The Associations of Psychosocial Factors and Infant Feeding Beliefs and Practices of Young, First Time, Low Income Mothers

Karp, Sharon M.; Lutenbacher, Melanie; Dietrich, Mary S.

doi:10.3109/01460862.2010.531533

Cited by 5 publications

(2 citation statements)

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“…Seeking advice and support online was a common practice, with mothers relying upon social networking sites, government and health websites or commercial providers, which vary considerably in their quality [ 56 ]. Consistent with earlier findings [ 57 , 58 ] mothers were, at times, dismissive of the advice and support provided by health professionals because it was not seen as practical or not relevant to their baby’s specific needs. Previously, other studies [ 58 , 59 ] have shown that mothers consider advice from family and friends to be of more value than that from health professionals.…”

Section: Discussionsupporting

confidence: 82%

A qualitative study of the infant feeding beliefs and behaviours of mothers with low educational attainment

et al. 2016

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BackgroundInfancy is an important period for the promotion of healthy eating, diet and weight. However little is known about how best to engage caregivers of infants in healthy eating programs. This is particularly true for caregivers, infants and children from socioeconomically disadvantaged backgrounds who experience greater rates of overweight and obesity yet are more challenging to reach in health programs. Behaviour change interventions targeting parent-infant feeding interactions are more likely to be effective if assumptions about what needs to change for the target behaviours to occur are identified. As such we explored the precursors of key obesity promoting infant feeding practices in mothers with low educational attainment.MethodsOne–on–one semi-structured telephone interviews were developed around the Capability Opportunity Motivation Behaviour (COM-B) framework and applied to parental feeding practices associated with infant excess or healthy weight gain. The target behaviours and their competing alternatives were (a) initiating breastfeeding/formula feeding, (b) prolonging breastfeeding/replacing breast milk with formula, (c) best practice formula preparation/sub-optimal formula preparation, (d) delaying the introduction of solid foods until around six months of age/introducing solids earlier than four months of age, and (e) introducing healthy first foods/introducing unhealthy first foods, and (f) feeding to appetite/use of non-nutritive (i.e., feeding for reasons other than hunger) feeding. The participants’ education level was used as the indicator of socioeconomic disadvantage. Two researchers independently undertook thematic analysis.ResultsParticipants were 29 mothers of infants aged 2–11 months. The COM-B elements of Social and Environmental Opportunity, Psychological Capability, and Reflective Motivation were the key elements identified as determinants of a mother’s likelihood to adopt the healthy target behaviours although the relative importance of each of the COM-B factors varied with each of the target feeding behaviours.ConclusionsInterventions targeting healthy infant feeding practices should be tailored to the unique factors that may influence mothers’ various feeding practices, taking into account motivational and social influences.

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Section: Discussionsupporting

confidence: 82%

A qualitative study of the infant feeding beliefs and behaviours of mothers with low educational attainment

et al. 2016

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“…25,26 High internal consistency for the CES-D has been reported, ranging from 0.84 to 0.90. 24,26,27 Cronbach's a for the CES-D scores in the sample used for this study was 0.92.…”

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confidence: 99%

Breastfeeding Initiation in the Context of a Home Intervention to Promote Better Birth Outcomes

Karp

Howe-Heyman²,

Dietrich³

et al. 2013

Breastfeeding Medicine

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Objective: This secondary analysis examined breastfeeding initiation rates and factors related to initiation in a sample of multiparous women with a history of a prior preterm birth. Subjects and Methods: Data for a subsample of women (n = 130) were derived from a randomized clinical trial testing a home visit intervention to improve birth outcomes. The subsample included women who gave birth to an infant greater than 35 weeks of gestation. All participants received standard prenatal care. Intervention participants (n = 73) also received home visits by certified nurse-midwives. Visits were guided by protocols to improve factors associated with poor birth outcomes and maternal and infant health. Descriptive and logistic regression analyses were used, controlling for factors previously associated with breastfeeding. Results: Although 85% of women reported an intention to breastfeed, only 65% reported initiating breastfeeding at 48 hours postpartum. After controlling for race, income, marital status, smoking, and age, higher maternal education and lower pregravid body mass index were associated with higher rates of initiation (odds ratio [OR] = 1.30, p = 0.010 and OR = 0.94, p = 0.007, respectively). Lower levels of depressive symptoms (OR = 0.95, p = 0.039) and higher levels of prenatal stress (OR = 1.11, p = 0.042) increased the likelihood of initiating breastfeeding. No difference between groups emerged, although women in the intervention group with more home visit time were more likely to report breastfeeding ( p = 0.007). Conclusions: Modifiable risk factors were associated with rates of breastfeeding initiation. It may be possible to use protocols delivered via nurse-midwife home visits within a global intervention to increase breastfeeding initiation.

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Evaluation of the Parenting Sense of Competence Scale in Mothers of Infants

2015

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The Associations of Psychosocial Factors and Infant Feeding Beliefs and Practices of Young, First Time, Low Income Mothers

Abstract: The findings of this study add to the understanding of young, first-time, mothers' infant feeding beliefs and practices and the particular psychosocial factors, which are associated with them.

Cited by 5 publications

References 59 publications

A qualitative study of the infant feeding beliefs and behaviours of mothers with low educational attainment

A qualitative study of the infant feeding beliefs and behaviours of mothers with low educational attainment

Breastfeeding Initiation in the Context of a Home Intervention to Promote Better Birth Outcomes

Evaluation of the Parenting Sense of Competence Scale in Mothers of Infants

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