Objective:
To examine associations between maternal characteristics and feeding styles in Caribbean mothers.
Design:
Participants were mother-child pairs enrolled in a cluster randomized trial of a parenting intervention in 3 Caribbean islands. Maternal characteristics were obtained by questionnaires when infants were 6-8 weeks old. Items adapted from the Toddler Feeding Behaviour Questionnaire were used to assess infant feeding styles at age 1 year. Feeding styles were identified using factor analysis and associations with maternal characteristics assessed using multilevel linear regression.
Setting:
Health clinics in St. Lucia (n=9), Antigua (n=10) and Jamaica (n=20).
Participants:
405 mother-child pairs from the larger trial.
Results:
Maternal depressive symptoms were associated with uninvolved (β= 0.38 [95%CI=0.14, 0.62]), restrictive (β= 0.44 [95%CI= 0.19, 0.69]) and forceful (β=0.31 [95%CI= 0.06, 0.57]) feeding; and inversely associated with responsive feeding (β= −0.30 [95%CI= −0.56, −0.05]).Maternal vocabulary was inversely associated with uninvolved (β= −0.31 [95%CI= −0.57, −0.06]), restrictive (β= −0.30 [95%CI= −0.56, −0.04]), indulgent (β= −0.47 [95%CI= −0.73, −0.21]) and forceful (β= −0.54 [95%CI= −0.81, −0.28]) feeding. Indulgent feeding was negatively associated with socioeconomic status (β= −0.27 [95%CI= −0.53, −0.00]) and was lower among mothers ≥35 years (β= −0.32 [95%CI= −0.62, −0.02]). Breastfeeding at 1 year was associated with forceful feeding (β= 0.41 [95%CI= 0.21, 0.61]). No significant associations were found between maternal education, body mass index, occupation and feeding styles.
Conclusion:
Services to identify and assist mothers with depressive symptoms may benefit infant feeding style. Interventions to promote responsive feeding may be important for, less educated, younger and socioeconomically disadvantaged mothers.