Objective: To describe the knowledge, attitudes and beliefs about infant feeding amongst a group of Scottish primary school children.Design: Qualitative focus group study.Setting: A single primary school which serves a mixed socio-econmic area in the north of Scotland.Method: Parents gave demographic details about their family, and information about whether their children had been breastfed. Twenty three children, aged 5 and 6, took part in 3 focus groups which were conducted by 2 facilitators, according to a predetermined topic guide. Focus group data were supplemented with analyses of children's drawings and with fieldnotes.Results: Children generally spoke of and drew pictures of bottle-feeding. Their lack of everyday language for breastfeeding suggested that breastfeeding was not a 'taken-forgranted' activity. The repeated reference to adult meal patterns and to equipment suggested that the children have a mechanistic and confused idea of what breastfeeding involves. Their difficulties conceptualizing night feeds and feeding in public places suggested that the children viewed breastfeeding as a private activity, permissible only in certain contexts. Children had vivid recall of TV images of infant feeding.Conclusions: Despite the observation that breastfeeding was not generally perceived as a natural activity, our findings suggest that primary school children are interested in infant feeding and that they can be engaged in and educated about it as young as 6 years old. Larger studies are needed to further explore attitudes to infant-feeding.
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