Determinants of complementary feeding practices among mothers of 6–24 months failure to thrive children based on behavioral analysis phase of PRECEDE model, Tehran

Abstract

Background:This study intended to clarify the determining factors of complementary feeding practices among Tehran 6–24 months failure to thrive children in order to use the results for planning the interventions to reduce the possible adverse effects.Materials and Methods:In this study, 132 mothers of three medical and health centers were chosen by random sampling among those centers operating under the supervision of south of Tehran District Health Center and study data were collected from them. A valid and reliable questionnaire as a data collection instrument developed based on behavioral analysis phase of PRECEDE model. Spearman and Pearson's correlation coefficient test were used to determine the statistical relationship between factors associated with complementary feeding practices among mothers.Results:The mothers’ knowledge was as follows: 0.8%, 20.4%, and 78.8% of them were good, medium, and poor, respectively. Mean scores for the mothers’ performance in terms of supplementary feeding was 66.8. Pearson correlation indicated a positive and significant correlation between the mothers’ performance with enabling and reinforcing factors, but there wasn’t any significant relationship between the mothers’ performance and knowledge about complementary feeding.Conclusions:According to the obtained results, reinforcing factors, and enabling factors are associated with the mothers’ performance in terms of complementary feeding. Hence, attention to these issues is essential for better health interventions planning.

Factors Associated with Mothers’ Behaviors in Selecting Complementary Feeding in Surabaya, Indonesia

“…The statistical test showed that all independent variables (knowledge, attitudes, beliefs, income, and family support) had a significant yet a weak correlation with maternal behavior in selecting complementary feeding. (Shams et al, 2016). The discussion of this study will be focus on the predisposing, reinforcing, and enabling factors associated with mothers' behavior in selecting complementary feeding, so that they can contribute to developing programs as an effort to solve the problems.…”

“…Various factors can influence mothers' behavior in selecting complementary feeding. Previous research has showed that the determinants of maternal behaviors in fulfilling complementary feeding can be examined by the PRECEDE-PROCEED model (Shams, Mostafavi, & Hassanzadeh, 2016). The model explains that there are predisposing, enabling, and reinforcing factors that influence a person's behavior.…”

Predictors of complementary feeding in infants aged 6 to 18 months: An application of Health Belief Model

“…In addition, the selfefficacy of mothers is significantly affected by supports of family and friends 6 . Family plays a major and the most important role in mental and emotional support of mother and is a good action cue for mothers to decide and behave in kid's nutrition 6 . Lack of adequate family support can have a negative effect on self-efficacy of mothers as well as their performance in relation to CF.…”

“…Infants aged less than two years old are very vulnerable to malnutrition due to their nutritional needs for growth [3][4][5] . Since the high rate of growth during infancy is accompanied by certain changes in the function and composition of organs, a defect in providing adequate food in this period can have destructive effects on development in addition to growth disorders [3][4][5][6] . The destructive effects of malnutrition include immune disorders, respiratory disorders, gastrointestinal infections, disruption of central nervous system growth and consequently, reduced mental abilities 7,8 .…”

“…Malnutrition is the direct and indirect reason for half of the 10.9 million deaths of kids under the age of 5 in the world and more than two thirds of these deaths are usually associated with poor nutrition in the first two years of life 9 . In Iran, kid's malnutrition is considered as a major health issue and several studies have reported the prevalence of underweight in Iranian kids 3,6,10 .…”