Predicting Intention to Wean from the Bottle Among Hispanic Mothers

<p><em>Background.</em> Hispanic children carry a disproportionate burden of prolonged bottle use and associated disease. Children in low-income households who use the bottle beyond age 12 months are at risk for iron deficiency anemia, obesity, and early childhood dental caries.</p> <p><em>Purpose.</em> The purpose of this study was to identify predictors of intention to wean from the bottle among low-income Hispanic mothers of infants enrolled in the Special Supplemental Food Program for Women, Infants and Children (WIC).</p> <p><em>Method</em>. A convenience sample of 266 low-income Hispanic mothers of infants age 5 to 14 months old were categorized into four groups by experience weaning a child from the bottle (new mother or experienced mother), and by language preference (English or Spanish). Intention was regressed on attitude, subjective norm and perceived behavioral control for the total sample, and for each of the four subject groups. Each core TpB construct was regressed on the appropriate composite variables for the total sample, then for each of the four language-experience groups.</p> <p><em>Results.</em> For all subjects, the TpB variables robustly predicted intention to wean (R² = .63, p< .001). The strongest predictor was perceived behavioral control (P = .38), followed by subjective norm (P = .30), and attitude (P = .26, each p < .001). The belief composite variables explained significant variance in TpB constructs (p < .001): 9 9 9 subjective norm (R² = .58), attitude (R² = .33), and perceived behavioral control (R² = .12). The associations among TpB constructs varied depending on language and weaning experience of the mother.</p> <p><em>Conclusion.</em> Weaning interventions need to be designed within the context of language and experience for low-income Hispanic mothers, as the importance of beliefs differs depending on these variables.</p>

Name thesis:degree_name

Doctor of Public Health (DrPH)

Level thesis:degree_level

Dissertation

Year

2009

Author dc:creator

• Fleming, Elaine K.

Contributors dc:contributor

• Helen Hopp Marshak
• Naomi Modeste
• Christine Neish

• Public Health Education and Promotion
• Bottle Feeding -- psychology; Feeding Behavior; Age Factors; Health Knowledge; Attitudes; Practice Weaning; Parents -- education; Hispanic Americans; Socioeconomic Factors; Evaluation Studies

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/1178

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-2723