towards present and future targets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418823539","type":"journal-article","created":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T14:47:01Z","timestamp":1547822821000},"page":"774-781","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Breastfeeding Prevalence at Time of Vaccination: Results of a Pilot Study in 6 Italian Regions"],"prefix":"10.1177","volume":"35","author":[{"given":"Laura","family":"Lauria","sequence":"first","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Spinelli","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Buoncristiano","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Bucciarelli","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrica","family":"Pizzi","sequence":"additional","affiliation":[{"name":"National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980015001767"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980009991844"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/080352500750029130"},{"key":"e_1_3_3_5_1","article-title":"Disposizioni urgenti in materia di prevenzione vaccinale [Urgent provisions on vaccine prevention] (17G00095)","author":"Decreto-legge 07 giugno","year":"2017","unstructured":"Decreto-legge 07 giugno 2017, n. 73. Disposizioni urgenti in materia di prevenzione vaccinale [Urgent provisions on vaccine prevention] (17G00095). G.U. Serie Generale, n. 130 del 07 giugno 2017.","journal-title":"G.U. Serie Generale"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/s136898001700074x"},{"key":"e_1_3_3_7_1","volume-title":"European Commission, Directorate Public Health and Risk Assessment","author":"EU Project on Promotion of Breastfeeding in Europe","year":"2008","unstructured":"EU Project on Promotion of Breastfeeding in Europe. (2008). Protection, promotion and support of breastfeeding in Europe: A blueprint for action (revised). European Commission, Directorate Public Health and Risk Assessment, Luxembourg."},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2010.0021"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/08035250310009301"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334417693210"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2012.02.008"},{"key":"e_1_3_3_12_1","unstructured":"Italian National Institute of Statistics (ISTAT). (2013). Pregnancy childbirth and breastfeeding in Italy. Retrieved from http:\/\/www.istat.it\/en\/archive\/141520"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1180-9"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.4415\/ANN_16_03_18"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.4415\/ANN_13_02_12"},{"key":"e_1_3_3_16_1","unstructured":"Ministero della Salute. (2015). Allattamento al seno nelle strutture sanitarie in Italia. Report sulla survey nazionale 2014. Retrieved from http:\/\/www.salute.gov.it\/imgs\/C_17_pubblicazioni_2256_allegato.pdf"},{"key":"e_1_3_3_17_1","unstructured":"National Programme \u201cGenitoriPi\u00f9\u201d (2007\/2009). Retrieved from http:\/\/www.genitoripiu.it\/"},{"key":"e_1_3_3_18_1","article-title":"Intesa, ai sensi dell\u2019articolo 8, comma 6 della legge 5 giugno 2003, n. 131, sulla proposta del Ministero della salute concernente il Piano nazionale per la prevenzione per gli anni 2014\u20132018","author":"Presidenza del Consiglio dei Ministri","year":"2014","unstructured":"Presidenza del Consiglio dei Ministri. (2014). Intesa, ai sensi dell\u2019articolo 8, comma 6 della legge 5 giugno 2003, n. 131, sulla proposta del Ministero della salute concernente il Piano nazionale per la prevenzione per gli anni 2014\u20132018. (Rep. Atti n.156\/CSR del 13 novembre 2014).","journal-title":"Rep. 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