The research project underpinning this manuscript was “The LIFT Project—Looking at Infant Feeding Today: reducing inequalities in health among socio-economically disadvantaged and ethnic groups by increasing breastfeeding uptake: an examination of intentions and outcomes.” The LIFT study was conducted by the Mother and Infant Research Unit, formerly at the University of Leeds, Leeds, United Kingdom. This project was funded by the Policy Research Programme, Department of Health, London, England, from November 1, 1999, to October 31, 2002. This paper does not represent the views of the Department of Health.
Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension
Article first published online: 18 MAY 2010
© 2010, Copyright the Authors. Journal compilation © 2010, Wiley Periodicals, Inc.
Volume 37, Issue 2, pages 141–149, June 2010
How to Cite
Dyson, L., Green, J. M., Renfrew, M. J., McMillan, B. and Woolridge, M. (2010), Factors Influencing the Infant Feeding Decision for Socioeconomically Deprived Pregnant Teenagers: The Moral Dimension. Birth, 37: 141–149. doi: 10.1111/j.1523-536X.2010.00394.x
- Issue published online: 18 MAY 2010
- Article first published online: 18 MAY 2010
- Accepted September 28, 2009
- focus groups;
- moral norms;
- Theory of Planned Behaviour
Abstract: 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. (BIRTH 37:2 June 2010)