What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study

Cabieses, Báltica; Waiblinger, Dagmar; Santorelli, Gillian; McEachan, Rosemary

doi:10.1186/1471-2393-14-50

Cited by 27 publications

(30 citation statements)

References 45 publications

(48 reference statements)

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“…The major reason mentioned by the participants was its easiness to feed the child 61(65.6%). This similar reason was also mentioned in other studies done elsewhere in the world [24] and [25]. High prevalence of intention in the study area might be due to lower awareness level about the risks associated with bottle feeding.…”

Section: Discussionsupporting

confidence: 87%

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Intention, magnitude and factors associated with bottle feeding among mothers of 0–23 months old children in Holeta town, Central Ethiopia: a cross sectional study

Kebebe

Assaye

2017

BMC Nutr

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Background: World Health Organization (WHO) recommends that bottle feeding should be avoided for infant and young child feeding since it has an impact on optimal breastfeeding, appropriate complementary feeding and bottles with a nipple are prone to contamination. The objectives of this study were to determine intention, magnitude and factors associated with bottle feeding among mothers of 0-23 months infants and children. Methods: Community based cross sectional study was conducted from February to May 2016. A total of 422 mothers who had children 0-23 months were included in the study. Systematic random sampling was used to select the study subjects. Data were collected using a pre-tested interviewer administered structured questionnaire. The data were cleaned, coded, entered in to EPI-INFO version 3.5.4, and transferred and analyzed using SPSS. Odds ratio was calculated with 95% CI to identify factors associated with bottle feeding practice. P-values less than 0.05 were considered as statistically significant. Results: The prevalence of bottle-feeding in this study was 19.6% and another 27.6% mothers have intention of bottle feeding. Being infant age of 0-5 months [AOR = 0.27;95% CI:(0.12,0.62)] and being a housewife [AOR = 0.37; 95% CI:(0.21,0.67)] were negatively associated while having three under five children [AOR = 2.77;95% CI:(1.07,7.14)], not attending PNC follow-up [AOR = 2.13;95% CI:(1.19,4.97)], lower age of mothers [AOR = 3.38;95% CI:(1.48,7.73)] and not counseled on bottle feeding [AOR = 2.18;95% CI:(1.24,3.83)] were positively associated with bottle feeding. Conclusion: The prevalence of bottle feeding in the study area was high compared to the national prevalence of bottle feeding. Working outside home, lower maternal age, older age of children, having more than one under five children in the household, not attending PNC follow-up and not counseled on bottle feeding were found to be risk factors associated with bottle feeding practice in the study area.

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Section: Discussionsupporting

confidence: 87%

“…The reported result was higher than study done in England of which 7% indicating intentions to bottle-feed. High prevalence of intention in the study area might be due to lower awareness level about bottle feeding [24]. The major reason mentioned by the participants was its easiness to feed the child 61(65.6%).…”

Section: Discussionmentioning

confidence: 88%

Intention, magnitude and factors associated with bottle feeding among mothers of 0–23 months old children in Holeta town, Central Ethiopia: a cross sectional study

Kebebe

Assaye

2017

BMC Nutr

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“…Women reported either before or immediately after delivery whether they planned to breastfeed exclusively, breast and formula feed, or formula feed exclusively. We therefore examined feeding intent as a three‐level outcome: intent to exclusively breastfeed, intent to exclusively formula feed, or intent to both breastfeed and formula (“combination”) feed as have others .…”

Section: Methodsmentioning

confidence: 99%

Acculturation and Intention to Breastfeed among a Population of Predominantly Puerto Rican Women

Barcelona

Harville

Theall

et al. 2015

Birth

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Background Latinas have high overall breastfeeding initiation rates, yet Puerto Ricans have among the lowest exclusive breastfeeding rates. This study sought to determine if acculturation was associated with intent to breastfeed in a predominantly Puerto Rican population. Methods A cohort of Latina women were enrolled in Proyecto Buena Salud, and provided information on infant feeding intent (N=1323). Acculturation was assessed via the Psychological Acculturation Scale (PAS), language preference and generation in the US. Results Increasing acculturation as measured by English language preference (aOR 0.61, 95% CI 0.42-0.88) and second/third generation in the US (aOR 0.70, 95% 0.52-0.95) was inversely associated with odds of intending to exclusively breastfeed. Similarly, women with higher levels of acculturation as measured by the PAS (aOR 0.67, 95% CI 0.45-0.99), English language preference (aOR 0.48, 95% CI 0.33-0.70) and second or third generation in the US (aOR 0.42, 95% CI 0.31-0.58) were less likely to report intent to combination feed as compared to women with lower acculturation. Conclusions Acculturation was inversely associated with intent to exclusively breastfeed as well as intent to combination feed in this predominantly Puerto Rican sample.

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“…Recently, the TPB has been heavily criticized as (i) a theory which is difficult to falsify, (ii) one that is not valid; that is, it does not provide a good explanation of behaviour and many of the assertions of the original model (e.g., that relationships between attitudes and behaviour are completely mediated by intentions) have not been supported; and (iii) one that is no longer useful (Odgen, 2003;Sniehotta, Presseau, & Araujo-Soares, 2014). Applications of the TPB and the TRA to infant feeding have reported significant cross-sectional associations between attitudes, norms, perceived control, and breastfeeding intentions and suggest that intentions are strongly related to actual breastfeeding rates (most recently, Cabieses, Waiblinger, Santorelli, & McEachan, 2014;Lawton, Ashley, Dawson, Waiblinger, & Conner, 2012;McMillan et al, 2009McMillan et al, , 2008. Most studies measured intentions after giving birth, so the measure may be conflated by breastfeeding experience.…”

Section: Statement Of Contributionmentioning

confidence: 99%

Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self‐efficacy, and breastfeeding outcomes

Bartle

Harvey

2017

British J Health Psychol

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ObjectivesBreastfeeding confers important health benefits to both infants and their mothers, but rates are low in the United Kingdom and other developed countries despite widespread promotion. This study examined the relationships between personal and vicarious experience of infant feeding, self‐efficacy, the theory of planned behaviour variables of attitudes and subjective norm, and the likelihood of breastfeeding at 6–8 weeks post‐natally.DesignA prospective questionnaire study of both first‐time mothers (n = 77) and experienced breastfeeders (n = 72) recruited at an antenatal clinic in South East England.MethodsParticipants completed a questionnaire at 32 weeks pregnant assessing personal and vicarious experience of infant feeding (breastfeeding, formula‐feeding, and maternal grandmother’s experience of breastfeeding), perceived control, self‐efficacy, intentions, attitudes (to breastfeeding and formula‐feeding), and subjective norm. Infant feeding behaviour was recorded at 6–8 weeks post‐natally. Multiple linear regression modelled the influence of vicarious experience on attitudes, subjective norm, and self‐efficacy (but not perceived control) and modelled the influence of attitude, subjective norm, self‐efficacy, and past experience on intentions to breastfeed. Logistic regression modelled the likelihood of breastfeeding at 6–8 weeks.ResultsPrevious experience (particularly personal experience of breastfeeding) explained a significant amount of variance in attitudes, subjective norm, and self‐efficacy. Intentions to breastfeed were predicted by subjective norm and attitude to formula‐feeding and, in experienced mothers, self‐efficacy. Breastfeeding at 6 weeks was predicted by intentions and vicarious experience of formula‐feeding.ConclusionVicarious experience, particularly of formula‐feeding, has been shown to influence the behaviour of first‐time and experienced mothers both directly and indirectly via attitudes and subjective norm. Interventions that reduce exposure to formula‐feeding (perhaps by limiting advertising) or cushion mothers from its effects may enable more mothers to meet their breastfeeding goals. Statement of contribution What is already known on this subject? Rates of breastfeeding in the United Kingdom are low and resistant to change.Self‐efficacy may be an important and modifiable factor for breastfeeding initiation and maintenance. What does this study add? Self‐efficacy may only be a relevant factor among mothers who already have personal experience of breastfeeding.Vicarious experience of formula‐feeding has been shown to be related to a lower rate of breastfeeding at 6 weeks.

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What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study

Cited by 27 publications

References 45 publications

Intention, magnitude and factors associated with bottle feeding among mothers of 0–23 months old children in Holeta town, Central Ethiopia: a cross sectional study

Intention, magnitude and factors associated with bottle feeding among mothers of 0–23 months old children in Holeta town, Central Ethiopia: a cross sectional study

Acculturation and Intention to Breastfeed among a Population of Predominantly Puerto Rican Women

Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self‐efficacy, and breastfeeding outcomes

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