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

BMC Pregnancy Childbirth. 2014 Jan 28;14:50. doi: 10.1186/1471-2393-14-50.

Abstract

Background: Using a multi-methods approach we aimed to explore the relative prediction of demographic, socioeconomic and modifiable predictors from the Theory of Planned behaviour (TPB) in explaining feeding intentions amongst a multi-ethnic sample.

Methods: 476 women completed a questionnaire at 28 weeks gestation. They were grouped into breastfeeding (N = 258), mixed-feeding (N = 50), bottle-feeding (N = 88) intenders, or a no clear intention (N = 88). Multinomial adjusted regressions explored the influence of modifiable TPB factors, along with ethnicity and socioeconomic status in predicting group membership. Free-text responses allowed women to elaborate on reasons behind their intention.

Results: TPB factors were significant predictors of feeding intention. Women with high intention to breastfeed were less likely to report high attitudes in any other feeding alternative. Bottle-feeding intenders reported poorer self-efficacy regarding breastfeeding compared to breastfeeding intenders (prevalence rate ratio, PRR = 0.10). Mixed and bottle-feeding intenders reported greater self-efficacy for mixed-feeding (PRR = 1.80, 5.50 respectively). Descriptive norms for mixed (PRR = 13.77) and bottle-feeding (PRR = 10.68) were predictive of mixed-feeding intention. Reasons for breastfeeding intentions related to health considerations, whilst bottle-feeding reasons related to convenience. Mixed-feeding intenders reported both breast and bottle-related factors.

Conclusions: Understanding modifiable predictors related to feeding intentions like TPB factors can help professionals target appropriate interventions to encourage breastfeeding.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bottle Feeding* / ethnology
  • Bottle Feeding* / psychology
  • Breast Feeding* / ethnology
  • Breast Feeding* / psychology
  • Demography
  • England
  • European Continental Ancestry Group
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intention*
  • Pakistan / ethnology
  • Pregnancy
  • Psychological Theory
  • Self Efficacy*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult