Understanding health behaviour in pregnancy and infant feeding intentions in low-income women from the UK through qualitative visual methods and application to the COM-B (Capability, Opportunity, Motivation-Behaviour) model

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

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Off to a Healthy Start: Food Support Benefits of Low-Income Women in Pregnancy

Changing Families, Changing Food ◽

10.1057/9780230244795_2 ◽

2009 ◽

pp. 19-34

Author(s):

Fiona Ford ◽

Robert Fraser

Keyword(s):

Low Income ◽

Healthy Start ◽

Low Income Women ◽

In Pregnancy

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Infant feeding decisions and behaviours among low-income smoke-exposed women: timing and change during pregnancy

Public Health Nutrition ◽

10.1017/s1368980017001690 ◽

2017 ◽

Vol 20 (15) ◽

pp. 2796-2805 ◽

Cited By ~ 1

Author(s):

Patricia Markham Risica ◽

Kristen McCausland

Keyword(s):

Infant Feeding ◽

Breast Feeding ◽

Low Income ◽

Self Efficacy ◽

Controlled Trial ◽

Adult Women ◽

Health Education Intervention ◽

Infant Feeding Decisions ◽

Breast Fed ◽

In Pregnancy

AbstractObjectiveThe present study aimed to describe change in feeding intentions and predictors of breast-feeding intentions during the course of pregnancy.DesignAnalysis of prospectively collected data from a larger randomized controlled trial of a health education intervention to reduce environmental smoke exposure among women during and after pregnancy.SettingParticipants were recruited from prenatal clinics, but all further communication occurred with participating women living in the community.SubjectsLow-income, adult women (n399) were interviewed during the 16th and 32nd week of pregnancy to ascertain prenatal feeding intentions and breast-feeding knowledge, attitudes and self-efficacy. Characteristics of women by infant feeding intention were assessed along with differences in intention from 16 to 32 weeks of pregnancy and feeding behaviours after delivery. Differences in psychosocial variables between women of different intention for infant feeding were measured. Women in each category of feeding intention were assessed for changes in psychosocial factors by eventual infant feeding behaviour.ResultsFeeding intention early in pregnancy was strongly, but not consistently, associated with feeding intention late in pregnancy, feeding initiation and later feeding patterns. Over one-third of women who were undecided at 16 weeks’ gestation or earlier initiated breast-feeding. Increases in knowledge and improvement in time, social factors and social support barriers were found among those who exclusively breast-fed.ConclusionsResults indicate that feeding decisions may change during pregnancy. Determining when women make feeding decisions during their pregnancy warrants more research. Interventions to increase breast-feeding intentions should target knowledge, self-efficacy and barriers.

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Infant-Feeding among Low-Income Women: The Social Context that Shapes their Perspectives and Experiences

Canadian Journal of Nursing Research ◽

10.1177/084456211304500303 ◽

2013 ◽

Vol 45 (3) ◽

pp. 28-49 ◽

Cited By ~ 7

Author(s):

Julia Temple Newhook ◽

Valerie Ludlow ◽

Leigh Anne Newhook ◽

Kimberly Bonia ◽

Janet Murphy Goodridge ◽

...

Keyword(s):

Social Context ◽

Infant Feeding ◽

Low Income ◽

The Social ◽

Low Income Women

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A social marketing approach to improving the nutrition of low-income women and children: an initial focus group study

Public Health Nutrition ◽

10.1017/s1368980009004868 ◽

2009 ◽

Vol 12 (9) ◽

pp. 1563-1568 ◽

Cited By ~ 21

Author(s):

Sarah E Hampson ◽

Julia Martin ◽

Jenel Jorgensen ◽

Mary Barker

Keyword(s):

Healthy Eating ◽

Low Income ◽

Eating Habits ◽

Low Cost ◽

Target Population ◽

Focus Group Study ◽

Balanced Diet ◽

Women And Children ◽

Low Income Women ◽

The Uk

AbstractObjectiveTo identify approaches for interventions to improve the nutrition of low-income women and children.DesignSeven focus groups were conducted with low-income women caring for young children in their households. They discussed shopping, eating at home, eating out and healthy eating. The discussions were recorded and subjected to qualitative thematic analysis.SettingA semi-rural community in Oregon, USA.SubjectsThere were seventy-four women (74 % White), most of whom were 18–29 years old.ResultsFour broad themes were identified, i.e. cost-consciousness, convenience, social influences and health issues.ConclusionsThe target population would benefit from improved understanding of what constitutes a balanced diet, with a greater emphasis on a more central role for fruit and vegetables. To persuade this population to change their eating habits, it will be necessary to convince them that healthful food can be low-cost, convenient and palatable for children. Comparing findings from the present study with a similar one in the UK suggests that the US women faced many of the same barriers to healthy eating but displayed less helplessness.

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