학술논문

Mothers' sociodemographic factors and use of health professionals for child feeding advice.
Document Type
Article
Source
Maternal & Child Nutrition. Jan2024, Vol. 20 Issue 1, p1-11. 11p.
Subject
*BIRTHPLACES
*FRIENDSHIP
*ARTIFICIAL feeding
*PATIENT participation
*INFANT development
*BEVERAGES
*CONFIDENCE intervals
*EDUCATION
*PSYCHOLOGY of mothers
*CROSS-sectional method
*NUTRITION
*TELEPHONES
*MULTIPLE regression analysis
*CLINICS
*FAMILIES
*FISHER exact test
*FATHERS
*RANDOMIZED controlled trials
*INCOME
*SURVEYS
*PEARSON correlation (Statistics)
*NURSES
*UNIVERSITIES & colleges
*RESEARCH funding
*INFORMATION resources
*BREASTFEEDING
*FOOD
*DECISION making
*CHI-squared test
*SOCIODEMOGRAPHIC factors
*INFORMATION-seeking behavior
*LOGISTIC regression analysis
*DATA analysis software
*ODDS ratio
*WOMEN employees
*ELEMENTAL diet
*WORLD Wide Web
Language
ISSN
1740-8695
Abstract
This study examined sociodemographic factors associated with mothers seeking child feeding advice from health professionals (HPs). Cross‐sectional analysis of survey data from linked randomized controlled trials was conducted. Surveys asked which sources of feeding information mothers used when their child was 6 months and 5 years old. Logistic regression was used to examine associations between sociodemographic characteristics and use of information from HPs. Here, 947 and 405 mothers completed 6‐month and 5‐year surveys, respectively. At 6 months, multiparous mothers were less likely to seek advice from child and family health nurses (CFHNs) (adjusted odds ratio [AOR]: 0.558, 95% confidence interval [95% CI]: 0.416–0.749) and other HPs (AOR: 0.706, 95% CI: 0.542–0.919), unmarried mothers were less likely to seek advice from other HPs (AOR: 0.582, 95% CI: 0.342–0.990). At 5 years, mothers with household income ≥$80,000 p.a. were less likely to seek advice from CFHNs (AOR: 0.514, 95% CI: 0.302–0.875) and working mothers less likely to seek advice from general practitioners (GPs) (AOR: 0.581, 95% CI: 0.374–0.905). Mothers born in Australia were less likely to seek information from CFHNs (AOR: 0.462, 95% CI: 0.257–0.833) and GPs (AOR: 0.431, 95% CI: 0.274–0.677). There was a greater likelihood that multiparous mothers (AOR: 2.114, 95% CI: 1.272–3.516) and mothers of children whose fathers had not attended university (AOR: 2.081, 95% CI: 1.256–3.449) had never sought advice from CFHNs, and that mothers who had not attended university (AOR: 1.769, 95% CI: 1.025–3.051), multiparous (AOR: 1.831, 95% CI: 1.105–3.035) and employed (AOR: 2.058, 95% CI: 1.135–3.733) mothers had never sought advice from other HPs. Understanding sociodemographic factors associated with seeking child feeding advice from HPs may inform priorities for engaging families in health promotion. Key messages: Many mothers seek infant and child feeding advice from primary health professionals, particularly in the first year of life, with engagement declining at age 5 years.Health promotion efforts in primary care settings should prioritize increased engagement of multiparous mothers, those without university education and those in employment.The internet and peers are important sources of infant and child feeding information for mothers, it is important that evidence‐based information is available to mothers online and through peer‐learning models. [ABSTRACT FROM AUTHOR]