Cross-Sectional Associations Between Exposure to Commercial Milk Formula Marketing, Beliefs About Its Use, and Socioeconomic Position Among Pregnant Women and Mothers in the UK.

IF 2.8 2区 医学 Q3 NUTRITION & DIETETICS
Martha Athanasiadou, Florence Sheen, Andrea D Smith, Clare Llewellyn, Rana Conway
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Abstract

International provisions are in place to restrict marketing practices that idealise the use of commercial milk formula (CMF) and discourage breastfeeding. In high-income countries, women of lower socioeconomic position (SEP) are less likely to breastfeed. This study aimed to characterise the nature of exposure to CMF marketing in the UK, the extent to which women hold positive beliefs about CMF and examine the relationship between exposure to CMF marketing, holding positive beliefs about CMF and SEP. Data on these topics were collected for 1052 pregnant women and mothers of children under 18 months of age between February 2020 and February 2021. Participants were assigned a 'CMF marketing score' according to the number of locations where they recalled seeing advertisements, engaging with companies or receiving promotional activity. The extent to which women held positive beliefs about CMF ('CMF positivity score') was determined by level of agreement with 17 statements. Principal component analysis, analyses of covariance and regression analyses were applied. Every woman reported exposure to CMF marketing from multiple channels. CMF marketing score did not vary across SEP groups (p = 0.342). Women of lower and middle SEP held stronger CMF positive beliefs than women of higher SEP, including 'Breastfeeding and formula feeding provide a baby with the same health benefits' (p < 0.005). CMF marketing score was not associated with CMF positivity score. Marketing suggesting CMF provides benefits similar to, or greater than, breastfeeding should be restricted to help mitigate current inequalities in infant feeding practices.

英国孕妇和母亲接触商业配方奶粉营销、对其使用的信念和社会经济地位之间的横断面关联。
国际上已有规定,限制将商业配方奶粉的使用理想化并阻碍母乳喂养的营销做法。在高收入国家,社会经济地位较低的妇女不太可能进行母乳喂养。本研究旨在描述英国接触CMF营销的性质,女性对CMF持有积极信念的程度,并研究接触CMF营销,对CMF持有积极信念和SEP之间的关系。在2020年2月至2021年2月期间,收集了1052名孕妇和18个月以下儿童的母亲关于这些主题的数据。根据参与者回忆中看到广告、与公司接触或接受促销活动的地点数量,他们被分配了一个“CMF营销得分”。女性对CMF持有积极信念的程度(“CMF积极得分”)由对17个陈述的同意程度决定。采用主成分分析、协方差分析和回归分析。每位女性都报告了从多个渠道接触到CMF营销。CMF营销评分在SEP组间差异无统计学意义(p = 0.342)。较低和中等SEP的妇女比较高SEP的妇女持有更强的CMF积极信念,包括“母乳喂养和配方奶喂养为婴儿提供同样的健康益处”
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Maternal and Child Nutrition
Maternal and Child Nutrition 医学-小儿科
CiteScore
7.70
自引率
8.80%
发文量
144
审稿时长
6-12 weeks
期刊介绍: Maternal & Child Nutrition addresses fundamental aspects of nutrition and its outcomes in women and their children, both in early and later life, and keeps its audience fully informed about new initiatives, the latest research findings and innovative ways of responding to changes in public attitudes and policy. Drawing from global sources, the Journal provides an invaluable source of up to date information for health professionals, academics and service users with interests in maternal and child nutrition. Its scope includes pre-conception, antenatal and postnatal maternal nutrition, women''s nutrition throughout their reproductive years, and fetal, neonatal, infant, child and adolescent nutrition and their effects throughout life.
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