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Determining Clinically Relevant Cutoff Scores for the Iowa Infant Feeding Attitude Scales Among Prenatal Women in Canada / Nouf M. AlKusayer in Journal of Human Lactation, Vol. 34, n°4 (Novembre 2018)
Titre : Determining Clinically Relevant Cutoff Scores for the Iowa Infant Feeding Attitude Scales Among Prenatal Women in Canada Type de document : texte imprimé Auteurs : Nouf M. AlKusayer, Auteur ; William K. Midodzi, Auteur ; Leigh Anne Newhook, Auteur Année de publication : 2018 Article en page(s) : pp. 691–698 Langues : Anglais (eng) Catégories : Alimentation
Attitude vis à vis de l'allaitement
Comportement et mécanisme comportemental
Nutrition de l'enfant
Nutrition du nourrisson
Pratique de l'allaitement
Promotion de la santé
Résumé : "Background:
The original 17-item Iowa Infant Feeding Attitude Scale (IIFAS) has been validated and widely used to assess attitudes toward breastfeeding. A reduced 13-item version of the IIFAS was recently validated in a Canadian setting. However, cutoff scores for categorization of infant feeding attitudes on both scales have not yet been established.
The aim of this study was to determine optimal cut-ff scores predicting infant feeding attitudes and outcomes for the original and reduced IIFASs.
A population-based prospective cohort study was undertaken in the Canadian province of Newfoundland and Labrador. A sample of 658 pregnant women were followed up to 1 month postpartum. The receiver operating curve and Youden index were assessed to identify the sensitivity and specificity of cutoff scores. The magnitude at which these scores predicted postpartum feeding outcomes was evaluated using linear regression.
Scores of ≤60 (sensitivity = 0.81, specificity = 0.87) and ≤45 (sensitivity = 0.84, specificity = 0.83) for the 17-item and 13-item IIFASs, respectively, were found to be optimal cutoff scores for predicting negative breastfeeding attitudes. The cutoff score for the reduced IIFAS version maintained its ability to predict women who formula-fed at 1 month postpartum (adjusted odds ratio = 6.32, 95% confidence interval = 1.84-11.61) compared with the original scale (adjusted odds ratio = 4.62, 95% confidence interval = 2.42-16.52).
The proposed cutoff scores for the original and reduced IIFASs have excellent predictive ability to determine infant feeding attitudes and outcomes. The classification of scores enhances the use and applicability of the IIFAS." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 34, n°4 (Novembre 2018) . - pp. 691–698[article]The Impact of the Professional Qualifications of the Prenatal Care Provider on Breastfeeding Duration in Breastfeeding Medicine, Vol. 13, n°2 (Mars 2018)
Titre : The Impact of the Professional Qualifications of the Prenatal Care Provider on Breastfeeding Duration Type de document : texte imprimé Année de publication : 2018 Note générale :
Langues : Anglais (eng) Catégories : Durée de l'allaitement
Epidémiologie« Etude de la distribution et des déterminants des états ou des évènements liés à la santé
dans des populations spécifiques, et l’utilisation de cette connaissance pour le contrôle de
la santé »
Last JM, A Dictionary of Epidemiology, 2001
Professionnel de santé
Résumé : "Background: A prenatal commitment to breastfeed is a strong predictor for breastfeeding success. Prenatal care providers have the opportunity to educate and promote breastfeeding. However, differences in education and training between healthcare providers such as physicians and midwives may result in differing breastfeeding outcomes. This study explores whether breastfeeding initiation and duration differ by prenatal care provider.
Materials and Methods: Longitudinal data from the Infant Feeding Practices Survey II were analyzed (N = 2,832 women). Prenatal care providers were categorized as obstetrician, family/other physician, and midwife/nurse-midwife. Breastfeeding initiation was dichotomized (yes; no). Breastfeeding duration and exclusive breastfeeding duration were reported in weeks. Logistic regression was used to investigate the relationship between prenatal care provider and breastfeeding initiation. Cox proportional hazard models provided crude and adjusted hazard ratios and 95% confidence limits to determine the relationship between type of prenatal care provider and breastfeeding duration.
Results: After adjusting for confounders, women who received care from a midwife were 68% less likely to never breastfed than women whose prenatal care was provided by an obstetrician. Women whose prenatal care was provided by a midwife had 14% lower risk of discontinuing breastfeeding and 23% lower risk of discontinuing exclusive breastfeeding. No significant association was found between women whose prenatal care was provided by a family physician or other type of physician and breastfeeding initiation and duration.
Conclusion: Findings highlight the importance of prenatal care providers on breastfeeding duration. Future studies should examine factors (i.e., training, patient–provider interaction) that contribute to differences in breastfeeding outcomes by type of prenatal care provider." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 13, n°2 (Mars 2018)[article]The Role of Social-Cognitive and Emotional Factors on Exclusive Breastfeeding Duration / Lee Shephered in Journal of Human Lactation, Vol. 33, n°3 (Août 2017)
Titre : The Role of Social-Cognitive and Emotional Factors on Exclusive Breastfeeding Duration Type de document : texte imprimé Auteurs : Lee Shephered, Auteur ; Cherokee Walbey, Auteur ; Brian Lovell, Auteur Année de publication : 2017 Article en page(s) : pp. 606-613 Langues : Anglais (eng) Catégories : Alimentation
Attitude vis à vis de l'allaitement
Comportement et mécanisme comportemental
Durée de l'allaitement
Frein à l'allaitement
Promotion de l'allaitement
Représentation de son auto-efficacité
Mots-clés : barrière Résumé : "Background:
Previous research has suggested that exclusive breastfeeding is likely to be predicted by social-cognitive variables and fear. However, there is little research assessing the role of regret and self-conscious emotions (e.g., pride and guilt) in promoting exclusive breastfeeding.
The primary aim of this research was to determine whether social-cognitive variables, fear, regret, and self-conscious emotions predict exclusive breastfeeding duration. The secondary aim of this research was to assess whether these factors predict infant-feeding choice (i.e., exclusively breastfed, combination fed, or generally formula fed).
In this nonexperimental one-group self-report survey, 375 mothers rated social-cognitive variables toward breastfeeding (attitude, subjective norm, perceived control, and self-efficacy), their fear toward inadequate nutrition from breastfeeding and breastfeeding damaging their physical appearance, and the extent to which mothers may feel pride toward breastfeeding and negative self-conscious emotions (guilt and shame) and regret for not breastfeeding their infant.
Exclusive breastfeeding duration was positively predicted by self-efficacy, pride, and regret but negatively predicted by the fear toward inadequate nutrition. We also found that in contrast with exclusive breastfeeding, generally formula feeding an infant was associated with lower self-efficacy, pride, and regret but higher subjective norm and fear toward inadequate nutrition through breastfeeding.
The authors argue that it is important to consider the role of self-conscious emotions and regret on exclusive breastfeeding." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°3 (Août 2017) . - pp. 606-613[article]