Document Detail

Factors influencing the infant feeding decision for socioeconomically deprived pregnant teenagers: the moral dimension.
MedLine Citation:
PMID:  20557537     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The importance of breastfeeding-related health outcomes in reducing inequalities in health has been recognized as a National Health Service target to increase initiation rates especially among disadvantaged groups in England. This study examined the psychosocial factors influencing infant feeding intention among pregnant teenagers expecting their first baby and living in deprived urban areas in England. METHODS: A mixed methods study, using a quantitative questionnaire based on the Theory of Planned Behaviour, was conducted in four English regions with predominantly white and Asian teenagers (n = 71). This method identified which of all known Theory of Planned Behaviour variables were the most important in influencing feeding intentions. Focus groups provided contextual insight into the meaning of these variables for white pregnant teenagers living in a northern English inner city (n = 17). RESULTS: Moral norms were identified as the most predictive variable influencing teenage intention to formula feed or breastfeed. The likelihood that breastfeeding "will be embarrassing" was the only attitudinal belief rated as significantly important in influencing teenage intention to breastfeed. Three overarching themes emerged from the focus group data: "moral norms,""sexuality of the breast," and "self-esteem," with concerns relating to breastfeeding in public cutting across all themes. CONCLUSIONS: Breastfeeding was viewed as a morally inappropriate behavior by most of these teenagers, with formula feeding being perceived as the appropriate behavior. Existing breastfeeding promotion activities are likely to continue to fail to reach teenagers experiencing deprivation in England in the absence of effective strategies to change the underlying negative moral norms toward breastfeeding.
Lisa Dyson; Josephine M Green; Mary J Renfrew; Brian McMillan; Mike Woolridge
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  37     ISSN:  1523-536X     ISO Abbreviation:  Birth     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-18     Completed Date:  2010-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-9     Citation Subset:  IM    
Mother and Infant Research Unit, University of York, Heslington, York, UK.
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MeSH Terms
Breast Feeding / psychology*
Decision Making*
Socioeconomic Factors
Urban Population
Young Adult
Grant Support
//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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