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aleitamento materno exclusivo &#40;AME&#41; em menores de seis meses&#58; amamenta&#231;&#227;o continuada at&#233; um ano e amamenta&#231;&#227;o continuada at&#233; dois anos&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Provavelmente como respostas aos consensos e &#224;s a&#231;&#245;es de ag&#234;ncias internacionais e da ades&#227;o de governos e movimentos da pr&#243;pria sociedade em v&#225;rios pa&#237;ses&#44; o Unicef &#40;2016&#41; descreve not&#225;veis avan&#231;os nas pr&#225;ticas de aleitamento materno em escala mundial&#44; exemplifica&#8208;se com a ocorr&#234;ncia de 44&#37; de AM na primeira hora de vida&#44; enquanto o AME em menores de seis meses situava&#8208;se em 39&#37; e a continuidade do aleitamento at&#233; os dois anos alcan&#231;ava 49&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> No Brasil&#44; esse cen&#225;rio n&#227;o &#233; diferente&#44; a exce&#231;&#227;o da amamenta&#231;&#227;o continuada at&#233; os dois anos &#40;26&#37;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> No Nordeste brasileiro&#44; o AME em menores de seis meses seria de 37&#37; e na cidade do Recife &#40;PE&#41; de 38&#44;3&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">9</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Esses quadros descritivos s&#227;o muitas vezes discrepantes&#44; dificultam as infer&#234;ncias comparativas para a defini&#231;&#227;o de linhas de base e tend&#234;ncias temporais&#44; geogr&#225;ficas e sociais&#46; Tais inconsist&#234;ncias resultam de diferentes formas de coleta&#44; an&#225;lise e apresenta&#231;&#227;o de resultados&#46; Assim&#44; a preval&#234;ncia do AME&#44; isoladamente o indicador mais importante do comportamento da amamenta&#231;&#227;o&#44; ora &#233; medida em menores de seis meses<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">8&#44;9</span></a> e em outros casos em crian&#231;as com seis meses&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">10</span></a> Essa observa&#231;&#227;o vale&#44; por si s&#243;&#44; como justificativa de se aplicarem fundamentos conceituais e constru&#231;&#227;o de indicadores padronizados&#44; confi&#225;veis e compar&#225;veis&#44; no tempo&#44; espa&#231;o e em rela&#231;&#227;o &#224;s popula&#231;&#245;es avaliadas&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Sob o aspecto anal&#237;tico&#44; v&#225;rios fatores podem exercer efeitos diferenciados na pr&#225;tica do AM&#44; como a cultura da popula&#231;&#227;o&#44; a organiza&#231;&#227;o social e pol&#237;tica e suas condi&#231;&#245;es econ&#244;micas e ambientais&#44; entre outros&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;9&#44;11&#8211;17</span></a> Relata&#8208;se que pa&#237;ses mais ricos t&#234;m menor dura&#231;&#227;o do AME&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> Uma melhor condi&#231;&#227;o de renda geralmente se associa a um n&#237;vel materno educacional mais elevado&#44; condi&#231;&#227;o que pode facilitar o acesso &#224;s informa&#231;&#245;es sobre a pr&#225;tica da amamenta&#231;&#227;o&#46; Por outro lado&#44; m&#227;es com renda familiar mais baixa e&#47;ou ocupa&#231;&#227;o informal necessitam contribuir para o or&#231;amento familiar&#44; o que dificulta a amamenta&#231;&#227;o<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;13</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Ademais&#44; em ambientes socioecon&#244;micos mais pobres&#44; como as favelas&#44; as crian&#231;as s&#227;o mais expostas a agentes causadores de doen&#231;as<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> Nesse contexto&#44; o AM&#44; principalmente o exclusivo&#44; com suas propriedades protetoras&#44; torna&#8208;se fundamental para o desenvolvimento saud&#225;vel dessas crian&#231;as<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">1&#8211;5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">&#201; pertinente considerar que&#44; pela express&#227;o demogr&#225;fica dos aglomerados urbanos subnormais no Brasil &#40;mais de 11 milh&#245;es de pessoas&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">18</span></a> e pela escassez e inconsist&#234;ncia de estudos aplicados para esses ecossistemas urbanos&#44; torna&#8208;se importante estimar a preval&#234;ncia dos indicadores para as pr&#225;ticas alimentares relacionadas ao AM e identificar fatores associados ao AME aos seis meses de vida&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Considerando o interesse anal&#237;tico&#44; a pesquisa prop&#245;e verificar a hip&#243;tese de que m&#227;es e crian&#231;as que atendem ao requisito do AME aos seis meses se diferenciam por fatores diversos&#44; a exemplo do sexo da crian&#231;a&#44; da idade e escolaridade materna&#44; tipo de moradia&#44; assist&#234;ncia pr&#233;&#8208;natal&#44; tipo de parto&#44; visita domiciliar e o uso de chupeta dos casos que n&#227;o conseguem chegar &#224; meta proposta pelas Na&#231;&#245;es Unidas&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0045" class="elsevierStylePara elsevierViewall">Estudo transversal&#44; anal&#237;tico&#44; baseado no banco de dados da pesquisa &#8220;Desenvolvimento infantil em um aglomerado urbano subnormal &#40;favela&#41; do Recife&#44; PE&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">19</span></a> Esta pesquisa foi feita como extens&#227;o e atualiza&#231;&#227;o de um inqu&#233;rito <span class="elsevierStyleItalic">baseline</span> em uma popula&#231;&#227;o favelada&#44; na qual se implantou pioneiramente no Brasil a proposta de institui&#231;&#227;o formal de Aten&#231;&#227;o Prim&#225;ria de Sa&#250;de &#40;APS&#41;&#44; na j&#225; tradicional comunidade dos Coelhos&#46; O estudo foi de car&#225;ter censit&#225;rio&#44; com a coleta de dados de todas as crian&#231;as de 0 a 36 meses cadastradas nas duas unidades de sa&#250;de vinculadas &#224; ESF&#46; Foi instrumentalizado mediante entrevista nos domic&#237;lios com as m&#227;es das crian&#231;as ou seus respons&#225;veis legais&#46; Excepcionalmente&#44; algumas m&#227;es foram entrevistadas nas unidades b&#225;sicas de sa&#250;de seja por situa&#231;&#245;es de risco ou por motivo de trabalho&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Embora o estudo tenha sido censit&#225;rio&#44; uma an&#225;lise <span class="elsevierStyleItalic">a posteriori</span> foi feita para calcular se a amostra coletada teve poder suficiente para identificar associa&#231;&#227;o entre as vari&#225;veis &#8220;recebeu visita domiciliar na primeira semana de vida&#8221; &#40;poder de 93&#44;3&#37;&#41;&#44; do &#8220;uso da chupeta&#8221; &#40;poder de 99&#44;9&#37;&#41;&#44; &#8220;idade maternal&#8221;&#44; na compara&#231;&#227;o da faixa et&#225;ria de <span class="elsevierStyleUnderline">&#62;</span> 36 anos com 13&#8208;19 anos &#40;poder de 74&#37;&#41;&#44; e o &#8220;sexo&#8221;&#44; com poder de 36&#44;7&#37;&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Para caracteriza&#231;&#227;o dos indicadores e c&#225;lculo de suas preval&#234;ncias para o estudo das pr&#225;ticas alimentares relacionadas ao AME aos seis meses de crian&#231;as menores de tr&#234;s anos&#44; foram consideradas as recomenda&#231;&#245;es da OMS&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">20</span></a> Assim&#44; a inicia&#231;&#227;o precoce da amamenta&#231;&#227;o corresponde &#224; propor&#231;&#227;o de crian&#231;as nascidas nos &#250;ltimos 24 meses anteriores &#224; entrevista que foram amamentadas na primeira hora de vida&#59; o AME em menores de seis meses&#44; representa a propor&#231;&#227;o de crian&#231;as de 0&#8208;5 meses que estavam no momento da entrevista em AME&#44; baseada na alimenta&#231;&#227;o da crian&#231;a durante as 24 horas anteriores &#224; entrevista&#59; amamenta&#231;&#227;o continuada at&#233; um ano&#44; definida como a propor&#231;&#227;o de crian&#231;as de 12&#8208;15 meses que era&#44; amamentadas&#59; e amamenta&#231;&#227;o continuada at&#233; os dois anos&#44; entendida como a propor&#231;&#227;o de crian&#231;as de 20&#8208;23 meses que eram amamentadas no tempo demarcado para a entrevista&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A vari&#225;vel desfecho do estudo foi o AME aos seis meses&#44; enquanto as vari&#225;veis explanat&#243;rias foram agrupadas em&#58; sociodemogr&#225;ficas&#44; obst&#233;tricas e biol&#243;gicas das crian&#231;as&#59; visita domiciliar da enfermeira junto com agente comunit&#225;rio de sa&#250;de na primeira semana de vida e informa&#231;&#245;es sobre o uso de chupeta &#40;h&#225;bito de suc&#231;&#227;o n&#227;o nutritiva oferecido &#224; crian&#231;a todo tempo ou para acalmar o beb&#234;&#41;&#46; Foram comparadas crian&#231;as que nunca usaram chupeta com crian&#231;as que haviam usado&#46; A condi&#231;&#227;o social foi avaliada segundo o modelo da Associa&#231;&#227;o Brasileira de Empresas de Pesquisa &#8211; Abep&#44; 2014&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">21</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Para a an&#225;lise estat&#237;stica dos dados&#44; foi usado o programa Stata 12&#46;1&#46; Foram calculados valores absolutos e relativos da popula&#231;&#227;o avaliada&#44; suas caracter&#237;sticas e distribui&#231;&#245;es das vari&#225;veis de interesse mediante medidas de tend&#234;ncia central e de dispers&#227;o&#46; Foi usada a Correla&#231;&#227;o de Spearman para avaliar a rela&#231;&#227;o entre o in&#237;cio do uso da chupeta e a dura&#231;&#227;o do AM&#46; Para identificar os fatores associados ao AME aos seis meses foi feita inicialmente a regress&#227;o univariada de Poisson&#44; estimaram&#8208;se as raz&#245;es de preval&#234;ncia &#40;RP&#41; brutas e os respectivos intervalos de confian&#231;a &#40;IC&#41; de 95&#37;&#46; Nessa etapa&#44; as vari&#225;veis que apresentaram valor p &#60; 0&#44;20 foram selecionadas para ingressar na an&#225;lise multivariada&#44; estimaram&#8208;se as RP ajustadas e IC de 95&#37;&#46; Para as an&#225;lises da signific&#226;ncia estat&#237;stica no modelo final foi considerado o valor p &#60; 5&#37;&#46; O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa&#44; formalizado no protocolo CAEE&#58; 54705416&#46;0&#46;00005220&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0070" class="elsevierStylePara elsevierViewall">Foram estudadas 310 crian&#231;as em duas unidades b&#225;sicas de sa&#250;de vinculadas &#224; ESF&#58; Coelhos I&#44; com 111 crian&#231;as &#40;35&#44;8&#37;&#41; e Coelhos II&#44; com 199 crian&#231;as &#40;64&#44;2&#37;&#41;&#44; a mediana de dura&#231;&#227;o total da amamenta&#231;&#227;o nas duas unidades foi de 182 dias&#44; com uma varia&#231;&#227;o interquartil de 89&#8208;464 dias&#44; enquanto a mediana de AME foi de 91 dias limitados pelo primeiro e terceiro quartis P25 e P75 &#40;45&#8208;182 dias&#41;&#46; Foi referido o uso de chupeta em 147 crian&#231;as &#40;47&#44;4&#37;&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Quanto &#224; preval&#234;ncia dos indicadores de amamenta&#231;&#227;o&#44; o AM na primeira hora de vida foi de 60&#44;2&#37;&#44; AME em menores de seis meses correspondeu a 46&#44;3&#37;&#44; a continuidade da amamenta&#231;&#227;o at&#233; um ano de vida foi de 45&#44;9&#37; e at&#233; os dois anos de 35&#44;9&#37;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> apresenta a rela&#231;&#227;o entre o in&#237;cio do uso da chupeta e a dura&#231;&#227;o do AM&#46; Observa&#8208;se na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>A uma rela&#231;&#227;o monot&#244;nica crescente e significante entre o tempo de in&#237;cio da chupeta e dura&#231;&#227;o do AME &#40;Coeficiente de Correla&#231;&#227;o de Spearman&#58; r &#61; 0&#44;51&#59; p &#60; 0&#44;001&#41;&#46; Na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>B observa&#8208;se tamb&#233;m uma rela&#231;&#227;o monot&#244;nica crescente significante entre o tempo do in&#237;cio do uso da chupeta e dura&#231;&#227;o do aleitamento&#44; independentemente do tipo de amamenta&#231;&#227;o &#40;Coeficiente de Correla&#231;&#227;o de Spearman&#58; r &#61; 0&#44;35&#59; p &#60; 0&#44;001&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Das 310 crian&#231;as do estudo&#44; 236 &#40;76&#44;1&#37;&#41; tinham idade maior ou igual a seis meses e dessas&#44; exclusive as que nunca mamaram &#40;12&#41; e cinco das quais n&#227;o existiam informa&#231;&#245;es sobre o AME&#44; 219 finalizaram o inqu&#233;rito&#44; com preval&#234;ncia do AME aos seis meses de 32&#44;9&#37; &#40;72&#47;219 crian&#231;as&#41;&#46; Foi nesse contingente amostral que se estudou a poss&#237;vel associa&#231;&#227;o de fatores com o AME&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a> apresenta as an&#225;lises univariadas para a condi&#231;&#227;o do AME aos seis meses&#44; segundo vari&#225;veis sociodemogr&#225;ficas maternas e condi&#231;&#245;es de moradia das fam&#237;lias e crian&#231;as de seis meses ou mais&#44; totalizaram 11 vari&#225;veis &#40;tempo de moradia na comunidade&#44; idade materna&#44; etnia&#44; situa&#231;&#227;o conjugal&#44; trabalho materno&#44; instru&#231;&#227;o materna&#44; classe social&#44; casa pr&#243;pria&#44; tipo de moradia&#44; abastecimento de &#225;gua pela rede geral com canaliza&#231;&#227;o interna e destino dos dejetos&#41;&#46; Verifica&#8208;se que apenas a idade materna &#40;36 anos e mais&#41; se relacionou estatisticamente &#40;p &#60; 0&#44;0033&#41; com o AME&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a> apresenta as an&#225;lises univariadas para a condi&#231;&#227;o do AME aos seis meses&#44; segundo antecedentes obst&#233;tricos e outras vari&#225;veis maternas&#44; biol&#243;gicas da crian&#231;a&#44; visita domiciliar na primeira semana de vida&#44; informa&#231;&#245;es sobre o AM e uso de chupeta nas crian&#231;as com seis meses ou mais&#44; total de 11 vari&#225;veis devidamente especificadas&#46; Demonstra&#8208;se na tabela que apenas a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;0043&#41; foi estatisticamente associada como fator de prote&#231;&#227;o do AME&#44; enquanto o uso de chupeta comportou&#8208;se como fator de risco para a menor preval&#234;ncia do AME&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">Do agrupamento de 22 vari&#225;veis&#44; nove apresentaram valores de p &#60; 20 nas an&#225;lises univariadas &#40;tempo de moradia na comunidade&#44; idade materna&#44; tipo de moradia&#44; destino de dejetos&#44; in&#237;cio do pr&#233;&#8208;natal no 1&#176; trimestre&#44; tipo de parto&#44; sexo&#44; visita domiciliar na primeira semana de vida e uso da chupeta&#41;&#44; habilitaram&#8208;se&#44; assim&#44; a ingressar na an&#225;lise multivariada&#46; Nessa etapa da an&#225;lise&#44; permaneceram no modelo final a idade materna &#40;p &#61; 0&#44;0005&#41;&#44; o sexo da crian&#231;a &#40;p &#61; 0&#44;029&#41;&#44; a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;003&#41; e o uso de chupeta &#40;p &#60; 0&#44;0001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0105" class="elsevierStylePara elsevierViewall">Aborda&#8208;se a quest&#227;o relevante e universal do AM sob tr&#234;s aspectos em grande parte inovadores&#58; o enfoque hol&#237;stico&#44; a aplica&#231;&#227;o dessa abordagem num ecossistema socioambiental bem peculiar e&#44; por fim&#44; a sistematiza&#231;&#227;o de conceitos e indicadores padronizados pela OMS&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">20</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Ao envolver o universo de crian&#231;as de at&#233; 36 meses residentes numa &#225;rea favelada do Nordeste&#44; o estudo possibilita&#44; pioneiramente no pa&#237;s&#44; descrever e analisar a preval&#234;ncia e as tipologias do AM em um ecossistema de marcante vulnerabilidade socioambiental&#44; agora formalmente chamado de aglomerado urbano subnormal&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">18</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Face &#224; escassez e limita&#231;&#227;o de outros estudos&#44; este trabalho pode ser considerado como <span class="elsevierStyleItalic">baseline</span> para um projeto de coorte na comunidade analisada e como um poss&#237;vel referencial para eventuais investiga&#231;&#245;es epidemiol&#243;gicas em &#225;reas suburbanas semelhantes&#44; consolida e aperfei&#231;oa a APS em novas bases&#44; com compreens&#227;o integral do processo sa&#250;de&#47;doen&#231;a como express&#227;o do desenvolvimento humano&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">22</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Se deslocarmos a perspectiva de compara&#231;&#227;o para outras inst&#226;ncias de avalia&#231;&#227;o&#44; &#233; interessante observar que a preval&#234;ncia de 60&#44;2&#37; de amamenta&#231;&#227;o na primeira hora de vida j&#225; &#233; bem superior aos n&#237;veis mundiais de 44&#37; divulgados pelo Unicef &#40;2016&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> acha&#8208;se bem pr&#243;xima aos dados do Brasil &#40;68&#37;&#41; e da cidade do Recife &#40;67&#37;&#41;&#44; o mesmo acontece em rela&#231;&#227;o ao AME em menores de seis meses no Nordeste &#40;37&#44;0&#37; e Recife &#40;38&#44;3&#37;&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> enquanto na Comunidade dos Coelhos foi de 46&#44;3&#37;&#46; Pode&#8208;se interpretar como surpreendente a preval&#234;ncia elevada do AME aos seis meses &#40;32&#37;&#41;&#44; quando no Brasil a II Pesquisa de Preval&#234;ncia do AM nas Capitais encontrou uma preval&#234;ncia de 9&#44;3&#37; para o pa&#237;s&#44; 8&#44;4&#37; para o Nordeste e 6&#44;1&#37; para o Recife&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">9</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">&#201; muito prov&#225;vel que diferen&#231;as de resultados&#44; como se exemplifica com os valores de medianas do AM nos Coelhos em rela&#231;&#227;o aos dados de capitais brasileiras&#44; possam ser atribu&#237;das &#224; admiss&#227;o de que seria question&#225;vel que resultados de um aglomerado urbano considerado subnormal &#40;ou at&#237;pico&#41; sejam comparativamente referenciados com dados nacionais&#44; regionais e mesmo estaduais&#44; quando implicam popula&#231;&#245;es distintas&#44; tempos distintos&#44; m&#233;todos distintos de coleta e an&#225;lise dos dados bem diferenciados<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">10</span></a> e&#44; sobretudo&#44; hist&#243;rico de assist&#234;ncia &#224; sa&#250;de&#44; bem caracter&#237;stica em rela&#231;&#227;o ao aleitamento materno&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">23</span></a> &#201; bem prov&#225;vel que esse seja o grande foco de diferen&#231;as para mais ou para menos entre os estudos&#46; Neste caso&#44; os nossos resultados de 182 dias&#44; cuidadosamente revalidados&#44; parecem robustos e aceit&#225;veis para a popula&#231;&#227;o estudada&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">&#201; bem poss&#237;vel que a participa&#231;&#227;o intensiva da ESF mediante a&#231;&#245;es j&#225; bem consolidadas na comunidade&#44; o antigo Programa de Agentes Comunit&#225;rios de Sa&#250;de &#40;PACS&#41;&#44; depois convertido em Programa de Sa&#250;de da Fam&#237;lia &#40;PSF&#41; que compreende uma hist&#243;ria de 45 anos&#44; quando se fez a avalia&#231;&#227;o&#44; aqui relatada&#44; j&#225; tenha um papel marcante nesses resultados&#46; Trata&#8208;se de uma experi&#234;ncia pioneira no Brasil&#44; implantada na Comunidade dos Coelhos com o apoio das Na&#231;&#245;es Unidas &#40;Unicef&#41; logo ap&#243;s a Confer&#234;ncia Internacional de Alma Acta &#40;1978&#41; na R&#250;ssia&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">23</span></a> com a proposta de universaliza&#231;&#227;o da APS como estrat&#233;gia para expandir a cobertura das a&#231;&#245;es b&#225;sicas de sa&#250;de para todos os pa&#237;ses e espa&#231;os territoriais n&#227;o assistidos pelo modelo tradicional de servi&#231;os p&#250;blicos ou privados&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Ademais&#44; a comunidade dos Coelhos &#233; benefici&#225;ria do primeiro Hospital Amigo da Crian&#231;a do Brasil&#44; com um ambulat&#243;rio de livre demanda para promo&#231;&#227;o&#44; prote&#231;&#227;o e apoio ao AM&#44; bem como atendimento de problemas precoces e tardios da mama puerperal operacionalizado no Banco de Leite Humano do referido hospital e que tem servido de modelo para outros servi&#231;os no Brasil e na Am&#233;rica Latina&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">&#201; evidente que resta ainda um grande espa&#231;o a ser conquistado em rela&#231;&#227;o aos indicadores do processo de AM na comunidade avaliada&#44; admite&#8208;se como meta desej&#225;vel e poss&#237;vel o atingimento de 80&#37; do AME em menores de seis meses&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">7</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">A an&#225;lise de fatores isolados&#44; e sobretudo combinados num evento de natureza complexa que podem se relacionar com o principal desfecho do estudo &#40;o AME aos seis meses&#41;&#44; constitui obviamente uma tarefa complicada&#44; notadamente para avalia&#231;&#245;es quantitativas&#44; quando&#44; muitas vezes&#44; as causas s&#243; podem ser entendidas pela an&#225;lise qualitativa&#46;<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">15&#44;16</span></a> &#201; essa uma limita&#231;&#227;o que j&#225; fica explicitada&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">No entanto&#44; torna&#8208;se ilustrativo considerar que dos 22 blocos de vari&#225;veis avaliadas&#44; nove foram preliminarmente admitidos no <span class="elsevierStyleItalic">screening</span> estat&#237;stico &#40;p &#60; 0&#44;20&#41; para ingressar no processo de ajustamento de an&#225;lise multivariada&#46; Nessa etapa&#44; que define a constru&#231;&#227;o do modelo final&#44; quatro fatores se mantiveram no painel &#8220;explicativo&#8221;&#44; como pr&#243;s na determina&#231;&#227;o das hip&#243;teses estatisticamente validadas&#58; a idade das m&#227;es acima de 36 anos&#44; a visita domiciliar na primeira semana de vida dos agentes de sa&#250;de junto com a enfermeira&#44; o sexo masculino das crian&#231;as e o n&#227;o uso de chupetas&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">H&#225;&#44; evidentemente&#44; uma obviedade b&#225;sica nestas observa&#231;&#245;es anal&#237;ticas&#46; &#201; muito prov&#225;vel que &#224;s m&#227;es de maior idade tenham acumulado uma experi&#234;ncia pr&#233;via mais convincente&#44; seja por conta de gesta&#231;&#245;es anteriores seja pela pr&#243;pria receptividade &#224;s rela&#231;&#245;es formais dos servi&#231;os de sa&#250;de nos quais foram assistidas no pr&#233;&#8208;natal&#44; parto e puerp&#233;rio&#46; J&#225; m&#227;es adolescentes ou simplesmente jovens&#44; quase sempre com baixa ou nula paridade&#44; enfrentam com maior inseguran&#231;a as demandas da gesta&#231;&#227;o&#44; inclusive a disposi&#231;&#227;o para a alimenta&#231;&#227;o ao seio&#46; A literatura nacional<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">24</span></a> e internacional<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">25</span></a> registra esse comportamento&#44; que se torna impactante no caso do Brasil e de muitos pa&#237;ses&#44; pela observa&#231;&#227;o de que natalidade est&#225; concentrada em mulheres menores de 25 anos&#44; muitas das quais adolescentes&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">26</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">A evid&#234;ncia de que o desmame precoce possa variar de acordo com o sexo da crian&#231;a&#44;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">9&#44;14&#44;15&#44;17&#44;27</span></a> que leva em considera&#231;&#227;o ser o sexo feminino beneficiado do AME&#44;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">9&#44;14&#44;15</span></a> pode advir do ju&#237;zo de que&#44; como os meninos s&#227;o biologicamente &#8220;mais fortes&#8221;&#44; devem receber um &#8220;leite tamb&#233;m mais forte&#8221;&#8217;&#44; percebido erroneamente por algumas m&#227;es como o leite de vaca&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">15</span></a> No nosso estudo&#44; sobressaiu&#8208;se o AME para o sexo masculino&#44; o que pode ser explicado pela teoria de Trivers&#8208;Willard<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a> como princ&#237;pios na sele&#231;&#227;o natural&#44; de car&#225;ter teleol&#243;gico&#44; enunciada em 1973&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a> Assim&#44; o investimento parental desigual entre filhas e filhos derivaria das condi&#231;&#245;es socioecon&#244;micas maternas e o potencial reprodutivo de sua prole&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Ao contr&#225;rio da hip&#243;tese de Trivers&#8208;Willard&#44; de que as m&#227;es de melhores condi&#231;&#245;es sociais investem mais nos filhos&#44; enquanto aquelas em condi&#231;&#245;es mais adversas optariam pelas filhas&#44; e a comprova&#231;&#227;o de Fujita et al&#46; em 2012<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">16</span></a> em comunidades agropastoris do Qu&#234;nia&#44; &#233; poss&#237;vel que as prefer&#234;ncias de m&#227;es faveladas pela amamenta&#231;&#227;o dos filhos sejam uma conduta mais pr&#243;pria de popula&#231;&#245;es urbanas&#44; que t&#234;m caracter&#237;sticas bem peculiares&#44; n&#227;o valem para compara&#231;&#245;es com outros estudos&#46; Ademais&#44; pela homogeneidade da condi&#231;&#227;o de pobreza na favela avaliada&#44; n&#227;o se tem condi&#231;&#245;es de estabelecer contrastes socioecon&#244;micos bem distintos&#44; como no estudo de Fujita et al&#44;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">16</span></a> que tem como refer&#234;ncia a hip&#243;tese de Trivers&#8208;Willard&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">O uso de chupeta&#44; apesar de ser uma pr&#225;tica j&#225; documentada e considerada desestimulante &#224; amamenta&#231;&#227;o&#44;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">17</span></a> no nosso estudo foi amplamente aplivado &#40;47&#44;4&#37;&#41; e consistentemente associado ao desmame&#46; No entanto&#44; revis&#227;o sistem&#225;tica feita em 2016 para avaliar o efeito do uso restrito de chupeta <span class="elsevierStyleItalic">versus</span> uso livre sobre a pr&#225;tica do aleitamento materno em dois estudos com 1&#46;302 crian&#231;as saud&#225;veis e que haviam nascido a termo&#44; n&#227;o encontrou efeito significativo sobre a taxa de crian&#231;as em aleitamento materno exclusivo aos tr&#234;s meses e aos quatro meses de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">28</span></a> Vale ressaltar que&#44; diferentemente desta revis&#227;o sistem&#225;tica&#44; em nosso estudo foram comparadas crian&#231;as que nunca usaram chupeta com crian&#231;as que a haviam usado&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">J&#225; outra revis&#227;o sistem&#225;tica com metan&#225;lise feita em 2014 para investigar a associa&#231;&#227;o entre o uso da chupeta e a interrup&#231;&#227;o da amamenta&#231;&#227;o exclusiva nos primeiros seis meses&#44; que totalizou 46 estudos &#40;dois ensaios cl&#237;nicos&#44; 20 longitudinais e 24 transversais&#41;&#44; evidenciou que o uso da chupeta pode ser um fator significativo de risco para a interrup&#231;&#227;o precoce da amamenta&#231;&#227;o exclusiva&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">29</span></a> Esses resultados&#44; ainda conflitivos&#44; indicam que a quest&#227;o demanda mais aprofundamento&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Como limita&#231;&#227;o do nosso estudo&#44; podemos referir a poss&#237;vel falta de poder para algumas das associa&#231;&#245;es avaliadas&#46; Por outro lado&#44; &#233; importante ressaltar que foi um inqu&#233;rito censit&#225;rio&#44; e n&#227;o uma simples amostra que cobrisse a faixa et&#225;ria mais indicada para se fazerem estudos que requeiram o resgate de dados anteriores sobre o aleitamento materno&#44; por conta do vi&#233;s recordat&#243;rio que se acentua em idades mais elevadas das crian&#231;as&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Conclusivamente&#44; o estudo possibilitou observar que os diversos indicadores aplicados aos itens de classifica&#231;&#227;o das pr&#225;ticas de amamenta&#231;&#227;o nas crian&#231;as estudadas podem ser indicativos do processo recente de avan&#231;o vigente no pa&#237;s no campo do aleitamento materno&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;30</span></a> Ademais&#44; duas observa&#231;&#245;es anal&#237;ticas s&#227;o de consider&#225;vel import&#226;ncia&#44; uma de car&#225;ter positivo&#58; o papel da visita domiciliar na primeira semana de vida&#44; um cuidado que prevalece como fator de prote&#231;&#227;o do AME&#44; e que&#44; portanto&#44; deve ser valorizado como orienta&#231;&#227;o de forma sistem&#225;tica&#46;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">31</span></a> Outra condi&#231;&#227;o para sua influ&#234;ncia negativa &#40;o uso da chupeta&#41;&#44; que compromete a alimenta&#231;&#227;o ao peito&#44; representa uma pr&#225;tica tradicional que deve ser desestimulada&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">11</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financiamento</span><p id="par0195" class="elsevierStylePara elsevierViewall">Programa Nacional de P&#243;s&#8208;Doutorado &#40;PNPD&#41; da Coordena&#231;&#227;o de Aperfei&#231;oamento de Pessoal de N&#237;vel Superior &#40;Capes&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0200" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            0 => "Breastfeeding"
            1 => "Primary health care"
            2 => "Pacifiers"
            3 => "Cross&#8208;sectional studies"
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            0 => "Aleitamento materno"
            1 => "Aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de"
            2 => "Chupetas"
            3 => "Estudos transversais"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe and analyze indicators of feeding practices related to breastfeeding and factors associated with exclusive breastfeeding &#40;EBF&#41; in a subnormal urban cluster &#40;slums&#41; in Pernambuco&#44; Brazil&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Four breastfeeding indicators were used to interview mothers of children under 3 years of age&#46; An inventory of the families&#8217; socioeconomic and environmental factors&#44; maternal obstetric history&#44; and basic health care access was undertaken&#46; The sample consisted of all 310 children under the age of 3 years from Coelhos&#44; PE&#44; Brazil&#46; Spearman&#39;s correlation was carried out&#44; as well as crude and adjusted prevalence ratios for a final statistical model that showed associated factors with the main outcome at a level of 0&#46;05&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The prevalence of breastfeeding in the first hour of life&#44; exclusive breastfeeding up to 6 months&#44; continued breastfeeding at 1 year&#44; and continued breastfeeding at 2 years were 60&#46;2&#37;&#44; 32&#46;9&#37;&#44; 45&#46;9&#44; and 35&#46;9&#37;&#44; respectively&#46; A correlation was observed between start of pacifier use and duration of either exclusive &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleInf">s</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;358 &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#41; or non&#8208;exclusive breastfeeding &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleInf">s</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;248 &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;006&#93;&#41;&#46; Maternal age over 35 years &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; home visit in the first week after birth &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;003&#41;&#44; having had a male baby &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#41;&#44; and not using a pacifier &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; remained protective factors in the final model&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The prevalence rates of exclusive breastfeeding at 6 months were well above the results obtained by other Brazilian authors&#46; Home visit and maternal age prevailed as protective factors&#44; while pacifier use was shown to be a discouraging practice&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Descrever e analisar indicadores das pr&#225;ticas relacionadas ao aleitamento materno e fatores associados ao aleitamento materno exclusivo em um aglomerado urbano subnormal &#40;favela&#41; em Pernambuco&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram usados quatro indicadores do aleitamento materno mediante entrevista com as m&#227;es de menores de tr&#234;s anos&#46; Fez&#8208;se um invent&#225;rio de fatores socioambientais das fam&#237;lias&#44; antecedentes obst&#233;tricos e acesso &#224;s a&#231;&#245;es b&#225;sicas de sa&#250;de&#46; A amostra inclui todas as 310 crian&#231;as da Comunidade de Coelhos&#44; PE&#44; Brasil&#46; Feitas correla&#231;&#227;o de Spearman e raz&#245;es de preval&#234;ncias brutas e ajustadas que compuseram um modelo estat&#237;stico final que evidenciou os fatores associados ao principal desfecho ao n&#237;vel de 0&#44;05&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia do aleitamento materno na primeira hora de vida&#44; aleitamento materno exclusivo aos 6 meses&#44; amamenta&#231;&#227;o continuada at&#233; um ano e dois anos foram&#44; respectivamente&#44; 60&#44;2&#37;&#44; 32&#44;9&#37;&#44; 45&#44;9&#37; e 35&#44;9&#37;&#46; Na correla&#231;&#227;o entre o in&#237;cio do uso de chupeta e a dura&#231;&#227;o do aleitamento&#44; exclusivo ou n&#227;o&#44; obtiveram&#8208;se respectivamente os coeficientes r<span class="elsevierStyleInf">s</span> &#61; 0&#44;358 &#40;p &#60; 0&#44;001&#41; e r<span class="elsevierStyleInf">s</span> &#61; 0&#44;248 &#40;p &#61; 0&#44;006&#41;&#46; No modelo final permaneceram como fatores de prote&#231;&#227;o&#58; a idade materna acima de 35 anos &#40;p &#60; 0&#44;001&#41;&#44; a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;003&#41;&#44; o sexo masculino &#40;p &#61; 0&#44;029&#41; e o n&#227;o uso da chupeta &#40;p &#60; 0&#44;001&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Os &#237;ndices de preval&#234;ncia do aleitamento materno exclusivo aos 6 meses foram bem superiores aos resultados obtidos por outras pesquisas nacionais&#46; A visita domiciliar e a idade materna prevaleceram como fatores de prote&#231;&#227;o e o uso de chupeta como uma pr&#225;tica desestimulante&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0040">Como citar este artigo&#58; Silva VA&#44; Caminha MF&#44; Silva SL&#44; Serva VM&#44; Azevedo PT&#44; Batista Filho M&#46; Maternal breastfeeding&#58; indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy&#46; J Pediatr &#40;Rio J&#41;&#46; 2019&#59;95&#58;298&#8211;305&#46;</p>"
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        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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            "Alto" => 816
            "Ancho" => 2104
            "Tamanyo" => 111722
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o do tempo de in&#237;cio do uso da chupeta com a dura&#231;&#227;o do aleitamento materno exclusivo &#40;A&#41; e com a dura&#231;&#227;o total do aleitamento materno &#40;B&#41; em menores de tr&#234;s anos residentes em &#225;rea favelada do Nordeste brasileiro assistida pela Estrat&#233;gia Sa&#250;de da Fam&#237;lia &#40;ESF&#41;&#44; 2015&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
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            "identificador" => "at1"
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            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">AME&#44; aleitamento materno exclusivo&#59; RP&#44; raz&#227;o de preval&#234;ncia&#46;</p>"
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            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Amostra<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> N &#61; 219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">AME <span class="elsevierStyleUnderline">&#62;</span> 6 meses N &#61; 72 &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RP bruta &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Valor p<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tempo de moradia na Comunidade</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;0724&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 10 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#40;20&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57&#40;0&#44;31&#8208;1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>10 anos ou mais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">175&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#40;36&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Idade materna</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;0033&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>13 a 19 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#40;21&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;36&#40;0&#44;17&#8208;0&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20 a 35 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">164&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#40;31&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;54&#40;0&#44;35&#8208;0&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 36 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#40;59&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Ra&#231;a</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;6938&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Branca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#40;27&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;79&#40;0&#44;43&#8208;1&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Preta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Parda&#47;Amarela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99&#40;0&#44;64&#8208;1&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o conjugal</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3162&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Solteira&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#40;28&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;80&#40;0&#44;52&#8208;1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Casada&#47;companheiro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">148&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trabalho dom&#233;stico&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Carteira assinada&#47;Aut&#244;nomo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Outros<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Instru&#231;&#227;o materna</span></td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Classe Social</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">d</span></a></td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>B1 e B2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>C1&#44; C2&#44; DE&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Casa pr&#243;pria</span></td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">145&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">74&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">27&#40;36&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de Moradia</span></td><td class="td" title="\n
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                  \t\t\t\t">0&#44;1878&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Casa&#47;Apartamento&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">175&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">54&#40;30&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;75&#40;0&#44;49&#8208;1&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>C&#244;modo&#47;Barraco&#47;Palafita&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de consultas do pr&#233;&#8208;natal</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;4453&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;44&#40;0&#44;11&#8208;1&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>4 a 5 consultas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&#40;40&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>6 ou mais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">168&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#40;32&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;78&#40;0&#44;45&#8208;1&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">No pr&#233;&#8208;natal examinou a mama</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;5632&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">181&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#40;32&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;84&#40;0&#44;47&#8208;1&#44;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#40;38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">No pr&#233;&#8208;natal recebeu orienta&#231;&#227;o sobre o aleitamento materno</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3464&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">191&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">64&#40;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;54&#40;1&#44;15&#8208;1&#44;94&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de parto</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;1551&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Vaginal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">134&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">49&#40;36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ces&#225;reo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#40;27&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;74&#40;0&#44;49&#8208;1&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Prematuridade</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;2795&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;49&#40;1&#44;37&#8208;1&#44;78&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">207&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">70&#40;33&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;1178&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">111&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#40;37&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#40;27&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;73&#40;0&#44;50&#8208;1&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Peso ao nascimento</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 2500&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 2500&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">187&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#40;33&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;96&#40;0&#44;51&#8208;1&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Contato pele a pele na sala de parto</span></td><td class="td" title="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16&#40;38&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>13 a 19&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20 a 35&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;52&#40;0&#44;36&#8208;0&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de Moradia</span></td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Casa&#47;Apartamento&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;04&#40;0&#44;62&#8208;1&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>C&#244;modo&#47;Barraco&#47;Palafita&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Destino de dejetos &#40;rede condominial&#41;</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;320&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;84&#40;0&#44;60&#8208;1&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Inicio do pr&#233;&#8208;natal no 1&#176;&#46;Trimestre</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;833&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;05&#40;0&#44;68&#8208;1&#44;62&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Vaginal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ces&#225;reo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;77&#40;0&#44;52&#8208;1&#44;38&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t">0&#44;029&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;67&#40;0&#44;47&#8208;0&#44;96&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Recebeu visita domiciliar p&#243;s&#8208;alta da maternidade</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;003&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;52&#40;0&#44;34&#8208;0&#44;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Uso de chupeta</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;37&#40;0&#44;23&#8208;0&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
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Artigo Original
Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy
Aleitamento materno: indicadores e fatores associados à amamentação exclusiva num aglomerado urbano subnormal assistido pela Estratégia de Saúde da Família
Vera A.A.L. Silvaa, Maria F.C. Caminhaa,b, Suzana L. Silvaa,b,
Autor para correspondência
suzanalinsilva@gmail.com

Autor para correspondência.
, Vilneide M.S.B.D. Servac, Pedro T.A.C.C. Azevedob, Malaquias Batista Filhoa,d
a Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, PE, Brasil
b Faculdade Pernambucana de Saúde (FPS), Recife, PE, Brasil
c Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Centro de Incentivo ao Aleitamento Materno (Ciama), Banco de Leite Humano (BLH), Recife, PE, Brasil
d Universidade de São Paulo (USP), São Paulo, SP, Brasil
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">Mesmo que reconhe&#231;amos os grandes progressos nas tecnologias de produ&#231;&#227;o&#44; transforma&#231;&#227;o&#44; conserva&#231;&#227;o e prepara&#231;&#227;o dos alimentos destinados &#224;s crian&#231;as nos primeiros meses e anos de vida&#44; o consenso &#233; que de fato n&#227;o existe um suced&#226;neo ideal para o aleitamento materno &#40;AM&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">1&#8211;6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; a OMS<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">7</span></a> prop&#245;e conceitos e indicadores padronizados para o estudo das pr&#225;ticas alimentares de crian&#231;as e considera o AM na primeira hora de vida&#59; aleitamento materno exclusivo &#40;AME&#41; em menores de seis meses&#58; amamenta&#231;&#227;o continuada at&#233; um ano e amamenta&#231;&#227;o continuada at&#233; dois anos&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Provavelmente como respostas aos consensos e &#224;s a&#231;&#245;es de ag&#234;ncias internacionais e da ades&#227;o de governos e movimentos da pr&#243;pria sociedade em v&#225;rios pa&#237;ses&#44; o Unicef &#40;2016&#41; descreve not&#225;veis avan&#231;os nas pr&#225;ticas de aleitamento materno em escala mundial&#44; exemplifica&#8208;se com a ocorr&#234;ncia de 44&#37; de AM na primeira hora de vida&#44; enquanto o AME em menores de seis meses situava&#8208;se em 39&#37; e a continuidade do aleitamento at&#233; os dois anos alcan&#231;ava 49&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> No Brasil&#44; esse cen&#225;rio n&#227;o &#233; diferente&#44; a exce&#231;&#227;o da amamenta&#231;&#227;o continuada at&#233; os dois anos &#40;26&#37;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> No Nordeste brasileiro&#44; o AME em menores de seis meses seria de 37&#37; e na cidade do Recife &#40;PE&#41; de 38&#44;3&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">9</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Esses quadros descritivos s&#227;o muitas vezes discrepantes&#44; dificultam as infer&#234;ncias comparativas para a defini&#231;&#227;o de linhas de base e tend&#234;ncias temporais&#44; geogr&#225;ficas e sociais&#46; Tais inconsist&#234;ncias resultam de diferentes formas de coleta&#44; an&#225;lise e apresenta&#231;&#227;o de resultados&#46; Assim&#44; a preval&#234;ncia do AME&#44; isoladamente o indicador mais importante do comportamento da amamenta&#231;&#227;o&#44; ora &#233; medida em menores de seis meses<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">8&#44;9</span></a> e em outros casos em crian&#231;as com seis meses&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">10</span></a> Essa observa&#231;&#227;o vale&#44; por si s&#243;&#44; como justificativa de se aplicarem fundamentos conceituais e constru&#231;&#227;o de indicadores padronizados&#44; confi&#225;veis e compar&#225;veis&#44; no tempo&#44; espa&#231;o e em rela&#231;&#227;o &#224;s popula&#231;&#245;es avaliadas&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Sob o aspecto anal&#237;tico&#44; v&#225;rios fatores podem exercer efeitos diferenciados na pr&#225;tica do AM&#44; como a cultura da popula&#231;&#227;o&#44; a organiza&#231;&#227;o social e pol&#237;tica e suas condi&#231;&#245;es econ&#244;micas e ambientais&#44; entre outros&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;9&#44;11&#8211;17</span></a> Relata&#8208;se que pa&#237;ses mais ricos t&#234;m menor dura&#231;&#227;o do AME&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> Uma melhor condi&#231;&#227;o de renda geralmente se associa a um n&#237;vel materno educacional mais elevado&#44; condi&#231;&#227;o que pode facilitar o acesso &#224;s informa&#231;&#245;es sobre a pr&#225;tica da amamenta&#231;&#227;o&#46; Por outro lado&#44; m&#227;es com renda familiar mais baixa e&#47;ou ocupa&#231;&#227;o informal necessitam contribuir para o or&#231;amento familiar&#44; o que dificulta a amamenta&#231;&#227;o<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;13</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Ademais&#44; em ambientes socioecon&#244;micos mais pobres&#44; como as favelas&#44; as crian&#231;as s&#227;o mais expostas a agentes causadores de doen&#231;as<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> Nesse contexto&#44; o AM&#44; principalmente o exclusivo&#44; com suas propriedades protetoras&#44; torna&#8208;se fundamental para o desenvolvimento saud&#225;vel dessas crian&#231;as<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">1&#8211;5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">&#201; pertinente considerar que&#44; pela express&#227;o demogr&#225;fica dos aglomerados urbanos subnormais no Brasil &#40;mais de 11 milh&#245;es de pessoas&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">18</span></a> e pela escassez e inconsist&#234;ncia de estudos aplicados para esses ecossistemas urbanos&#44; torna&#8208;se importante estimar a preval&#234;ncia dos indicadores para as pr&#225;ticas alimentares relacionadas ao AM e identificar fatores associados ao AME aos seis meses de vida&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Considerando o interesse anal&#237;tico&#44; a pesquisa prop&#245;e verificar a hip&#243;tese de que m&#227;es e crian&#231;as que atendem ao requisito do AME aos seis meses se diferenciam por fatores diversos&#44; a exemplo do sexo da crian&#231;a&#44; da idade e escolaridade materna&#44; tipo de moradia&#44; assist&#234;ncia pr&#233;&#8208;natal&#44; tipo de parto&#44; visita domiciliar e o uso de chupeta dos casos que n&#227;o conseguem chegar &#224; meta proposta pelas Na&#231;&#245;es Unidas&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0045" class="elsevierStylePara elsevierViewall">Estudo transversal&#44; anal&#237;tico&#44; baseado no banco de dados da pesquisa &#8220;Desenvolvimento infantil em um aglomerado urbano subnormal &#40;favela&#41; do Recife&#44; PE&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">19</span></a> Esta pesquisa foi feita como extens&#227;o e atualiza&#231;&#227;o de um inqu&#233;rito <span class="elsevierStyleItalic">baseline</span> em uma popula&#231;&#227;o favelada&#44; na qual se implantou pioneiramente no Brasil a proposta de institui&#231;&#227;o formal de Aten&#231;&#227;o Prim&#225;ria de Sa&#250;de &#40;APS&#41;&#44; na j&#225; tradicional comunidade dos Coelhos&#46; O estudo foi de car&#225;ter censit&#225;rio&#44; com a coleta de dados de todas as crian&#231;as de 0 a 36 meses cadastradas nas duas unidades de sa&#250;de vinculadas &#224; ESF&#46; Foi instrumentalizado mediante entrevista nos domic&#237;lios com as m&#227;es das crian&#231;as ou seus respons&#225;veis legais&#46; Excepcionalmente&#44; algumas m&#227;es foram entrevistadas nas unidades b&#225;sicas de sa&#250;de seja por situa&#231;&#245;es de risco ou por motivo de trabalho&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Embora o estudo tenha sido censit&#225;rio&#44; uma an&#225;lise <span class="elsevierStyleItalic">a posteriori</span> foi feita para calcular se a amostra coletada teve poder suficiente para identificar associa&#231;&#227;o entre as vari&#225;veis &#8220;recebeu visita domiciliar na primeira semana de vida&#8221; &#40;poder de 93&#44;3&#37;&#41;&#44; do &#8220;uso da chupeta&#8221; &#40;poder de 99&#44;9&#37;&#41;&#44; &#8220;idade maternal&#8221;&#44; na compara&#231;&#227;o da faixa et&#225;ria de <span class="elsevierStyleUnderline">&#62;</span> 36 anos com 13&#8208;19 anos &#40;poder de 74&#37;&#41;&#44; e o &#8220;sexo&#8221;&#44; com poder de 36&#44;7&#37;&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Para caracteriza&#231;&#227;o dos indicadores e c&#225;lculo de suas preval&#234;ncias para o estudo das pr&#225;ticas alimentares relacionadas ao AME aos seis meses de crian&#231;as menores de tr&#234;s anos&#44; foram consideradas as recomenda&#231;&#245;es da OMS&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">20</span></a> Assim&#44; a inicia&#231;&#227;o precoce da amamenta&#231;&#227;o corresponde &#224; propor&#231;&#227;o de crian&#231;as nascidas nos &#250;ltimos 24 meses anteriores &#224; entrevista que foram amamentadas na primeira hora de vida&#59; o AME em menores de seis meses&#44; representa a propor&#231;&#227;o de crian&#231;as de 0&#8208;5 meses que estavam no momento da entrevista em AME&#44; baseada na alimenta&#231;&#227;o da crian&#231;a durante as 24 horas anteriores &#224; entrevista&#59; amamenta&#231;&#227;o continuada at&#233; um ano&#44; definida como a propor&#231;&#227;o de crian&#231;as de 12&#8208;15 meses que era&#44; amamentadas&#59; e amamenta&#231;&#227;o continuada at&#233; os dois anos&#44; entendida como a propor&#231;&#227;o de crian&#231;as de 20&#8208;23 meses que eram amamentadas no tempo demarcado para a entrevista&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A vari&#225;vel desfecho do estudo foi o AME aos seis meses&#44; enquanto as vari&#225;veis explanat&#243;rias foram agrupadas em&#58; sociodemogr&#225;ficas&#44; obst&#233;tricas e biol&#243;gicas das crian&#231;as&#59; visita domiciliar da enfermeira junto com agente comunit&#225;rio de sa&#250;de na primeira semana de vida e informa&#231;&#245;es sobre o uso de chupeta &#40;h&#225;bito de suc&#231;&#227;o n&#227;o nutritiva oferecido &#224; crian&#231;a todo tempo ou para acalmar o beb&#234;&#41;&#46; Foram comparadas crian&#231;as que nunca usaram chupeta com crian&#231;as que haviam usado&#46; A condi&#231;&#227;o social foi avaliada segundo o modelo da Associa&#231;&#227;o Brasileira de Empresas de Pesquisa &#8211; Abep&#44; 2014&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">21</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Para a an&#225;lise estat&#237;stica dos dados&#44; foi usado o programa Stata 12&#46;1&#46; Foram calculados valores absolutos e relativos da popula&#231;&#227;o avaliada&#44; suas caracter&#237;sticas e distribui&#231;&#245;es das vari&#225;veis de interesse mediante medidas de tend&#234;ncia central e de dispers&#227;o&#46; Foi usada a Correla&#231;&#227;o de Spearman para avaliar a rela&#231;&#227;o entre o in&#237;cio do uso da chupeta e a dura&#231;&#227;o do AM&#46; Para identificar os fatores associados ao AME aos seis meses foi feita inicialmente a regress&#227;o univariada de Poisson&#44; estimaram&#8208;se as raz&#245;es de preval&#234;ncia &#40;RP&#41; brutas e os respectivos intervalos de confian&#231;a &#40;IC&#41; de 95&#37;&#46; Nessa etapa&#44; as vari&#225;veis que apresentaram valor p &#60; 0&#44;20 foram selecionadas para ingressar na an&#225;lise multivariada&#44; estimaram&#8208;se as RP ajustadas e IC de 95&#37;&#46; Para as an&#225;lises da signific&#226;ncia estat&#237;stica no modelo final foi considerado o valor p &#60; 5&#37;&#46; O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa&#44; formalizado no protocolo CAEE&#58; 54705416&#46;0&#46;00005220&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0070" class="elsevierStylePara elsevierViewall">Foram estudadas 310 crian&#231;as em duas unidades b&#225;sicas de sa&#250;de vinculadas &#224; ESF&#58; Coelhos I&#44; com 111 crian&#231;as &#40;35&#44;8&#37;&#41; e Coelhos II&#44; com 199 crian&#231;as &#40;64&#44;2&#37;&#41;&#44; a mediana de dura&#231;&#227;o total da amamenta&#231;&#227;o nas duas unidades foi de 182 dias&#44; com uma varia&#231;&#227;o interquartil de 89&#8208;464 dias&#44; enquanto a mediana de AME foi de 91 dias limitados pelo primeiro e terceiro quartis P25 e P75 &#40;45&#8208;182 dias&#41;&#46; Foi referido o uso de chupeta em 147 crian&#231;as &#40;47&#44;4&#37;&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Quanto &#224; preval&#234;ncia dos indicadores de amamenta&#231;&#227;o&#44; o AM na primeira hora de vida foi de 60&#44;2&#37;&#44; AME em menores de seis meses correspondeu a 46&#44;3&#37;&#44; a continuidade da amamenta&#231;&#227;o at&#233; um ano de vida foi de 45&#44;9&#37; e at&#233; os dois anos de 35&#44;9&#37;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> apresenta a rela&#231;&#227;o entre o in&#237;cio do uso da chupeta e a dura&#231;&#227;o do AM&#46; Observa&#8208;se na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>A uma rela&#231;&#227;o monot&#244;nica crescente e significante entre o tempo de in&#237;cio da chupeta e dura&#231;&#227;o do AME &#40;Coeficiente de Correla&#231;&#227;o de Spearman&#58; r &#61; 0&#44;51&#59; p &#60; 0&#44;001&#41;&#46; Na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>B observa&#8208;se tamb&#233;m uma rela&#231;&#227;o monot&#244;nica crescente significante entre o tempo do in&#237;cio do uso da chupeta e dura&#231;&#227;o do aleitamento&#44; independentemente do tipo de amamenta&#231;&#227;o &#40;Coeficiente de Correla&#231;&#227;o de Spearman&#58; r &#61; 0&#44;35&#59; p &#60; 0&#44;001&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Das 310 crian&#231;as do estudo&#44; 236 &#40;76&#44;1&#37;&#41; tinham idade maior ou igual a seis meses e dessas&#44; exclusive as que nunca mamaram &#40;12&#41; e cinco das quais n&#227;o existiam informa&#231;&#245;es sobre o AME&#44; 219 finalizaram o inqu&#233;rito&#44; com preval&#234;ncia do AME aos seis meses de 32&#44;9&#37; &#40;72&#47;219 crian&#231;as&#41;&#46; Foi nesse contingente amostral que se estudou a poss&#237;vel associa&#231;&#227;o de fatores com o AME&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a> apresenta as an&#225;lises univariadas para a condi&#231;&#227;o do AME aos seis meses&#44; segundo vari&#225;veis sociodemogr&#225;ficas maternas e condi&#231;&#245;es de moradia das fam&#237;lias e crian&#231;as de seis meses ou mais&#44; totalizaram 11 vari&#225;veis &#40;tempo de moradia na comunidade&#44; idade materna&#44; etnia&#44; situa&#231;&#227;o conjugal&#44; trabalho materno&#44; instru&#231;&#227;o materna&#44; classe social&#44; casa pr&#243;pria&#44; tipo de moradia&#44; abastecimento de &#225;gua pela rede geral com canaliza&#231;&#227;o interna e destino dos dejetos&#41;&#46; Verifica&#8208;se que apenas a idade materna &#40;36 anos e mais&#41; se relacionou estatisticamente &#40;p &#60; 0&#44;0033&#41; com o AME&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a> apresenta as an&#225;lises univariadas para a condi&#231;&#227;o do AME aos seis meses&#44; segundo antecedentes obst&#233;tricos e outras vari&#225;veis maternas&#44; biol&#243;gicas da crian&#231;a&#44; visita domiciliar na primeira semana de vida&#44; informa&#231;&#245;es sobre o AM e uso de chupeta nas crian&#231;as com seis meses ou mais&#44; total de 11 vari&#225;veis devidamente especificadas&#46; Demonstra&#8208;se na tabela que apenas a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;0043&#41; foi estatisticamente associada como fator de prote&#231;&#227;o do AME&#44; enquanto o uso de chupeta comportou&#8208;se como fator de risco para a menor preval&#234;ncia do AME&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">Do agrupamento de 22 vari&#225;veis&#44; nove apresentaram valores de p &#60; 20 nas an&#225;lises univariadas &#40;tempo de moradia na comunidade&#44; idade materna&#44; tipo de moradia&#44; destino de dejetos&#44; in&#237;cio do pr&#233;&#8208;natal no 1&#176; trimestre&#44; tipo de parto&#44; sexo&#44; visita domiciliar na primeira semana de vida e uso da chupeta&#41;&#44; habilitaram&#8208;se&#44; assim&#44; a ingressar na an&#225;lise multivariada&#46; Nessa etapa da an&#225;lise&#44; permaneceram no modelo final a idade materna &#40;p &#61; 0&#44;0005&#41;&#44; o sexo da crian&#231;a &#40;p &#61; 0&#44;029&#41;&#44; a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;003&#41; e o uso de chupeta &#40;p &#60; 0&#44;0001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0105" class="elsevierStylePara elsevierViewall">Aborda&#8208;se a quest&#227;o relevante e universal do AM sob tr&#234;s aspectos em grande parte inovadores&#58; o enfoque hol&#237;stico&#44; a aplica&#231;&#227;o dessa abordagem num ecossistema socioambiental bem peculiar e&#44; por fim&#44; a sistematiza&#231;&#227;o de conceitos e indicadores padronizados pela OMS&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">20</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Ao envolver o universo de crian&#231;as de at&#233; 36 meses residentes numa &#225;rea favelada do Nordeste&#44; o estudo possibilita&#44; pioneiramente no pa&#237;s&#44; descrever e analisar a preval&#234;ncia e as tipologias do AM em um ecossistema de marcante vulnerabilidade socioambiental&#44; agora formalmente chamado de aglomerado urbano subnormal&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">18</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Face &#224; escassez e limita&#231;&#227;o de outros estudos&#44; este trabalho pode ser considerado como <span class="elsevierStyleItalic">baseline</span> para um projeto de coorte na comunidade analisada e como um poss&#237;vel referencial para eventuais investiga&#231;&#245;es epidemiol&#243;gicas em &#225;reas suburbanas semelhantes&#44; consolida e aperfei&#231;oa a APS em novas bases&#44; com compreens&#227;o integral do processo sa&#250;de&#47;doen&#231;a como express&#227;o do desenvolvimento humano&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">22</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Se deslocarmos a perspectiva de compara&#231;&#227;o para outras inst&#226;ncias de avalia&#231;&#227;o&#44; &#233; interessante observar que a preval&#234;ncia de 60&#44;2&#37; de amamenta&#231;&#227;o na primeira hora de vida j&#225; &#233; bem superior aos n&#237;veis mundiais de 44&#37; divulgados pelo Unicef &#40;2016&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> acha&#8208;se bem pr&#243;xima aos dados do Brasil &#40;68&#37;&#41; e da cidade do Recife &#40;67&#37;&#41;&#44; o mesmo acontece em rela&#231;&#227;o ao AME em menores de seis meses no Nordeste &#40;37&#44;0&#37; e Recife &#40;38&#44;3&#37;&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a> enquanto na Comunidade dos Coelhos foi de 46&#44;3&#37;&#46; Pode&#8208;se interpretar como surpreendente a preval&#234;ncia elevada do AME aos seis meses &#40;32&#37;&#41;&#44; quando no Brasil a II Pesquisa de Preval&#234;ncia do AM nas Capitais encontrou uma preval&#234;ncia de 9&#44;3&#37; para o pa&#237;s&#44; 8&#44;4&#37; para o Nordeste e 6&#44;1&#37; para o Recife&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">9</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">&#201; muito prov&#225;vel que diferen&#231;as de resultados&#44; como se exemplifica com os valores de medianas do AM nos Coelhos em rela&#231;&#227;o aos dados de capitais brasileiras&#44; possam ser atribu&#237;das &#224; admiss&#227;o de que seria question&#225;vel que resultados de um aglomerado urbano considerado subnormal &#40;ou at&#237;pico&#41; sejam comparativamente referenciados com dados nacionais&#44; regionais e mesmo estaduais&#44; quando implicam popula&#231;&#245;es distintas&#44; tempos distintos&#44; m&#233;todos distintos de coleta e an&#225;lise dos dados bem diferenciados<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">10</span></a> e&#44; sobretudo&#44; hist&#243;rico de assist&#234;ncia &#224; sa&#250;de&#44; bem caracter&#237;stica em rela&#231;&#227;o ao aleitamento materno&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">23</span></a> &#201; bem prov&#225;vel que esse seja o grande foco de diferen&#231;as para mais ou para menos entre os estudos&#46; Neste caso&#44; os nossos resultados de 182 dias&#44; cuidadosamente revalidados&#44; parecem robustos e aceit&#225;veis para a popula&#231;&#227;o estudada&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">&#201; bem poss&#237;vel que a participa&#231;&#227;o intensiva da ESF mediante a&#231;&#245;es j&#225; bem consolidadas na comunidade&#44; o antigo Programa de Agentes Comunit&#225;rios de Sa&#250;de &#40;PACS&#41;&#44; depois convertido em Programa de Sa&#250;de da Fam&#237;lia &#40;PSF&#41; que compreende uma hist&#243;ria de 45 anos&#44; quando se fez a avalia&#231;&#227;o&#44; aqui relatada&#44; j&#225; tenha um papel marcante nesses resultados&#46; Trata&#8208;se de uma experi&#234;ncia pioneira no Brasil&#44; implantada na Comunidade dos Coelhos com o apoio das Na&#231;&#245;es Unidas &#40;Unicef&#41; logo ap&#243;s a Confer&#234;ncia Internacional de Alma Acta &#40;1978&#41; na R&#250;ssia&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">23</span></a> com a proposta de universaliza&#231;&#227;o da APS como estrat&#233;gia para expandir a cobertura das a&#231;&#245;es b&#225;sicas de sa&#250;de para todos os pa&#237;ses e espa&#231;os territoriais n&#227;o assistidos pelo modelo tradicional de servi&#231;os p&#250;blicos ou privados&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Ademais&#44; a comunidade dos Coelhos &#233; benefici&#225;ria do primeiro Hospital Amigo da Crian&#231;a do Brasil&#44; com um ambulat&#243;rio de livre demanda para promo&#231;&#227;o&#44; prote&#231;&#227;o e apoio ao AM&#44; bem como atendimento de problemas precoces e tardios da mama puerperal operacionalizado no Banco de Leite Humano do referido hospital e que tem servido de modelo para outros servi&#231;os no Brasil e na Am&#233;rica Latina&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">&#201; evidente que resta ainda um grande espa&#231;o a ser conquistado em rela&#231;&#227;o aos indicadores do processo de AM na comunidade avaliada&#44; admite&#8208;se como meta desej&#225;vel e poss&#237;vel o atingimento de 80&#37; do AME em menores de seis meses&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">7</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">A an&#225;lise de fatores isolados&#44; e sobretudo combinados num evento de natureza complexa que podem se relacionar com o principal desfecho do estudo &#40;o AME aos seis meses&#41;&#44; constitui obviamente uma tarefa complicada&#44; notadamente para avalia&#231;&#245;es quantitativas&#44; quando&#44; muitas vezes&#44; as causas s&#243; podem ser entendidas pela an&#225;lise qualitativa&#46;<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">15&#44;16</span></a> &#201; essa uma limita&#231;&#227;o que j&#225; fica explicitada&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">No entanto&#44; torna&#8208;se ilustrativo considerar que dos 22 blocos de vari&#225;veis avaliadas&#44; nove foram preliminarmente admitidos no <span class="elsevierStyleItalic">screening</span> estat&#237;stico &#40;p &#60; 0&#44;20&#41; para ingressar no processo de ajustamento de an&#225;lise multivariada&#46; Nessa etapa&#44; que define a constru&#231;&#227;o do modelo final&#44; quatro fatores se mantiveram no painel &#8220;explicativo&#8221;&#44; como pr&#243;s na determina&#231;&#227;o das hip&#243;teses estatisticamente validadas&#58; a idade das m&#227;es acima de 36 anos&#44; a visita domiciliar na primeira semana de vida dos agentes de sa&#250;de junto com a enfermeira&#44; o sexo masculino das crian&#231;as e o n&#227;o uso de chupetas&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">H&#225;&#44; evidentemente&#44; uma obviedade b&#225;sica nestas observa&#231;&#245;es anal&#237;ticas&#46; &#201; muito prov&#225;vel que &#224;s m&#227;es de maior idade tenham acumulado uma experi&#234;ncia pr&#233;via mais convincente&#44; seja por conta de gesta&#231;&#245;es anteriores seja pela pr&#243;pria receptividade &#224;s rela&#231;&#245;es formais dos servi&#231;os de sa&#250;de nos quais foram assistidas no pr&#233;&#8208;natal&#44; parto e puerp&#233;rio&#46; J&#225; m&#227;es adolescentes ou simplesmente jovens&#44; quase sempre com baixa ou nula paridade&#44; enfrentam com maior inseguran&#231;a as demandas da gesta&#231;&#227;o&#44; inclusive a disposi&#231;&#227;o para a alimenta&#231;&#227;o ao seio&#46; A literatura nacional<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">24</span></a> e internacional<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">25</span></a> registra esse comportamento&#44; que se torna impactante no caso do Brasil e de muitos pa&#237;ses&#44; pela observa&#231;&#227;o de que natalidade est&#225; concentrada em mulheres menores de 25 anos&#44; muitas das quais adolescentes&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">26</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">A evid&#234;ncia de que o desmame precoce possa variar de acordo com o sexo da crian&#231;a&#44;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">9&#44;14&#44;15&#44;17&#44;27</span></a> que leva em considera&#231;&#227;o ser o sexo feminino beneficiado do AME&#44;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">9&#44;14&#44;15</span></a> pode advir do ju&#237;zo de que&#44; como os meninos s&#227;o biologicamente &#8220;mais fortes&#8221;&#44; devem receber um &#8220;leite tamb&#233;m mais forte&#8221;&#8217;&#44; percebido erroneamente por algumas m&#227;es como o leite de vaca&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">15</span></a> No nosso estudo&#44; sobressaiu&#8208;se o AME para o sexo masculino&#44; o que pode ser explicado pela teoria de Trivers&#8208;Willard<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a> como princ&#237;pios na sele&#231;&#227;o natural&#44; de car&#225;ter teleol&#243;gico&#44; enunciada em 1973&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a> Assim&#44; o investimento parental desigual entre filhas e filhos derivaria das condi&#231;&#245;es socioecon&#244;micas maternas e o potencial reprodutivo de sua prole&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Ao contr&#225;rio da hip&#243;tese de Trivers&#8208;Willard&#44; de que as m&#227;es de melhores condi&#231;&#245;es sociais investem mais nos filhos&#44; enquanto aquelas em condi&#231;&#245;es mais adversas optariam pelas filhas&#44; e a comprova&#231;&#227;o de Fujita et al&#46; em 2012<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">16</span></a> em comunidades agropastoris do Qu&#234;nia&#44; &#233; poss&#237;vel que as prefer&#234;ncias de m&#227;es faveladas pela amamenta&#231;&#227;o dos filhos sejam uma conduta mais pr&#243;pria de popula&#231;&#245;es urbanas&#44; que t&#234;m caracter&#237;sticas bem peculiares&#44; n&#227;o valem para compara&#231;&#245;es com outros estudos&#46; Ademais&#44; pela homogeneidade da condi&#231;&#227;o de pobreza na favela avaliada&#44; n&#227;o se tem condi&#231;&#245;es de estabelecer contrastes socioecon&#244;micos bem distintos&#44; como no estudo de Fujita et al&#44;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">16</span></a> que tem como refer&#234;ncia a hip&#243;tese de Trivers&#8208;Willard&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">27</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">O uso de chupeta&#44; apesar de ser uma pr&#225;tica j&#225; documentada e considerada desestimulante &#224; amamenta&#231;&#227;o&#44;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">17</span></a> no nosso estudo foi amplamente aplivado &#40;47&#44;4&#37;&#41; e consistentemente associado ao desmame&#46; No entanto&#44; revis&#227;o sistem&#225;tica feita em 2016 para avaliar o efeito do uso restrito de chupeta <span class="elsevierStyleItalic">versus</span> uso livre sobre a pr&#225;tica do aleitamento materno em dois estudos com 1&#46;302 crian&#231;as saud&#225;veis e que haviam nascido a termo&#44; n&#227;o encontrou efeito significativo sobre a taxa de crian&#231;as em aleitamento materno exclusivo aos tr&#234;s meses e aos quatro meses de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">28</span></a> Vale ressaltar que&#44; diferentemente desta revis&#227;o sistem&#225;tica&#44; em nosso estudo foram comparadas crian&#231;as que nunca usaram chupeta com crian&#231;as que a haviam usado&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">J&#225; outra revis&#227;o sistem&#225;tica com metan&#225;lise feita em 2014 para investigar a associa&#231;&#227;o entre o uso da chupeta e a interrup&#231;&#227;o da amamenta&#231;&#227;o exclusiva nos primeiros seis meses&#44; que totalizou 46 estudos &#40;dois ensaios cl&#237;nicos&#44; 20 longitudinais e 24 transversais&#41;&#44; evidenciou que o uso da chupeta pode ser um fator significativo de risco para a interrup&#231;&#227;o precoce da amamenta&#231;&#227;o exclusiva&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">29</span></a> Esses resultados&#44; ainda conflitivos&#44; indicam que a quest&#227;o demanda mais aprofundamento&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Como limita&#231;&#227;o do nosso estudo&#44; podemos referir a poss&#237;vel falta de poder para algumas das associa&#231;&#245;es avaliadas&#46; Por outro lado&#44; &#233; importante ressaltar que foi um inqu&#233;rito censit&#225;rio&#44; e n&#227;o uma simples amostra que cobrisse a faixa et&#225;ria mais indicada para se fazerem estudos que requeiram o resgate de dados anteriores sobre o aleitamento materno&#44; por conta do vi&#233;s recordat&#243;rio que se acentua em idades mais elevadas das crian&#231;as&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Conclusivamente&#44; o estudo possibilitou observar que os diversos indicadores aplicados aos itens de classifica&#231;&#227;o das pr&#225;ticas de amamenta&#231;&#227;o nas crian&#231;as estudadas podem ser indicativos do processo recente de avan&#231;o vigente no pa&#237;s no campo do aleitamento materno&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">4&#44;30</span></a> Ademais&#44; duas observa&#231;&#245;es anal&#237;ticas s&#227;o de consider&#225;vel import&#226;ncia&#44; uma de car&#225;ter positivo&#58; o papel da visita domiciliar na primeira semana de vida&#44; um cuidado que prevalece como fator de prote&#231;&#227;o do AME&#44; e que&#44; portanto&#44; deve ser valorizado como orienta&#231;&#227;o de forma sistem&#225;tica&#46;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">31</span></a> Outra condi&#231;&#227;o para sua influ&#234;ncia negativa &#40;o uso da chupeta&#41;&#44; que compromete a alimenta&#231;&#227;o ao peito&#44; representa uma pr&#225;tica tradicional que deve ser desestimulada&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">11</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financiamento</span><p id="par0195" class="elsevierStylePara elsevierViewall">Programa Nacional de P&#243;s&#8208;Doutorado &#40;PNPD&#41; da Coordena&#231;&#227;o de Aperfei&#231;oamento de Pessoal de N&#237;vel Superior &#40;Capes&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0200" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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          "titulo" => "Conflitos de interesse"
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    "fechaRecibido" => "2017-03-30"
    "fechaAceptado" => "2018-01-23"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1117606"
          "palabras" => array:5 [
            0 => "Breastfeeding"
            1 => "Primary health care"
            2 => "Pacifiers"
            3 => "Cross&#8208;sectional studies"
            4 => "Risk factors"
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      ]
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras&#8208;chave"
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          "palabras" => array:5 [
            0 => "Aleitamento materno"
            1 => "Aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de"
            2 => "Chupetas"
            3 => "Estudos transversais"
            4 => "Fatores de risco"
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe and analyze indicators of feeding practices related to breastfeeding and factors associated with exclusive breastfeeding &#40;EBF&#41; in a subnormal urban cluster &#40;slums&#41; in Pernambuco&#44; Brazil&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Four breastfeeding indicators were used to interview mothers of children under 3 years of age&#46; An inventory of the families&#8217; socioeconomic and environmental factors&#44; maternal obstetric history&#44; and basic health care access was undertaken&#46; The sample consisted of all 310 children under the age of 3 years from Coelhos&#44; PE&#44; Brazil&#46; Spearman&#39;s correlation was carried out&#44; as well as crude and adjusted prevalence ratios for a final statistical model that showed associated factors with the main outcome at a level of 0&#46;05&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The prevalence of breastfeeding in the first hour of life&#44; exclusive breastfeeding up to 6 months&#44; continued breastfeeding at 1 year&#44; and continued breastfeeding at 2 years were 60&#46;2&#37;&#44; 32&#46;9&#37;&#44; 45&#46;9&#44; and 35&#46;9&#37;&#44; respectively&#46; A correlation was observed between start of pacifier use and duration of either exclusive &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleInf">s</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;358 &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#41; or non&#8208;exclusive breastfeeding &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleInf">s</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;248 &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;006&#93;&#41;&#46; Maternal age over 35 years &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; home visit in the first week after birth &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;003&#41;&#44; having had a male baby &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;029&#41;&#44; and not using a pacifier &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; remained protective factors in the final model&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The prevalence rates of exclusive breastfeeding at 6 months were well above the results obtained by other Brazilian authors&#46; Home visit and maternal age prevailed as protective factors&#44; while pacifier use was shown to be a discouraging practice&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
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          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
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            "identificador" => "abst0020"
            "titulo" => "Conclusion"
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      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Descrever e analisar indicadores das pr&#225;ticas relacionadas ao aleitamento materno e fatores associados ao aleitamento materno exclusivo em um aglomerado urbano subnormal &#40;favela&#41; em Pernambuco&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram usados quatro indicadores do aleitamento materno mediante entrevista com as m&#227;es de menores de tr&#234;s anos&#46; Fez&#8208;se um invent&#225;rio de fatores socioambientais das fam&#237;lias&#44; antecedentes obst&#233;tricos e acesso &#224;s a&#231;&#245;es b&#225;sicas de sa&#250;de&#46; A amostra inclui todas as 310 crian&#231;as da Comunidade de Coelhos&#44; PE&#44; Brasil&#46; Feitas correla&#231;&#227;o de Spearman e raz&#245;es de preval&#234;ncias brutas e ajustadas que compuseram um modelo estat&#237;stico final que evidenciou os fatores associados ao principal desfecho ao n&#237;vel de 0&#44;05&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia do aleitamento materno na primeira hora de vida&#44; aleitamento materno exclusivo aos 6 meses&#44; amamenta&#231;&#227;o continuada at&#233; um ano e dois anos foram&#44; respectivamente&#44; 60&#44;2&#37;&#44; 32&#44;9&#37;&#44; 45&#44;9&#37; e 35&#44;9&#37;&#46; Na correla&#231;&#227;o entre o in&#237;cio do uso de chupeta e a dura&#231;&#227;o do aleitamento&#44; exclusivo ou n&#227;o&#44; obtiveram&#8208;se respectivamente os coeficientes r<span class="elsevierStyleInf">s</span> &#61; 0&#44;358 &#40;p &#60; 0&#44;001&#41; e r<span class="elsevierStyleInf">s</span> &#61; 0&#44;248 &#40;p &#61; 0&#44;006&#41;&#46; No modelo final permaneceram como fatores de prote&#231;&#227;o&#58; a idade materna acima de 35 anos &#40;p &#60; 0&#44;001&#41;&#44; a visita domiciliar na primeira semana de vida &#40;p &#61; 0&#44;003&#41;&#44; o sexo masculino &#40;p &#61; 0&#44;029&#41; e o n&#227;o uso da chupeta &#40;p &#60; 0&#44;001&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Os &#237;ndices de preval&#234;ncia do aleitamento materno exclusivo aos 6 meses foram bem superiores aos resultados obtidos por outras pesquisas nacionais&#46; A visita domiciliar e a idade materna prevaleceram como fatores de prote&#231;&#227;o e o uso de chupeta como uma pr&#225;tica desestimulante&#46;</p></span>"
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            "titulo" => "M&#233;todos"
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            "identificador" => "abst0035"
            "titulo" => "Resultados"
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          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclus&#227;o"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0040">Como citar este artigo&#58; Silva VA&#44; Caminha MF&#44; Silva SL&#44; Serva VM&#44; Azevedo PT&#44; Batista Filho M&#46; Maternal breastfeeding&#58; indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy&#46; J Pediatr &#40;Rio J&#41;&#46; 2019&#59;95&#58;298&#8211;305&#46;</p>"
      ]
    ]
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      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
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            "Alto" => 816
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o do tempo de in&#237;cio do uso da chupeta com a dura&#231;&#227;o do aleitamento materno exclusivo &#40;A&#41; e com a dura&#231;&#227;o total do aleitamento materno &#40;B&#41; em menores de tr&#234;s anos residentes em &#225;rea favelada do Nordeste brasileiro assistida pela Estrat&#233;gia Sa&#250;de da Fam&#237;lia &#40;ESF&#41;&#44; 2015&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">AME&#44; aleitamento materno exclusivo&#59; RP&#44; raz&#227;o de preval&#234;ncia&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Amostra<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> N &#61; 219&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">AME <span class="elsevierStyleUnderline">&#62;</span> 6 meses N &#61; 72 &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RP bruta &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Valor p<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tempo de moradia na Comunidade</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;0724&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 10 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#40;20&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57&#40;0&#44;31&#8208;1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>10 anos ou mais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">175&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#40;36&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Idade materna</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;0033&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>13 a 19 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#40;21&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;36&#40;0&#44;17&#8208;0&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20 a 35 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">164&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#40;31&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;54&#40;0&#44;35&#8208;0&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 36 anos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Branca&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Preta&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Parda&#47;Amarela&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Situa&#231;&#227;o conjugal</span></td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Solteira&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Casada&#47;companheiro&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Trabalho materno</span></td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;4661&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trabalho dom&#233;stico&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">91&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">34&#40;37&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Carteira assinada&#47;Aut&#244;nomo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">57&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;75&#40;0&#44;46&#8208;1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Outros<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">71&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22&#40;31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Instru&#231;&#227;o materna</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3202&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">135&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">48&#40;35&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">24&#40;28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;81&#40;0&#44;54&#8208;1&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Classe Social</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">d</span></a></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3424&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">AME&#44; aleitamento materno exclusivo&#59; RP&#44; raz&#227;o de preval&#234;ncia&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Amostra<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a> N &#61; 219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">AME <span class="elsevierStyleUnderline">&#62;</span> 6 meses N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">RP bruta &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Valor p<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Inicio do pr&#233;&#8208;natal no 1&#176; trimestre</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;1701&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">144&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#40;29&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;75&#40;0&#44;50&#8208;1&#44;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#40;39&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N&#250;mero de consultas do pr&#233;&#8208;natal</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;4453&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#60;</span> 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;44&#40;0&#44;11&#8208;1&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>4 a 5 consultas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#40;40&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>6 ou mais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">168&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#40;32&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;78&#40;0&#44;45&#8208;1&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">No pr&#233;&#8208;natal examinou a mama</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;5632&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">181&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#40;32&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;84&#40;0&#44;47&#8208;1&#44;51&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#40;38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">No pr&#233;&#8208;natal recebeu orienta&#231;&#227;o sobre o aleitamento materno</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;3464&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">191&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">64&#40;33&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;54&#40;1&#44;15&#8208;1&#44;94&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de parto</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;1551&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Vaginal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">134&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">49&#40;36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60; 2500&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 2500&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Contato pele a pele na sala de parto</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">172&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Recebeu visita domiciliar p&#243;s&#8208;alta da maternidade</span></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">128&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">52&#40;40&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">87&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20 a 35&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span>36&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;887&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Casa&#47;Apartamento&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;04&#40;0&#44;62&#8208;1&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>C&#244;modo&#47;Barraco&#47;Palafita&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;320&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;84&#40;0&#44;60&#8208;1&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Inicio do pr&#233;&#8208;natal no 1&#176;&#46;Trimestre</span></td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;833&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;05&#40;0&#44;68&#8208;1&#44;62&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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ISSN: 22555536
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