{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:01:38Z","timestamp":1753887698474,"version":"3.41.2"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"10","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: Buscou-se, com este estudo, verificar a associa\u00e7\u00e3o entre valores do produto interno bruto em paridade do poder de compra (PIB PPC) e escores da ferramenta World Breastfeeding Trends Initiative (WBTi). Estudo ecol\u00f3gico realizado com 98 pa\u00edses de renda baixa (n = 43), m\u00e9dia (n = 27) e alta (n = 28). A avalia\u00e7\u00e3o das a\u00e7\u00f5es pr\u00f3-aleitamento materno foram obtidas da WBTi e o PIB PPC do Banco Mundial. Foram estimados m\u00e9dia e desvio padr\u00e3o (DP) das pontua\u00e7\u00f5es total e de cada item da WBTi. Foram usados o teste ANOVA e o teste de Tukey para comparar as m\u00e9dias da ferramenta WBTi segundo o PIB PPC dos pa\u00edses. A associa\u00e7\u00e3o entre PIB PPC e as pontua\u00e7\u00f5es total e de cada item da WBTi foi analisada por regress\u00e3o linear. Maiores pontua\u00e7\u00f5es da WBTi foram identificadas para os itens de sistemas de cuidado de sa\u00fade e nutri\u00e7\u00e3o (item 5: m\u00e9dia = 6,4; DP: \u00b12,0) e suporte de informa\u00e7\u00f5es v\u00e1lidas (item 7: m\u00e9dia = 6,4; DP: \u00b12,5). As m\u00e9dias da pontua\u00e7\u00e3o total e dos itens 3 (implementa\u00e7\u00e3o do c\u00f3digo), 7 (suporte de informa\u00e7\u00f5es v\u00e1lidas), 9 (aleitamento materno em emerg\u00eancias) e 10 (monitoramento e avalia\u00e7\u00e3o) foram superiores nos pa\u00edses de baixa e m\u00e9dia renda e do item 4 (licen\u00e7a maternidade) nos pa\u00edses de alta renda (p &lt; 0,05). Observamos associa\u00e7\u00e3o negativa entre PIB PPC e pontua\u00e7\u00e3o total da ferramenta (\u03b2 = -2,67; IC95%: -5,06; -0,29), item 3 (\u03b2 = -0,50; IC95%: -0,91; -0,08), item 7 (\u03b2 = -0,67; IC95%: -1,07; -0,27), item 8 (aleitamento materno e HIV; \u03b2 = -0,59; IC95%: -1,07; -0,11) e item 9 (\u03b2 = -0,91; IC95%: -1,34; -0,48). Observamos associa\u00e7\u00e3o positiva entre PIB PPC e o item 4 (prote\u00e7\u00e3o \u00e0 maternidade; \u03b2 = 0,63; IC95%: 0,24; 1,02). Pa\u00edses com menor PIB PPC apresentaram maiores pontua\u00e7\u00f5es da ferramenta, com exce\u00e7\u00e3o da prote\u00e7\u00e3o \u00e0 maternidade que apresentou maior pontua\u00e7\u00e3o em pa\u00edses com maior PIB PPC.<\/jats:p>","DOI":"10.1590\/0102-311xpt007024","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T11:07:16Z","timestamp":1732273636000},"source":"Crossref","is-referenced-by-count":0,"title":["Pa\u00edses mais pobres t\u00eam mais a\u00e7\u00f5es pr\u00f3-aleitamento materno que pa\u00edses ricos: estudo ecol\u00f3gico de 98 pa\u00edses"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8537-2529","authenticated-orcid":false,"given":"Camila Abadia Rodrigues","family":"Meira","sequence":"first","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6189-4429","authenticated-orcid":false,"given":"Catarina Machado","family":"Azeredo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Vi\u00e7osa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0154-554X","authenticated-orcid":false,"given":"Ana Elisa Madalena","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/S0140-6736(22)01932-8","article-title":"Breastfeeding crucially important, but increasingly challenged in a market-driven world","volume":"401","author":"P\u00e9rez-Escamilla 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Nutr"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1057\/s41271-023-00395-9","article-title":"Translating results into action the global impact of the World Breastfeeding Trends Initiative","volume":"44","author":"Umbelino-Walker I","year":"2023","journal-title":"J Public Health Policy"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/S0140-6736(17)32163-3","article-title":"Breastfeeding: a missed opportunity for global health.","volume":"390","year":"2017","journal-title":"Lancet"},{"series-title":"Marketing of breast-milk substitutes: national implementation of the international code, status report 2022.","key":"ref15"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/S0140-6736(22)01931-6","article-title":"Marketing of commercial milk formula a system to capture parents, communities, science, and policy","volume":"401","author":"Rollins N","year":"2023","journal-title":"Lancet"},{"series-title":"Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services.","key":"ref17"},{"series-title":"In emergencies, breastfeeding keeps babies alive.","key":"ref18"},{"series-title":"Operational Guidance on Infant Feeding in Emergencies (OG-IFE) version 3.0.","key":"ref19"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"4985","DOI":"10.1017\/S1368980020005145","article-title":"Sociodemographic, health and pro-breast-feeding policies and programmes associated with breast-feeding duration in Latin American countries","volume":"24","author":"Lamounier DMB","year":"2021","journal-title":"Public Health Nutr"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1057\/s41599-022-01270-w","article-title":"The effect of leave policies on increasing fertility a systematic review","volume":"9","author":"Thomas J","year":"2022","journal-title":"Humanit Soc Sci Commun"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Poorer countries have more pro-breastfeeding actions than rich countries: ecological study of 98 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