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Iron-fortified formula use in young children and association with socioeconomic factors in the French nationwide ELFE cohort.

Acta Paediatrica 2018 December 8
Sacri A-S, de Lauzon-Guillain B, Dufourg M-D, Bois C, Charles M A, Chalumeau M. Iron-fortified formula use in young children and association with socioeconomic factors in the French nationwide ELFE cohort.

AIM: To study the rate of iron-fortified infant formula (IFF) use in young children in France and its association with socioeconomic factors.

METHODS: The ELFE national birth cohort included, in 2011, 18,329 living births in 349 hospitals randomly selected. The present analyses were restricted to children with follow-up at age 2 years. Milk consumption was evaluated by parental telephone interview, and its association with socioeconomic factors was studied.

RESULTS: The 12,341 analyzed children had a mean age of 26 months; 50% were girls. Rate of IFF use before 2 years old and at 2 years old was 65% and 43%, respectively. At age 2 years, use of IFF was lower with young age of the mother (adjusted OR [aOR]=0.4, 95% CI: 0.3-0.5), low educational level (aOR=0.7, 95% CI 0.6-0.9), high parity (aOR=0.3, 95% CI 0.2-0.4), and mother smoking (aOR=0.8, 95% CI 0.7-0.9) as well as low household income (aOR=0.5, 95% CI 0.4-0.7), and parents' unemployment (aOR=0.7, 95% CI 0.5-0.9).

CONCLUSION: In this national population-based study, the rate of implementation of the ID prevention strategy was much lower at 2 years old than before 2 years old, and significantly lower in disadvantaged populations. This article is protected by copyright. All rights reserved.

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