Newborn Feeding Knowledge and Attitudes among Medical Students
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Approval
2.2. Sample Selection
2.3. Instrument Measures
2.3.1. Sociodemographic Questionnaire
2.3.2. The Newborn Feeding Ability Questionnaire
2.3.3. The Iowa Infant Feeding Attitude Scale
2.4. Data Analyses
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Limbu, Y.B.; Gautam, R.K.; Pham, L. The Health Belief Model Applied to COVID-19 Vaccine Hesitancy: A Systematic Review. Vaccines 2022, 10, 973. [Google Scholar] [CrossRef]
- Tarkang, E.E.; Zotor, F. B Application of the Health Belief Model (HBM) in HIV Prevention: A Literature Review. Central African. J. of Public Health 2015, 1, 1–8. [Google Scholar] [CrossRef]
- Ahmadinia, H. A Review of Health Beliefs and Their Influence on Asylum Seekers and Refugees’ Health-Seeking Behavior. Communic. Comp. Ainformat. Sci. 2022, 1626. Available online: https://link.springer.com/book/10.1007/978-3-031-14832-3 (accessed on 24 February 2023).
- Lau, J.; Tian-Zhi, L.; Gretel, J.W.; Ker-Kan, T. The health belief model and colorectal cancer screening in the general population: A systematic review. Prevent. Med. Rep. 2020, 20, 101223. [Google Scholar] [CrossRef] [PubMed]
- Figueiras, M.J. Psicologia da Doença vs. Psicologia da Saúde: A relevância dos modelos de senso-comum. In Perspectivas em Psicologia da Saúde, 2nd ed.; Leal, I., Ed.; Quarteto: Coimbra, Portugal, 2006; pp. 99–116. [Google Scholar]
- Glanz, K.; Rimer, B.K.; Viswanath, K. Health Behavior and Health Education: Theory, Research, and Practice, 4th ed.; Jossey-Bass: San Francisco, CA, USA, 2008. [Google Scholar]
- Emmanuel, A. A Literature Review of the Factors That Influence Breastfeeding: An Application of the Health Believe Model. Intern. J. Nurs. Health. Sci. 2015, 2, 28–36. [Google Scholar]
- Dattilo, A.M.; Carvalho, R.S.; Feferbaum, R.; Forsyth, S.; Zhao, A. Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents. Behav. Sci 2020, 10, 83. [Google Scholar] [CrossRef]
- Bunik, M.; Clark, M.; Zimmer, L.M.; Jimenez, L.M.; O’Connor, M.E.; Crane, L.A.; Kempe, A. Early Infant Feeding Decisions in Low-Income Latinas. Breastfeed. Med. 2006, 1, 225–235. [Google Scholar] [CrossRef] [Green Version]
- Rehayem, A.; Taki, S.; Brown, N. Denney-Wilson, E. Infant feeding beliefs and practices of Arabic mothers in Australia. Women Birth 2020, 33, 391–399. [Google Scholar] [CrossRef]
- Eksioglu, A.; Yesil, Y.; Ceber Turfan, E. Adaptation of the infant nutrition attitude scale (Iowa) to Turkish: Validity and Reliability Study. Koc Üniversitesi Hemsire. Egit. Ve Arastırma Derg. 2016, 13, 209–215. [Google Scholar] [CrossRef]
- Cox, K.N.; Giglia, R.C.; Binns, C.W. The influence of infant feeding attitudes on breastfeeding duration: Evidence from a cohort study in rural Western Australia. Int. Breast J. 2015, 10, 1–9. [Google Scholar] [CrossRef] [Green Version]
- Gharaii, N.R.; Hesarinejad, Z.; Nasibi, M.; Ghazanfarpour, M.; Kargarfard, L.; Dizavandi, F.R.A. A Systematic Review of Factorial Structure of the Iowa Infant Feeding Attitude Scale (IIFAS). Int. J. Pediatr. -Mashha 2018, 6, 8413–8422. [Google Scholar] [CrossRef]
- Brodribb, W.; Fallon, T.; Jackson, C.; Hegney, D. Attitudes to infant feeding decision-making--a mixed-methods study of Australian medical students and GP registrars. Breastfeed. Rev. 2010, 18, 5–13. [Google Scholar]
- Ulak, M.; Chandyo, R.K.; Mellander, L. Infant feeding practices in Bhaktapur, Nepal: A cross-sectional, health facility based survey. Int. Breastfeed J. 2012, 7, 1–5. [Google Scholar] [CrossRef] [Green Version]
- Anjum, Q.; Ashfaq, T.; Siddiqui, H. Knowledge regarding breastfeeding practices among medical students of Ziauddin University Karachi. J. Pak. Med. Assoc. 2007, 57, 480–483. [Google Scholar]
- Bowdler, S.; Nielsen, W.; Moroney, T.; Meedya, S. What knowledge of breastfeeding do nursing students hold and what are the factors influencing this knowledge: An integrative literature review. Nurse Educ. Pract. 2022, 64, 103423. [Google Scholar] [CrossRef] [PubMed]
- Wright, A.I.; Hurst, N.M. Personal Infant Feeding Experiences of Postpartum Nurses Affect How They Provide Breastfeeding Support. J Obs. Gynecol Neon Nurs 2018, 47, 342–351. [Google Scholar] [CrossRef]
- Biggs, K.V.; Fidler, K.J.; Shenker, N.S.; Brown, H. Are the doctors of the future ready to support breastfeeding? A cross-sectional study in the UK. Int. Breastfeed J. 2020, 15, 46. [Google Scholar] [CrossRef]
- Cricco-Lizza, R. Student Nurses’ Attitudes and Beliefs About Breast-Feeding. J. Prof. Nurs. 2006, 22, 314–321. [Google Scholar] [CrossRef]
- Ekström, A.; Nissen, E. A Mother’s Feelings for Her Infant Are Strengthened by Excellent Breastfeeding Counseling and Continuity of Care. Pediatrics 2006, 118, 309–314. [Google Scholar] [CrossRef]
- Zakarija-Grković, I.; Burmaz, T. Effectiveness of the UNICEF/WHO 20-hour course in improving health professionals’ knowledge, practices, and attitudes to breastfeeding: Before/after study of 5 maternity facilities in croatia. Croat. Med. J. 2010, 51, 396–405. [Google Scholar] [CrossRef] [PubMed]
- Reiff, M.I.; Essock-Vitale, S.M. Hospital Influences on Early Infant-Feeding Practices. Pediatrics 1985, 76, 872–879. [Google Scholar] [CrossRef]
- Kumari, S.; Saili, A.; Jain, S.; Rhargava, U.; Gandhi, G.; Seth, P. Maternal attitude and practices in initiation of newborn feeding. Ind. J. Ped. 1988, 55, 905–911. [Google Scholar] [CrossRef]
- Ahmed, A.; El Guindy, S.R. Breastfeeding knowledge and attitudes among Egyptian baccalaureate students. Int. Nurs. Rev. 2011, 58, 372–378. [Google Scholar] [CrossRef]
- Ahmed, A.; Bantz, D.; Richardson, C. Breastfeeding knowledge of university nursing students. Amer. J. Mater/Nurs. 2011, 3, 361–367. [Google Scholar] [CrossRef] [PubMed]
- Al-Nassaj, H.H.; Al-Ward, N.J.A.; Al-Awqati, N.A. Knowledge, attitudes and sources of information on breastfeeding among medical professionals in Baghdad. East. Medi. Health J. 2004, 10, 871–878. [Google Scholar] [CrossRef]
- Yang, S.F.; Salamonson, Y.; Burns, E. Breastfeeding knowledge and attitudes of health professional students: A systematic review. Int. Breastfeed. J. 2018, 13, 8. [Google Scholar] [CrossRef] [Green Version]
- PORDATA. Available online: https://www.pordata.pt/Portugal/Alunos+matriculados+no+ensino+superior+na+%c3%a1rea+da+Sa%c3%bade+total++por+%c3%a1rea+de+educa%c3%a7%c3%a3o+e+forma%c3%a7%c3%a3o+e+sexo-802 (accessed on 4 October 2022).
- Becker, M.H. The Health Belief Model and personal health behavior. Health Educ. Monographs. 1974, 2, 324–508. [Google Scholar] [CrossRef]
- Creedy, D.K.; Cantrill, R.M.; Cooke, M. Assessing midwives’ breastfeeding knowledge: Properties of the Newborn Feeding Ability questionnaire and Breastfeeding Initiation Practices scale. Int. Breastfeed J. 2008, 3, 7. [Google Scholar] [CrossRef] [Green Version]
- Curado, M.A.S.; Maroco, J.P.; Vasconcellos, T.; Gouveia, L.M.; Thoyre, S. Validação para a população portuguesa da Escala de Observação de Competências Precoces na Alimentação Oral. Rev. Enfermagem. 2017, IV, 131–142. [Google Scholar] [CrossRef] [Green Version]
- Mora, A.; Russell, D.; Dungy, C.; Losch, M.; Dusdieker, L. The Iowa infant feeding attitude scale: Analysis of reliability and validity. J. Appl. Soc. Psychol. 1999, 29, 2362–2380. [Google Scholar] [CrossRef]
- Campos, R.; Pinto, V.; Alves, D.; Rosa, C.P.; Pereira, H. Impact of COVID-19 on the Mental Health of Medical Students in Portugal. J. Pers. Med. 2021, 11, 986. [Google Scholar] [CrossRef] [PubMed]
- Braimoh, J.; Davies, L. When ‘breast’ is no longer ‘best’: Post-partum constructions of infant-feeding in the hospital. Social. Sci. Med. 2014, 123, 82–89. [Google Scholar] [CrossRef] [PubMed]
- Dykes, F. Breastfeeding in Hospital: Mothers, Midwives and the Production Line; Routledge: London, UK, 2006. [Google Scholar]
- Coffey-Glover, L. The boob diaries: Discourses of breastfeeding in ‘exclusive pumping’ blogs. Disc. Contex Media 2020, 38, 100446. [Google Scholar] [CrossRef]
- Jackson, L.; Fallon, V.; Harrold, J.; De Pascalis, L. Maternal guilt and shame in the postpartum infant feeding context: A concept analysis. Midwifery 2022, 105, 103205. [Google Scholar] [CrossRef]
- Jackson, L.; De Pascalis, L.; Harrold, J.; Fallon, V. Guilt, shame, and postpartum infant feeding outcomes: A systematic review. Matern. Child. Nutr. 2021, 17, 13141. [Google Scholar] [CrossRef]
- Direção Geral de Ensino Superior. Available online: https://www.dges.gov.pt/pt/pagina/medicina (accessed on 17 November 2022).
- Gary, A.J.; Birmingham, E.E.; Jones, L.B. Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement. Educ. Health. Abingdon. 2017, 30, 163–168. [Google Scholar] [CrossRef]
- Sudarsanan, H.; Sanchana, A.; VipanchiKamepalli, S.; Kumutha, J. Knowledge, Attitude And Practice Of Infant Feeding Practices Among Medical Students. Europ. J. Mol. Clin. Med. 2021, 7, 3644–3654. [Google Scholar]
- Vandewark, A.C. Breastfeeding Attitudes and Knowledge in Bachelor of Science in Nursing Candidates. J. Peri. Edu. 2014, 23, 135–141. [Google Scholar] [CrossRef] [Green Version]
- McFadden, A.; Gavine, A.; Renfrew, M.J.; Wade, A.; Buchanan, P.; Taylor, J.L.; Veitch, E.; Rennie, A.M.; Crowther, S.A.; Neiman, S.; et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane. Database Syst. Rev. 2017, 2, 001141. [Google Scholar] [CrossRef] [Green Version]
- Henderson, A.M.; Pincombe, J.; Stamp, G.E. Assisting women to establish breastfeeding: Exploring midwives’ practices. Breastfeed. Rev. 2000, 8, 11–17. [Google Scholar]
- Lowe, T. Breastfeeding: Attitudes and knowledge of health professionals. Aust. Fam. Physician. 1990, 19, 392–396. [Google Scholar]
- WHO. Global Strategy for Infant and Young Child Feeding; WHO: Geneva, Switzerland, 2003; Available online: https://www.who.int/publications-detail-redirect/9241562218 (accessed on 17 November 2022).
- Abbott, S.; Renfrew, M.J.; McFadden, A. “Informal” learning to support breastfeeding: Local problems and opportunities. Matern Child Nutr. 2006, 2, 232–238. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Renfrew, M.J.; McFadden, A.; Dykes, F.; Wallace, L.M.; Abbott, S.; Burt, S.; Kosmala-Anderson, J. Addressing the learning deficit in breast-feeding: Strategies for change. Matern. Child Nutr. 2006, 2, 239–244. [Google Scholar] [CrossRef] [PubMed]
- Shehu, M. Knowledge, Attitude and Intending Practice on Breastfeeding Among Clinical Medical Students in Bingham University Teaching Hospital, Jos. Euro. J. Prev. Med. 2019, 7, 50. [Google Scholar] [CrossRef]
- Boroumand, S.; Stein, M.J.; Jay, M.; Shen, J.W.; Hirsh, M.; Dharamsin, S. Addressing the health advocate role in medical education. BMC Med. Educ. 2020, 20, 28. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Harden, R.M. Ten key features of the future medical school-not an impossible dream. Med. Teach 2018, 40, 1010–1015. [Google Scholar] [CrossRef] [Green Version]
- Spiby, H.; McCormick, F.; Wallace, L.; Renfrew, M.J.; D’Souza, L.; Dyson, L.A. Systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding. Midwifery 2009, 25, 50–61. [Google Scholar] [CrossRef]
- Watkins, A.L.; Dodgson, J.E. Breastfeeding educational interventions for health professionals: A synthesis of intervention studies. J. Spec. Ped. Nur. 2010, 15, 223. [Google Scholar] [CrossRef]
- Cianelli, R.; Villegas, N.; Azaiza, K.; Henderson, S.; Hooshmand, M.; Peragallo, N. Developing and testing an online breastfeeding training among undergraduate nursing students. Clinical. Nursing Stud. 2014, 3, 82–88. [Google Scholar] [CrossRef] [Green Version]
- Deloian, B.J.; Lewin, L.O.; O’Connor, M.E. Use of a Web-based Education Program Improves Nurses’ Knowledge of Breastfeeding. J. Obstet. Gynecol. Neon. Nurs. 2015, 44, 77–86. [Google Scholar] [CrossRef]
- Rozensztrauch, A.; Klaniewska, M.; Berghausen-Mazur, M. Factors affecting the mother’s choice of infant feeding method in Poland: A cross-sectional preliminary study in Poland. Ir. J. Med. Sci. 2022, 191, 1735–1743. [Google Scholar] [CrossRef]
- Cricco-Lizza, R. Infant Feeding Beliefs and Day-to-Day Feeding Practices of NICU Nurses. J. Pediat. Nurs. 2016, 31, 91–98. [Google Scholar] [CrossRef] [Green Version]
- Balogun, O.O.; Dagvadorj, A.; Anigo, K.M.; Ota, E.; Sasaki, S. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: A quantitative and qualitative systematic review. Matern. Child Nutr. 2015, 11, 433–451. [Google Scholar] [CrossRef]
- Thomson, G.; Ebisch-Burton, K.; Flacking, R. Shame if you do–shame if you don’t. Matern. Child Nutr. 2015, 11, 33–46. [Google Scholar] [CrossRef] [Green Version]
- Pereira, H.; Beatriz, C. Promoting Social Visibility for Single-Father Families Created by Surrogacy. Famil. Soc. J. Contemp. Human. Serv. 2022, 10443894221118767. [Google Scholar] [CrossRef]
- Shah, S.; Rollins, N.C.; Bland, R.; Child Health Group. Breastfeeding knowledge among health workers in rural South Africa. J. Trop. Pediatr. 2005, 51, 33–38. [Google Scholar] [CrossRef] [Green Version]
- Nashid, N.; Khan, S.; Loutfy, M.; MacGillivray, J.; Yudin, M.H.; Campbell, D.M.; Barozzino, T.; Baqi, M.; Read, S.E.; Bitnun, A. Breastfeeding by Women Living With Human Immunodeficiency Virus in a Resource-Rich Setting: A Case Series of Maternal and Infant Management and Outcomes. J. Pediat. Infect. Diseas. Soc. 2020, 9, 228–231. [Google Scholar] [CrossRef]
- Sarah, E. Why some women do not breast feed: Bottle feeding and fathers’ role. Midwifery 2000, 16, 323–330. [Google Scholar] [CrossRef]
- Hoddinott, P.; Craig, L.C.A.; Britten, J. A serial qualitative interview study of infant feeding experiences: Idealism meets realism. BMJ Open 2012, 2, 000504. [Google Scholar] [CrossRef] [Green Version]
- Direção Geral de Ensino Superior. Available online: https://www.dges.gov.pt/guias/indcurso.asp?curso=9813 (accessed on 17 November 2022).
M | SD | |
---|---|---|
Physiological and emotional benefits of skin-to-skin contact for newborns and mothers | 3.76 | 0.50 |
Indicators of effective suckling and milk transfer | 3.51 | 0.63 |
Work practices that interfere with newborn feeding ability | 3.03 | 0.37 |
Overall Newborn Feeding Knowledge | 3.39 | 0.36 |
Overall Newborn Feeding Attitudes | 3.81 | 0.41 |
M | SD | t(df) | p | ||
---|---|---|---|---|---|
Physiological and emotional benefits of skin-to-skin contact for newborns and mothers | Women | 3.79 | 0.49 | 3.337(647) | 0.001 * |
Men | 3.63 | 0.52 | |||
Indicators of effective suckling and milk transfer | Women | 3.52 | 0.62 | 1.318(647) | 0.188 |
Men | 3.45 | 0.65 | |||
Work practices that interfere with newborn feeding ability | Women | 3.03 | 0.37 | −1.137(647) | 0.256 |
Men | 3.07 | 0.37 | |||
Overall Newborn Feeding Knowledge | Women | 3.40 | 0.35 | 1.587(647) | 0.113 |
Men | 3.35 | 0.39 | |||
Overall Newborn Feeding Attitudes | Women | 3.81 | 0.41 | 0.162(647) | 0.871 |
Men | 3.80 | 0.42 |
M | SD | F | p | ||
---|---|---|---|---|---|
Physiological and emotional benefits of skin-to-skin contact for newborns and mothers | 1st | 3.71 | 0.53 | 1.130 | 0.343 |
2nd | 3.71 | 0.51 | |||
3rd | 3.70 | 0.48 | |||
4th | 3.78 | 0.49 | |||
5th | 3.82 | 0.51 | |||
6th | 3.80 | 0.47 | |||
Indicators of effective suckling and milk transfer | 1st | 3.41 | 0.65 | 2.614 | 0.024 * |
2nd | 3.40 | 0.69 | |||
3rd | 3.52 | 0.63 | |||
4th | 3.49 | 0.57 | |||
5th | 3.64 | 0.62 | |||
6th | 3.58 | 0.58 | |||
Work practices that interfere with newborn feeding ability | 1st | 3.15 | 0.36 | ||
2nd | 3.07 | 0.42 | 3.637 | 0.003 * | |
3rd | 3.02 | 0.37 | |||
4th | 2.99 | 0.29 | |||
5th | 2.99 | 0.34 | |||
6th | 2.98 | 0.39 | |||
Overall Newborn Feeding Knowledge | 1st | 3.40 | 0.37 | 0.416 | 0.838 |
2nd | 3.36 | 0.42 | |||
3rd | 3.37 | 0.33 | |||
4th | 3.37 | 0.31 | |||
5th | 3.42 | 0.33 | |||
6th | 3.40 | 0.35 | |||
Overall Newborn Feeding Attitudes | 1st | 3.59 | 0.41 | 16.549 | 0.000 ** |
2nd | 3.70 | 0.38 | |||
3rd | 3.82 | 0.44 | |||
4th | 3.79 | 0.37 | |||
5th | 3.96 | 0.39 | |||
6th | 3.98 | 0.34 |
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
---|---|---|---|---|---|---|---|
1—Age | 1 | ||||||
2—Year of training | 0.475 ** | 1 | |||||
3—Physiological and emotional benefits of skin-to-skin contact for newborns and mothers | 0.165 ** | 0.084 * | 1 | ||||
4—Indicators of effective suckling and milk transfer | 0.152 ** | 0.124 ** | 0.592 ** | 1 | |||
5—Work practices that interfere with newborn feeding ability | −0.188 ** | −0.151 ** | 0.197 ** | 0.274 ** | 1 | ||
6—Overall Newborn Feeding Knowledge | 0.057 | 0.024 | 0.800 ** | 0.815 ** | 0.649 ** | 1 | |
7—Overall Newborn Feeding Attitudes | 0.235 ** | 0.327 ** | 0.303 ** | 0.302 ** | −0.140 ** | 0.204 ** | 1 |
Model I | Model II | |||||
---|---|---|---|---|---|---|
B | SE B | β | B | SE B | β | |
Age | 0.010 | 0.004 | 0.102 * | 0.002 | 0.004 | 0.017 |
Gender | −0.031 | 0.037 | −0.031 | 0.019 | 0.035 | 0.019 |
Year of training | 0.066 | 0.010 | 0.281 ** | 0.057 | 0.009 | 0.246 ** |
Physiological and emotional benefits of skin-to-skin contact for newborns and mothers | 0.164 | 0.036 | 0.199 ** | |||
Indicators of effective suckling and milk transfer | 0.134 | 0.029 | 0.205 ** | |||
Work practices that interfere with newborn feeding ability | −0.218 | 0.042 | −0.196 ** | |||
R2 | 0.116 | 0.234 | ||||
F | 28.307 ** | 32.692 ** |
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Pereira, H.; Campos, R.; Silva, P.; Cruz, M. Newborn Feeding Knowledge and Attitudes among Medical Students. Eur. J. Investig. Health Psychol. Educ. 2023, 13, 556-567. https://doi.org/10.3390/ejihpe13030043
Pereira H, Campos R, Silva P, Cruz M. Newborn Feeding Knowledge and Attitudes among Medical Students. European Journal of Investigation in Health, Psychology and Education. 2023; 13(3):556-567. https://doi.org/10.3390/ejihpe13030043
Chicago/Turabian StylePereira, Henrique, Ricardo Campos, Patricia Silva, and Madalena Cruz. 2023. "Newborn Feeding Knowledge and Attitudes among Medical Students" European Journal of Investigation in Health, Psychology and Education 13, no. 3: 556-567. https://doi.org/10.3390/ejihpe13030043