Strategies to promote breast-feeding among adolescent mothers

Constance M. Wiemann, Jacqueline C. DuBois, Abbey Berenson

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective: To identify characteristics of adolescent mothers who bottle- feed who considered breast-feeding their infants and strategies to promote breast-feeding within this special group. Design: Adolescents completed an hour-long interview within 48 hours of delivery that elicited factors considered important to the mother's feeding decision and indices of mental health. Setting: Postpartum ward of university hospital. Subjects: A total of 693 adolescents 18 years old or younger (mean age, 16.7 years) from African American, Mexican American, or white race or ethnicity; 27% of Mexican American participants spoke little or no English. Main Outcome Measures: Factors associated with breast-feeding decision. Results: Those who chose bottle-feeding (hereafter, bottle-feeders) who had considered breast-feeding were first compared with bottle-feeders who had not considered breast- feeding and then with adolescents who breast-fed. After controlling for ethnicity, bottle-feeders who had considered breast-feeding were more likely than those who had not considered breast-feeding to be impoverished (adjusted odds ratio [AOR] = 4.8), to have delayed their feeding decision until the later stages of pregnancy (AOR = 4.6), to have been encouraged to breast- feed (AOR= 4.5), to have friends who breast-fed (AOR = 2.3), and to have experienced low financial, tangible, emotional, or informational support from their families (AOR = 1.6). They were more likely to cite barriers associated with breast-feeding while returning to school or work (AOR = 2.0) and less likely to state that bottle-feeding was healthier (AOR = 0.3) as reasons for bottle-feeding. Compared with those who chose breast-feeding (hereafter, breast-feeders), this group was more likely to have made the feeding decision alone rather than relying on advice (AOR = 4.6), to have made this decision in the later stages of pregnancy (AOR = 4.4), to report fewer breast-feeding role models (AOR = 1.8) and fewer significant others who encouraged breast- feeding (AOR = 2.8), and to report at least 2 significant others who encouraged bottle-feeding (AOR = 3.2). They were also less likely to have attempted to breast-feed a previous child (AOR = 3.3). Conclusions: A subgroup of adolescent mothers who had considered breast-feeding but ultimately chose to bottle-feed may be identified in the late stages of gestation by collecting information on financial status, family support, perceived barriers to breast-feeding and attending school or working, timing of the feeding decision, prior breast-feeding experience, breast-feeding role models, and encouragement to breast-feed. We speculate that strategies to promote breast-feeding should focus on role modeling and facilitation.

Original languageEnglish (US)
Pages (from-to)862-869
Number of pages8
JournalArchives of Pediatrics and Adolescent Medicine
Volume152
Issue number9
StatePublished - Sep 1998

Fingerprint

Breast Feeding
Mothers
Odds Ratio
Bottle Feeding
Breast
Pregnancy
African Americans
Postpartum Period
Mental Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Strategies to promote breast-feeding among adolescent mothers. / Wiemann, Constance M.; DuBois, Jacqueline C.; Berenson, Abbey.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 152, No. 9, 09.1998, p. 862-869.

Research output: Contribution to journalArticle

Wiemann, Constance M. ; DuBois, Jacqueline C. ; Berenson, Abbey. / Strategies to promote breast-feeding among adolescent mothers. In: Archives of Pediatrics and Adolescent Medicine. 1998 ; Vol. 152, No. 9. pp. 862-869.
@article{66a42744d3c541ea8c8ff46b9f155f2f,
title = "Strategies to promote breast-feeding among adolescent mothers",
abstract = "Objective: To identify characteristics of adolescent mothers who bottle- feed who considered breast-feeding their infants and strategies to promote breast-feeding within this special group. Design: Adolescents completed an hour-long interview within 48 hours of delivery that elicited factors considered important to the mother's feeding decision and indices of mental health. Setting: Postpartum ward of university hospital. Subjects: A total of 693 adolescents 18 years old or younger (mean age, 16.7 years) from African American, Mexican American, or white race or ethnicity; 27{\%} of Mexican American participants spoke little or no English. Main Outcome Measures: Factors associated with breast-feeding decision. Results: Those who chose bottle-feeding (hereafter, bottle-feeders) who had considered breast-feeding were first compared with bottle-feeders who had not considered breast- feeding and then with adolescents who breast-fed. After controlling for ethnicity, bottle-feeders who had considered breast-feeding were more likely than those who had not considered breast-feeding to be impoverished (adjusted odds ratio [AOR] = 4.8), to have delayed their feeding decision until the later stages of pregnancy (AOR = 4.6), to have been encouraged to breast- feed (AOR= 4.5), to have friends who breast-fed (AOR = 2.3), and to have experienced low financial, tangible, emotional, or informational support from their families (AOR = 1.6). They were more likely to cite barriers associated with breast-feeding while returning to school or work (AOR = 2.0) and less likely to state that bottle-feeding was healthier (AOR = 0.3) as reasons for bottle-feeding. Compared with those who chose breast-feeding (hereafter, breast-feeders), this group was more likely to have made the feeding decision alone rather than relying on advice (AOR = 4.6), to have made this decision in the later stages of pregnancy (AOR = 4.4), to report fewer breast-feeding role models (AOR = 1.8) and fewer significant others who encouraged breast- feeding (AOR = 2.8), and to report at least 2 significant others who encouraged bottle-feeding (AOR = 3.2). They were also less likely to have attempted to breast-feed a previous child (AOR = 3.3). Conclusions: A subgroup of adolescent mothers who had considered breast-feeding but ultimately chose to bottle-feed may be identified in the late stages of gestation by collecting information on financial status, family support, perceived barriers to breast-feeding and attending school or working, timing of the feeding decision, prior breast-feeding experience, breast-feeding role models, and encouragement to breast-feed. We speculate that strategies to promote breast-feeding should focus on role modeling and facilitation.",
author = "Wiemann, {Constance M.} and DuBois, {Jacqueline C.} and Abbey Berenson",
year = "1998",
month = "9",
language = "English (US)",
volume = "152",
pages = "862--869",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "9",

}

TY - JOUR

T1 - Strategies to promote breast-feeding among adolescent mothers

AU - Wiemann, Constance M.

AU - DuBois, Jacqueline C.

AU - Berenson, Abbey

PY - 1998/9

Y1 - 1998/9

N2 - Objective: To identify characteristics of adolescent mothers who bottle- feed who considered breast-feeding their infants and strategies to promote breast-feeding within this special group. Design: Adolescents completed an hour-long interview within 48 hours of delivery that elicited factors considered important to the mother's feeding decision and indices of mental health. Setting: Postpartum ward of university hospital. Subjects: A total of 693 adolescents 18 years old or younger (mean age, 16.7 years) from African American, Mexican American, or white race or ethnicity; 27% of Mexican American participants spoke little or no English. Main Outcome Measures: Factors associated with breast-feeding decision. Results: Those who chose bottle-feeding (hereafter, bottle-feeders) who had considered breast-feeding were first compared with bottle-feeders who had not considered breast- feeding and then with adolescents who breast-fed. After controlling for ethnicity, bottle-feeders who had considered breast-feeding were more likely than those who had not considered breast-feeding to be impoverished (adjusted odds ratio [AOR] = 4.8), to have delayed their feeding decision until the later stages of pregnancy (AOR = 4.6), to have been encouraged to breast- feed (AOR= 4.5), to have friends who breast-fed (AOR = 2.3), and to have experienced low financial, tangible, emotional, or informational support from their families (AOR = 1.6). They were more likely to cite barriers associated with breast-feeding while returning to school or work (AOR = 2.0) and less likely to state that bottle-feeding was healthier (AOR = 0.3) as reasons for bottle-feeding. Compared with those who chose breast-feeding (hereafter, breast-feeders), this group was more likely to have made the feeding decision alone rather than relying on advice (AOR = 4.6), to have made this decision in the later stages of pregnancy (AOR = 4.4), to report fewer breast-feeding role models (AOR = 1.8) and fewer significant others who encouraged breast- feeding (AOR = 2.8), and to report at least 2 significant others who encouraged bottle-feeding (AOR = 3.2). They were also less likely to have attempted to breast-feed a previous child (AOR = 3.3). Conclusions: A subgroup of adolescent mothers who had considered breast-feeding but ultimately chose to bottle-feed may be identified in the late stages of gestation by collecting information on financial status, family support, perceived barriers to breast-feeding and attending school or working, timing of the feeding decision, prior breast-feeding experience, breast-feeding role models, and encouragement to breast-feed. We speculate that strategies to promote breast-feeding should focus on role modeling and facilitation.

AB - Objective: To identify characteristics of adolescent mothers who bottle- feed who considered breast-feeding their infants and strategies to promote breast-feeding within this special group. Design: Adolescents completed an hour-long interview within 48 hours of delivery that elicited factors considered important to the mother's feeding decision and indices of mental health. Setting: Postpartum ward of university hospital. Subjects: A total of 693 adolescents 18 years old or younger (mean age, 16.7 years) from African American, Mexican American, or white race or ethnicity; 27% of Mexican American participants spoke little or no English. Main Outcome Measures: Factors associated with breast-feeding decision. Results: Those who chose bottle-feeding (hereafter, bottle-feeders) who had considered breast-feeding were first compared with bottle-feeders who had not considered breast- feeding and then with adolescents who breast-fed. After controlling for ethnicity, bottle-feeders who had considered breast-feeding were more likely than those who had not considered breast-feeding to be impoverished (adjusted odds ratio [AOR] = 4.8), to have delayed their feeding decision until the later stages of pregnancy (AOR = 4.6), to have been encouraged to breast- feed (AOR= 4.5), to have friends who breast-fed (AOR = 2.3), and to have experienced low financial, tangible, emotional, or informational support from their families (AOR = 1.6). They were more likely to cite barriers associated with breast-feeding while returning to school or work (AOR = 2.0) and less likely to state that bottle-feeding was healthier (AOR = 0.3) as reasons for bottle-feeding. Compared with those who chose breast-feeding (hereafter, breast-feeders), this group was more likely to have made the feeding decision alone rather than relying on advice (AOR = 4.6), to have made this decision in the later stages of pregnancy (AOR = 4.4), to report fewer breast-feeding role models (AOR = 1.8) and fewer significant others who encouraged breast- feeding (AOR = 2.8), and to report at least 2 significant others who encouraged bottle-feeding (AOR = 3.2). They were also less likely to have attempted to breast-feed a previous child (AOR = 3.3). Conclusions: A subgroup of adolescent mothers who had considered breast-feeding but ultimately chose to bottle-feed may be identified in the late stages of gestation by collecting information on financial status, family support, perceived barriers to breast-feeding and attending school or working, timing of the feeding decision, prior breast-feeding experience, breast-feeding role models, and encouragement to breast-feed. We speculate that strategies to promote breast-feeding should focus on role modeling and facilitation.

UR - http://www.scopus.com/inward/record.url?scp=0031667352&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031667352&partnerID=8YFLogxK

M3 - Article

VL - 152

SP - 862

EP - 869

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 9

ER -