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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1999 Mar 1;90(2):114–119. doi: 10.1007/BF03404113

Factors Influencing Infant Feeding Practices of Mothers in Vancouver

Patricia L Williams 110, Sheila M Innis 110,, A M P Vogel 210, Loraina J Stephen 310
PMCID: PMC6980178  PMID: 10349218

Abstract

This study describes factors influencing infant feeding choices of 434 mothers with 9-month-old infants in Vancouver. Consistent with Social Cognitive Theory, both internal personal and socio-environmental factors influence infant feeding choices. Mothers attributed the choice to breastfeed primarily to personal choice, whereas the choice to formula feed was attributed to socio-environmental factors. Among mothers who breastfed <3 months, the choice to wean was primarily attributed to concern for baby’s nutrition; compared to returning to work, concern about milk supply and concern for baby’s nutrition among those who breastfed ≥3 to <6 months; and returning to work and personal choice among those who breastfed ≥6 months. Among Caucasian mothers, the choice to wean was primarily attributed to returning to work, compared to concern for baby’s nutrition among non-Caucasian mothers. Initiatives to facilitate further advances in breastfeeding promotion could address three areas: 1) prenatal intentions, 2) early postpartum concerns, and 3) later issues surrounding returning to work and infant nutrition.

Footnotes

Supported by a grant from the B.C. Medical Services Foundation with assistance from the Vancouver Health Department.

References

  • 1.Tanaka PA, Yeung DL, Anderson GH. Infant feeding practices: 1984–85 versus 1977–78. Can Med Assoc J. 1987;136:940–44. [PMC free article] [PubMed] [Google Scholar]
  • 2.HealthWelfare Canada. Report on Present Patterns and Trends in Infant Feeding in Canada. Ottawa: Health & Welfare Canada; 1991. [Google Scholar]
  • 3.McNally E, Hendricks S, Horowitz I. A look at breast-feeding trends in Canada (1963–1982) Can J Public Health. 1985;76(2):101–7. [PubMed] [Google Scholar]
  • 4.Myers AW. A retrospective look at infant feeding practices in Canada: 1965–1978. J Can Diet Assoc. 1979;40(3):200–10. [Google Scholar]
  • 5.Williams PL, Innis SM, Vogel AMP. Breastfeeding and weaning practices in Vancouver. Can J Public Health. 1996;87(4):231–36. [PubMed] [Google Scholar]
  • 6.HealthWelfare Canada. Canada’s Health Promotion Surve. 1990. Ottawa: Minister of National Health and Welfare; 1993. [Google Scholar]
  • 7.HealthWelfare Canada. Breast-feeding support. Ottawa: Minister of National Health and Welfare; 1993. [Google Scholar]
  • 8.MacLean HM. Breast-feeding in Canada: A demographic and experiential perspective. J Can Diet Assoc. 1998;59(1):15–23. [Google Scholar]
  • 9.Canadian Paediatric Society, Nutrition Committee. Meeting the iron needs of infants and young children: An update. Can Med Assoc J. 1991;144(11):1451–54. [PMC free article] [PubMed] [Google Scholar]
  • 10.Canadian Pediatric Society, Nutrition Committee. Breast-feeding–Fifteen years of progress. Can J Public Health. 1994;1:156–59. [Google Scholar]
  • 11.Canadian Dietetic Association. Promoting Breast feeding: A role for the Dietitian/Nutritionist. Official Position of the Canadian Dietetic Association. 1989;50:211–14. [PubMed] [Google Scholar]
  • 12.Breastfeeding Committee of Canada. Breastfeeding statement of the Breastfeeding Committee of Canada. J Can Diet Assoc. 1998;59(1):11–13. [Google Scholar]
  • 13.WHO/UNICEF. Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding. 1991. [Google Scholar]
  • 14.Ryan AS, Pratt WF, Wysong JL, et al. A comparison of breast-feeding data from the National surveys of family growth and the Ross Laboratories Mothers’ Survey. Am J Public Health. 1991;81(8):1049–52. doi: 10.2105/ajph.81.8.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Sacks SH, Brada M, Hill AM, et al. To breast feed or not to breast feed. Practitioner. 1976;216:183–91. [PubMed] [Google Scholar]
  • 16.Ever-Hodani P, Seidman DS, Manor O, Harlop S. Breast feeding in Israel: Maternal factors associated with choice and duration. J Epidemiol Commun Health. 1994;48:281–85. doi: 10.1136/jech.48.3.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Bloom K, Goldbloom RB, Robinson SC, Stevens FE. Factors affecting the continuance of breastfeeding. Acta Paediatr Scan (Supp.) 1982;300:9–14. [PubMed] [Google Scholar]
  • 18.LeFevre M, Kruse J, Zweig S. Selection of infant feeding method: A population-based study in a rural area. J Fam Pract. 1987;24:487–91. [PubMed] [Google Scholar]
  • 19.Rousseau EH, Lescop JN, Fontaine S, et al. Influence of cultural and environmental factors on breast-feeding. CMAJ. 1982;127:701–4. [PMC free article] [PubMed] [Google Scholar]
  • 20.Entwisle DR, Doering SG, Reilly TW. Sociopsychological determinants of women’s breast-feeding behaviour: A replication and extension. Am J Orthopsychiatry. 1982;52:244–60. doi: 10.1111/j.1939-0025.1982.tb02686.x. [DOI] [PubMed] [Google Scholar]
  • 21.Losch M, Dungy C, Russell D, Dusdieker LB. Impact of attitudes on maternal decision regarding infant feeding. J Pediatr. 1995;126:507–14. doi: 10.1016/s0022-3476(95)70342-x. [DOI] [PubMed] [Google Scholar]
  • 22.Kearney MH. JOGNN. 1988. Identifying psychosocial obstacles to breast-feeding success; pp. 98–105. [DOI] [PubMed] [Google Scholar]
  • 23.Innis SM, Nelson CM, Wadsworth LD, et al. Incidence of iron-deficiency anaemia and depleted iron stores among nine-month-old infants in Vancouver, Canada. Can J Public Health. 1997;88(2):80–84. doi: 10.1007/BF03403865. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall; 1986. [Google Scholar]
  • 25.Neumark-Sztauber D, Story M. The use of health behaviour theory in nutrition counselling. Top Clin Nutr. 1996;11:60–73. [Google Scholar]
  • 26.Bloom K, Goldbloom RB, Stevens FE. Breast, vs. formula feeding: I. Factors affecting the mother’s choice of infant feeding method. Acta Paed Scand Suppl. 1982;300:3. [PubMed] [Google Scholar]
  • 27.Haider SA. Encouragement of breast-feeding. BMJ. 1976;1:650. [PMC free article] [PubMed] [Google Scholar]
  • 28.Wright W, Walker P. Prediction of duration of breast-feeding in primiparas. J Epidemiol Commun Health. 1983;37:89–94. doi: 10.1136/jech.37.2.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Lawrence RA. Practices and attitudes toward breast-feeding among medical professionals. Pediatrics. 1982;70:912–20. [PubMed] [Google Scholar]
  • 30.Bernard-Bonnin AC, Stachenko S, Girard G, Rousseau E. Hospital practices and breast-feeding duration: A meta-analysis of controlled trials. Birth. 1989;16:64–66. doi: 10.1111/j.1523-536x.1989.tb00863.x. [DOI] [PubMed] [Google Scholar]
  • 31.Reif MI, Essock-Vitale SM. Hospital influences on early infant-feeding practices. Pediatrics. 1985;76:872–79. [PubMed] [Google Scholar]
  • 32.Labbok MH, Simon SR. A community study of a decade of in-hospital breast-feeding: Implications for breast-feeding promotions. Am J Prev Med. 1988;42(2):62–67. [PubMed] [Google Scholar]
  • 33.Green LW, Kreuter MW. Health Promotion Planning: An Educational and Environmental Approach. 2nd. Mountain View, CA: Mayfield; 1991. [Google Scholar]
  • 34.World Health Organization. International code of marketing of breast milk substitutes. Resolution WHO. 1981;34:22. [Google Scholar]
  • 35.Nutrition Committee of the Canadian Paediatric Societythe Committee on Nutrition for the American Academy of Paediatrics. Breast-feeding: A commentary in celebration of the International Year of the Child. 1979. Pediatrics. 1978;62:591–601. [PubMed] [Google Scholar]
  • 36.Myers AW. National initiatives to promote breast-feeding: Canada, 1979–85. In: Jelliffe DB, Jelliffe EFP, editors. Programs to Promote Breastfeeding. Oxford: Oxford University Press; 1988. [Google Scholar]
  • 37.Nutrition Committee, Canadian Pediatric Society. Breast-feeding: What is left besides the poetry? Can J Public Health. 1978;69:13–20. [PubMed] [Google Scholar]
  • 38.Freil JK, Hudson NI, Banoub S, Ross A. The effect of a promotion campaign on attitudes of adolescent females toward breast-feeding. Can J Public Health. 1989;80:195–99. [PubMed] [Google Scholar]
  • 39.Myers AW. The national breast-feeding promotion program. 2. Public information phase - a note on its development, distribution and impact. Can J Public Health. 1983;74:404–8. [PubMed] [Google Scholar]
  • 40.Katcher AL, Lonese MG. Breast-feeding by employed mothers: A reasonable accommodation in the workplace. Pediatrics. 1985;73:644–47. [PubMed] [Google Scholar]
  • 41.Barber-Madden R, Petschek MA, Parker J. J Public Health Pol. 1987. Breast-feeding and the working mother: Barriers and intervention strategies; pp. 531–41. [PubMed] [Google Scholar]
  • 42.Jones D, West R. Effect of a lactation nurse on the success of breast-feeding: A randomised controlled trial. J Epidemiol Commun Health. 1986;40:45–49. doi: 10.1136/jech.40.1.45. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Lynch S, Koch A, Hislop T, Coldman A. Evaluating the effect of a breast-feeding consultant on the duration of breast-feeding. Can J Public Health. 1986;77(3):190–95. [PubMed] [Google Scholar]
  • 44.Morse JM, Bottorff J, Boman J. Patterns of breast-feeding and work: The Canadian experience. Can J Public Health. 1989;80:182–88. [PubMed] [Google Scholar]
  • 45.Freed GL, Jones TM, Schandler RJ. Prenatal determination of demographic and attitudinal factors regarding feeding practice in an indigent population. Am J Perinatal. 1992;9:420–24. doi: 10.1055/s-2007-999279. [DOI] [PubMed] [Google Scholar]
  • 46.Eastham E, Smith D, Poole D, Neligan G. Further decline of breast-feeding. BMJ. 1976;1:305–7. doi: 10.1136/bmj.1.6005.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Schwartz C, Evers S. Infant feeding practices in low-income communities in Ontario. J Can Diet Assoc. 1998;59(1):30–34. [Google Scholar]
  • 48.Aberman S, Kirchoff KT. Infant-feeding practices, mothers’ decision making. J Obstet Gynecol Neonatal Nurs. 1985;14:394–98. doi: 10.1111/j.1552-6909.1985.tb02087.x. [DOI] [PubMed] [Google Scholar]
  • 49.Jones RAD, Belsey EM. Breast-feeding in an inner London borough: A study of cultural factors. Soc Sci Med. 1977;11:175–79. doi: 10.1016/0037-7856(77)90090-7. [DOI] [PubMed] [Google Scholar]
  • 50.Mackey S, Fried PA. Infant breast and bottlefeeding practices: Some related factors and attitudes. Can J Public Health. 1981;72:312–18. [PubMed] [Google Scholar]
  • 51.Sarett HP, Bain KR, O’Leary JC. Decision on breast-feeding or formula feeding and trends in infant-feeding practices. Am J Dis Child. 1983;137:719–25. doi: 10.1001/archpedi.1983.02140340003001. [DOI] [PubMed] [Google Scholar]
  • 52.Sjolin S, Hofvander Y, Hillervik C. A prospective study of individual courses of breast-feeding. Acta Paediatr Scand. 1979;68:521–29. doi: 10.1111/j.1651-2227.1979.tb05050.x. [DOI] [PubMed] [Google Scholar]
  • 53.Beske EJ, Garvis M. Important factors in breastfeeding success. Am J Maternal Child Nursing. 1982;7:174–79. doi: 10.1097/00005721-198205000-00017. [DOI] [PubMed] [Google Scholar]
  • 54.Coreil J, Murphy JE. Maternal commitment, lactation practices and breast-feeding duration. J Obstet Gynecol Neonatal Nurs. 1988;17:237–78. [Google Scholar]
  • 55.Burglehaus MJ, Smith LA, Sheps SB, Green LW. Physicans and breastfeeding: Beliefs, knowledge, self-efficacy and counselling practices. Can J Public Health. 1997;88(6):383–87. doi: 10.1007/BF03403911. [DOI] [PMC free article] [PubMed] [Google Scholar]

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