Exploring Relationships Between Food Security Status, Infant Feeding Attitude and Breastfeeding Intention in Pregnant Women Attending a Health Care Facility in Cape Town, South Africa.

IF 2 4区医学 Q2 NURSING

Journal of Human Lactation Pub Date : 2026-09-28 DOI:10.1177/08903344261479885

Debby Gates, Baheya Najaar, Kimberleigh Brody, Justine Hamann, Yenziwe Ndlovu, Michaela Smith, Janetta Harbron

{"title":"Exploring Relationships Between Food Security Status, Infant Feeding Attitude and Breastfeeding Intention in Pregnant Women Attending a Health Care Facility in Cape Town, South Africa.","authors":"Debby Gates, Baheya Najaar, Kimberleigh Brody, Justine Hamann, Yenziwe Ndlovu, Michaela Smith, Janetta Harbron","doi":"10.1177/08903344261479885","DOIUrl":null,"url":null,"abstract":"Background: Breastmilk provides optimal infant nutrition and contributes to successful growth and development. Interlinked determinants influence breastfeeding attitude, intention, and duration.Research aims: This study aimed to investigate relationships between socioeconomic indicators, food security status, infant feeding attitude and breastfeeding intentions of pregnant women in Cape Town, South Africa.Methods: This cross-sectional descriptive study recruited 218 adult women (third trimester; singleton pregnancy; without gestational diabetes or pre-eclampsia). A study-specific questionnaire, including validated infant feeding attitude and food security status questionnaires, was used. Descriptive statistics were expressed as percentages and medians (interquartile ranges), while associations were explored with non-parametric tests and regression modeling.Results: Participants' median age was 27 years (23-32). The majority had monthly household incomes between 0-308 USD (R0-R5000) (61.1%), did not receive social grants (60.4%), were employed (53.7%), and were married or living with partners (53.0%). Exclusive breastfeeding intention after birth was 84.4% but 32.9% on returning to the workplace. Infant feeding attitudes predominantly reflected neutral towards breastfeeding (96.8%), with a median score of 61.0 (58.0-64.0). Households with children (n = 127) indicated 18.1% food insecure and 52.8% at risk for hunger. Overall household level food insecurity was 60.7% and individual level food insecurity 37.6%. Food security status amongst all levels showed no significant association with infant feeding attitude or breastfeeding intention. Food secure participants were four times more likely to expect to receive breastfeeding support.Conclusion: Food security status was not associated with infant feeding attitude, breastfeeding intention after birth, or on returning to the workplace.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261479885"},"PeriodicalIF":2.0000,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Human Lactation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08903344261479885","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Breastmilk provides optimal infant nutrition and contributes to successful growth and development. Interlinked determinants influence breastfeeding attitude, intention, and duration.

Research aims: This study aimed to investigate relationships between socioeconomic indicators, food security status, infant feeding attitude and breastfeeding intentions of pregnant women in Cape Town, South Africa.

Methods: This cross-sectional descriptive study recruited 218 adult women (third trimester; singleton pregnancy; without gestational diabetes or pre-eclampsia). A study-specific questionnaire, including validated infant feeding attitude and food security status questionnaires, was used. Descriptive statistics were expressed as percentages and medians (interquartile ranges), while associations were explored with non-parametric tests and regression modeling.

Results: Participants' median age was 27 years (23-32). The majority had monthly household incomes between 0-308 USD (R0-R5000) (61.1%), did not receive social grants (60.4%), were employed (53.7%), and were married or living with partners (53.0%). Exclusive breastfeeding intention after birth was 84.4% but 32.9% on returning to the workplace. Infant feeding attitudes predominantly reflected neutral towards breastfeeding (96.8%), with a median score of 61.0 (58.0-64.0). Households with children (n = 127) indicated 18.1% food insecure and 52.8% at risk for hunger. Overall household level food insecurity was 60.7% and individual level food insecurity 37.6%. Food security status amongst all levels showed no significant association with infant feeding attitude or breastfeeding intention. Food secure participants were four times more likely to expect to receive breastfeeding support.

Conclusion: Food security status was not associated with infant feeding attitude, breastfeeding intention after birth, or on returning to the workplace.

查看原文本刊更多论文

南非开普敦某医疗机构孕妇食物安全状况、婴儿喂养态度和母乳喂养意愿的关系研究

背景：母乳提供最佳的婴儿营养，有助于成功的生长和发育。相互关联的决定因素影响母乳喂养的态度、意图和持续时间。研究目的：本研究旨在探讨南非开普敦孕妇的社会经济指标、粮食安全状况、婴儿喂养态度和母乳喂养意愿之间的关系。方法：这项横断面描述性研究招募了218名成年女性（妊娠晚期、单胎妊娠、无妊娠糖尿病或先兆子痫）。本研究采用了一份调查问卷，包括经验证的婴儿喂养态度和食品安全状况问卷。描述性统计以百分比和中位数（四分位数范围）表示，而通过非参数检验和回归建模来探讨相关性。结果：参与者的中位年龄为27岁（23-32岁）。大多数人的家庭月收入在0-308美元（R0-R5000）之间（61.1%），没有领取社会补助金（60.4%），有工作（53.7%），已婚或与伴侣同居（53.0%）。出生后打算纯母乳喂养的占84.4%，而回到工作岗位后打算纯母乳喂养的占32.9%。婴儿对母乳喂养的态度主要为中性（96.8%），中位数得分为61.0（58.0-64.0）。有儿童的家庭（n = 127）表示18.1%的家庭粮食不安全，52.8%的家庭面临饥饿风险。总体而言，家庭层面的粮食不安全为60.7%，个人层面的粮食不安全为37.6%。各层次食品安全状况与婴儿喂养态度或母乳喂养意向无显著相关性。有粮食保障的参与者期望获得母乳喂养支持的可能性要高出四倍。结论：食品安全状况与婴儿喂养态度、出生后母乳喂养意愿及重返工作岗位无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Human Lactation 医学-妇产科学

CiteScore

5.00

自引率

11.50%

发文量

100

审稿时长

6-12 weeks

期刊介绍： Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.