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Nutrients 2018, 10(4), 520; https://doi.org/10.3390/nu10040520

Infant Feeding Attitudes and Practices of Spanish Low-Risk Expectant Women Using the IIFAS (Iowa Infant Feeding Attitude Scale)

1
Research Group GRINCAR, Obstetrics Department, Hospital Álvaro Cunqueiro, C/Clara Campoamor, 341, 36312 Vigo, Pontevedra, Spain
2
Research Group GRINCAR, Department of Health Sciences, Faculty of Nursing and Podiatry, University of A Coruña, Campus de Esteiro, C/ Naturalista López Seoane, s/n (esquina San Ramón), 15403 Ferrol, A Coruña, Spain
3
Obstetrics Department, Hospital Arquitecto Marcide-Novoa Santos, Avda. de la Residencia s/n, 15405 Ferrol, A Coruña, Spain
4
Department of Psychiatry, Radiology, Public Health, Nursing and Medicine; Faculty of Nursing, University of Santiago de Compostela, C/San Francisco, s/n, 15782 Santiago de Compostela, A Coruña, Spain
*
Authors to whom correspondence should be addressed.
Received: 1 March 2018 / Revised: 17 April 2018 / Accepted: 19 April 2018 / Published: 22 April 2018
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Abstract

The Iowa Infant Feeding Attitude Scale (IIFAS) has been shown to have good psychometric properties for English-speaking populations, but it has not been validated among low-risk pregnant women in Spain. The aim of this study was to assess the reliability and validity of the translated version of the IIFAS in order to examine infant feeding attitudes in Spanish women with an uncomplicated pregnancy. Low-risk expectant women (n = 297) were recruited from eight primary public health care centres in Galicia (Spain). Questionnaires including both socio-demographic and breastfeeding characteristics and items about infant feeding were administered during the third trimester. Participants were contacted by telephone during the postpartum period to obtain information regarding their infant feeding status. Prediction validity and internal consistency were assessed. The translated IIFAS (69.76 ± 7.75), which had good psychometric properties (Cronbach’s alpha = 0.785; area under the curve (AUC) of the receiver operating characteristic (ROC) curve = 0.841, CI95% = 0.735–0.948), showed more positive attitudes towards breastfeeding than towards formula feeding, especially among mothers who intended to exclusively breastfeed. This scale was also useful for inferring the intent to breastfeed and duration of breastfeeding. This study provides evidence that the IIFAS is a reliable and valid tool for assessing infant feeding attitudes in Spanish women with an uncomplicated pregnancy. View Full-Text
Keywords: attitude; breastfeeding; Iowa Infant Feeding Attitude Scale; Spain; validity attitude; breastfeeding; Iowa Infant Feeding Attitude Scale; Spain; validity
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Cotelo, M.D.C.S.; Movilla-Fernández, M.J.; Pita-García, P.; Novío, S. Infant Feeding Attitudes and Practices of Spanish Low-Risk Expectant Women Using the IIFAS (Iowa Infant Feeding Attitude Scale). Nutrients 2018, 10, 520.

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