Abstract
This study was undertaken to determine the effects of a partner-support, incentive-baed educational program on breast feeding knowledge, attitudes and support and to examine the relationship between feeding intentions and feeding behavior among low-income women. Women who expressed a willingness to participate in the intervention were randomly assigned to “intervention” and “usual breast feeding” (control) groups. Sixty-eight primipara women, with expected due dates between May and December, 1992, volunteered to participate in the study. Of these, 34 were randomly assigned to each of the two groups. Approximately 81 percent of the women completed the study, leaving n=29 in the control group and n-26 in the intervention group. The intervention consisted of special incentives (prizes) for women and their partners to participate in several breast feeding education and promotion activities. Intervention group women and their partners experienced positive changes in breast feeding knowledge and attitudes. Furthermore, the intervention seemed to have influenced more women in the treatment group to breast feed despite their prenatal feeding intentions. In addition, the partners of intervention group women were perceived to be more supportive of, breast feeding than control group partners. These findings suggest that incentives, such as donated prizes, can be used to attract lower socioeconomic group women and their partners to breast feeding promotion interventions. Participation in such interventions can produce positive changes in breast feeding knowledge, attitudes, and support, and can have a dramatic effect in promoting breast feeding.
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References
Committee on Nutrition of the American Academy of Pediatrics and the Canadian Pediatric Society. Breast feeding: A commentary in celebration of the International Year of the Child, 1979.Pediatrics 1978; 62:591–601.
Councils of the Society for Pediatric Research and the American Academy of Pediatrics. Promotion of breast feeding: Recommendations of the Councils of the Society for Pediatric Research and American Pediatric Society, and of the American Academy of Pediatrics.Pediatr. Res 1982; 16:264–265.
Nutrition Committees, American Academy of Pediatrics. Encouraging breast feeding.Pediatrics 1980; 65:657–658.
US Dept of Health and Human Services, Public Health Service.Healthy People 2000, National Health Promotion and Disease Prevention Objectives. Washington, DC: U.S., Government Printing Office, 1990, pp 379–380.
Anholm PCH. Breastfeeding: A preventive approach, to health care in infancy.Issues in Comprehensive Pediatr Nursing 1986;9:1–10.
Cunningham AS, Jelliffe DB, Jelliffe EF. Breast-feeding and health in the 1980s: A global epdiemiologic review.J Pediatr 1991; 118:659–666.
Jelliffe DB, Jelliffe EP. “Breast is best”: Modern meanings.N. Engl J Med 1977; 297:912–915.
Cunningham AS. Morbidity in breast-fed, and artificially fed infants II.J Pediatr 1979; 95:685–689.
Leventhal JM, Shapiro ED, Aten CB, et al. Does breast-feeding protect against infections in infants less than 3 months of age?Pediatrics 1986; 78:896–903.
Kovar MG, Serdula MK, Marks JS, Fraser DW. Review of the epidemiologic evidence for an association between infant feeding and infant health.Pediatrics 1984; 74 (suppl):615–638.
Ryan AS, Lewandowski G, Krieger FW. The recent decline in breastfeeding. 1984–1989.Pediatrics 1991; 8:873–874.
Martinez G, Krieger F 1984 Milk-feeding patterns in the United States.Pediatrics 1985; 76:1004–1008.
Martinez GA. Trends in breast feeding in the United States. InReport of the Surgeon General's Workshop on Breast Feeding and Human Lactation. U.S. Dept Health and Human Services, 1984.
Hendershot GF Trends and differentials in breastfeeding in the United States, 1970–75. Hyattsville, MD: National, Center for Health Statistics. Working Paper Series, No. 5, 1981.
Ryan A, Rush D, Krieger F, Lewandowski G. Recent declinesin thebreastfeeding in the United States, 1984–1989.Pediatrics 1991; 88:719–727.
Beske EJ, Garvis MSS. Important factors in breast feeding success.MCN: Am J of Maternal Child Nursing 1982; 7:174–179.
Holt GM, Wolkind SN. Early abandonment of breastfeeding: Causes and effects.Child: Care, Health and Development 1983; 9:349–355.
Applebaum RM. The modern management of successful breastfeeding.Pediatric Clinics of North America 1970; 17:203–225.
Gielen AC, Faden RR, O'Campo P, Paige DM. Determinants of breastfeeding in a rural WIC population.J Human Lactation 1992; 8:11–15.
Martinez G, Dodd D. Milk feeding patterns in the United States during the first 12 months of life.Pediatrics 1983; 71:166.
Bryant C. Impact of kin, friend, and neighbor networks on infant feeding practices.Soc. Sci Med 1982; 16:1757.
Jones D, West R. Lactation nurse increases duration of breast feeding.Arch Dis Child 1985; 60: 772.
Barron SP, Lane HW, Hannan TE, Struemplen B, Williams JC. Factors influencing duration of breast feeding among low-income women.J of Am Dietetics Assoc 1988; 88:1557–1561.
Freed GL, Jones TM, Schanler JR. Prenatal determination of demographic and attitudinal factors regarding feeding practice in an indigent population.Am J Perinatology 1992; 9:420–424.
Dusdieker LB, Booth BM, Seals BF, Ekow EE. Investigation of a model for the initiation of breastfeeding in primiparous women.Soc Sci Med 1985; 20:695–703.
Matich JR, Sims LS. A comparison of social support variables between women who intend to breast or bottle feed.Social Science and Medicine 1992; 34:919–927.
Mohrer J. Breastfeeding and bottle feeding in an inner-city community: An assessment of, perceptions and pratices.Med Anthropol 1979; 3:125–145.
Jones DA, West RR, Newcombe RG. Maternal characteristics associated with the duration of breastfeeding.Midwifery 1986; 2:141–146.
Bevan ML, Mosley D, Lobach KS, Sulimano GR. Factors influencing breast feeding in an urban WIC program.J Am Diet Assoc 1984; 84:563–567.
Black RF, Blair JP, Jones VN, Du Rant RH. Infant feeding decisions among pregnant women from a WIC population in Georiga.J Am Diet Assoc 1990; 90:225–259.
Isabella PH, Isabella RA, Correlates of long-term breastfeeding: A study of social and personal factors. EDRS Research Report No. 143, RIE DEC 1–9, 1991.
Switzky LT, Vietze P, Switzky HN. Attitudinal and demographic, predictors of brast-feeding and bouttle-feeding behavior by mothers of six-week-old infants.Psychol Rep 1979; 45:3–14.
Neville MC, Neifert MR, eds.Lactation: Physiology, Nutrition, and Breast-feeding. New York: Plenum Press, 1983.
LeFevre M, Kruse J, Zweig S. Selection of, infant feeding method: A population-based study in a rural area.J of Family Practice 1987; 24:487–491.
Sciacca, J, Phipps B, Dube D, Ratliff M. Influences on breast-feeding by lower-income women: An incentive-based, partner-supported educational program.J of Am Diestetics Assoc 1995; 95:323–328.
Allen, L, Pelto G, Research on determinants of breastfeeding duration: Suggestions for biocultural studies.Med Anthro 1985; 9:97–109.
Kaplowitz DD, Olson CM. The effect of an education program on the decision to breastfeed.J of Nutritional Ed 1983; 15:61–65.
Leeper JD, Milo T, Collins TR Infant feeding and maternal attitudes among mothers of lowincone.Psychol Rep 1983; 53:259–265.
Yeung D, Pennell MD, Leung M, Hall J. Breastfeeding: Prevalence and influencing factors.Can J Publ Hlth 1981; 72:323–330.
Sacks S, Brada M, Hill AM, Barton P, Harland PSEG. To breast feed or not to breat feed. A survey of primiparae.The Practitioner 1976; 216:183–191.
Winikoff B, Baer EC. The obstetrician's opportunity: Translating ‘breast is best’ from theory to practice.Am J Obstet Gynec 1980; 138:105–117.
Axelson ML, Kuriniji N, Sahlroot TJ, Forman MR. Primiparas' beliefs about breast-feeding.J Am Diet Assoc 1985; 85:77–79.
Grossman LK, Fitzsimmons SM, Larsen-Alexander JB, Sachs L, Harter C. The infant feeding decision in low and upper income women.Clinical Pediatrics 1990; 21:30–37.
Jones, DA. The choice to breast feed for bottle feed and influences upon that choice: A survey of 1525 mothers.Child: Care and Development 1987; 13:75–85.
Novotny R, Kieffer E, Mor J, Thiele M, Nikaido M. Health of infant is the main reason for breastfeeding in a WIC population in Hawaii.J of Am Dietetics Assoc 1994; 94:293–297.
Freed GL, Fraley JK, Schanter RJ. Attitudes of expectant fathers regarding breast-feeding.Pediatrics 1992; 90:224–227.
Robinson J, Huat A, Pope J, Garner B. Attitudes toward infant feeding among adolescent mothers from aWIC population in northern Louisiana.J of Am Dietetics Assoc 1993; 93:1311–1313.
Stashwick CA. Overcoming obstacles to breastfeeding.Patient Care 1994; 28:88.
Tuttle CR, Dewey KG. Determinants of infant feeding choices among southeast Asian immigrants in northern California.J of Am Dietetics Assoc 1994; 94:282–286.
Barnes J, Leggett J, Durham T, Breast feeders versus bottle feeders: Differences in femininity perceptions.Maternal-Child Rearing J 1993; 21:15–19.
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This study was supported through contract no. 59-3198-1-050 from the Food and Nutrition Service, U.S. Department of Agriculture.
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Sciacca, J.P., Dube, D.A., Phipps, B.L. et al. A breast feeding education and promotion program: Effects on knowledge, attitudes, and support for breast feeding. J Community Health 20, 473–490 (1995). https://doi.org/10.1007/BF02277064
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DOI: https://doi.org/10.1007/BF02277064