Social and economic determinants in the use of bottles and pacifiers by Ecuadorian mothers

The purpose of this study was to identify the social and economic determinants influencing the use of bottles and pacifiers by Ecuadorian mothers. The objective was to explore the underlying factors guiding these decisions, considering aspects beyond the physical consequences, and promoting healthier parenting practices. The research employed an analytical and cross-sectional design, with a sample of 120 mothers selected through intentional non-probabilistic sampling. PESTEL analysis was utilized to evaluate the political, economic, social, technological, ecological, and legal factors involved, along with a logistic regression model to quantify the relationship between social and economic variables and the use of bottles and pacifiers. The results highlighted the influence of government campaigns in urban areas, while also pointing out the access gap in rural areas. Economic and educational factors were significant determinants, revealing that mothers with lower incomes and educational levels were more likely to use these products. The impact of technology on access to information about breastfeeding was also identified. The need for public policies to close the information and service gaps, especially in rural areas, in order to promote more informed decisions about the use of bottles and pacifiers for children under 2 years of age, became evident.