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Informing Infant Nutrition: Timing of Infant Formula Advice,Infant Formula Choice and Preparation in the First 6 Months of Life
Affiliation:1. Tresillian Family Care Centres, Sydney, New South Wales, Australia;2. Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, New South Wales, Australia;3. School of Nursing and Midwifery, Faculty of Health, University of Technology, Sydney, New South Wales, Australia;4. Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia;5. School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Queensland, Australia;6. Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD;7. School of Exercise and Nutrition Sciences, Faculty of Health, Deakin University, Geelong, Victoria, Australia;8. Sydney Local Health District, Camperdown, New South Wales, Australia;1. University of Mississippi, Oxford, MS;2. Student Representative, SNEB Board of Directors;1. Abt Associates, Cambridge, MA;2. US Department of Agriculture Food and Nutrition Service, Alexandria, Virginia;3. Division of General and Community Pediatrics, Cincinnati Children''s Hospital Medical Center and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH.;1. Department of Child Youth and Family Studies, University of Nebraska–Lincoln, Lincoln, NE;2. Department of Food, Nutrition, and Health, University of Nebraska–Lincoln Extension, Lincoln, NE;3. Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE;4. Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI;5. Department of Foods and Nutrition, University Of Georgia, Athens, GA;6. Department of Behavioral and Social Sciences, Brown University, Providence, RI;1. Department of Nutrition, University of North Carolina Greensboro, Greensboro, NC;2. Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC;3. Office of School and Community Nutrition Programs, Maryland State Department of Education, Baltimore, MD;4. Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, MD
Abstract:ObjectiveTo examine the sources and timing of advice formula feeding parents receive and how this and other factors influence the choice of formula product and formula preparation.DesignComponents of a cross-sectional survey.SettingA child and family health service in New South Wales, Australia.ParticipantsParents (n = 153) who were fully or partially formula feeding infants aged 0–6 months and who visited the service's facilities or its social media site.Variables MeasuredType of formula, preparation of formula, and use and sources of formula feeding advice.AnalysisDescriptive statistics, Mann-Whitney U or Pearson's chi-square tests, and inductive content analysis.ResultsThe most common source of formula feeding advice was the formula tin/packet (96.6%). Although 79.2% received advice from a health professional, only 18.9% reported receiving this advice before using formula. Approximately half (48.0%) of the parents chose a standard cow's milk-based formula. The most common reason for their choice of formula type/brand was a personal recommendation (53.0%). Parents’ responses indicated that nearly half (46.3%) incorrectly prepared the formula.Conclusion and ImplicationsAlthough health professional advice was widely received, this was rarely before starting formula. Despite the current national infant feeding regulations, parents who were not exclusively breastfeeding their infants did not always receive timely, health professional advice about formula feeding.
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