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Associations Between Parental Engagement With Health Professionals and Child Health Behaviours
Eve T House1,2,3,4, Huilan Xu3,4, Louise A Baur1,2,5
1Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Insights
Seeking health professional advice on infant feeding was linked to a reduced likelihood of breastfeeding. This highlights opportunities for proactive health promotion in early childhood care settings.
Area of Science:
- Child Health
- Public Health Nutrition
- Infant Feeding Practices
Background:
- Health professionals are key sources of infant feeding advice.
- The impact of this advice on feeding and health behaviors is not well understood.
- This study investigated the link between parental engagement with health professionals for feeding advice and child health behaviors.
Purpose of the Study:
- To examine the association between parental engagement with health professionals for infant feeding advice in the first six months of life and child health behaviors.
- To analyze feeding and nutrition behaviors at 6, 12, and 24 months of age.
Main Methods:
- Cross-sectional and longitudinal analyses of survey data from a randomized controlled trial in Australia.
- Parents reported on sources of infant feeding information and child nutrition, feeding, and movement behaviors.
- Multiple logistic regression models were used to assess associations.
Main Results:
- Longitudinal analysis showed seeking health professional advice was associated with a lower likelihood of current breastfeeding (aOR = 0.54, 95% CI = 0.41-0.71).
- No significant association was found between engagement with health professionals and other child health behaviors after adjusting for confounders.
Conclusions:
- Parental engagement with health professionals for infant feeding support may indicate existing breastfeeding challenges.
- There is an opportunity for routine health promotion in child healthcare settings to address feeding issues proactively.
- Early intervention can support healthier infant feeding transitions.
Background:
Health professionals are an important source of infant feeding advice in the first year of life. However, little is known about the impact of such advice provided as part of routine child health services on feeding practices and other child health behaviours. This study aimed to examine the association between parental engagement with health professionals for breast and formula feeding advice during the first 6 months of life and child health behaviours at 6, 12 and 24 months of the child's age.
Methods:
Cross-sectional and longitudinal analyses of survey data from a randomised controlled trial in Australia were conducted. At 6 months, parents were asked what sources of information regarding breast and formula feeding they used; at 6, 12 and 24 months, they were asked about their child's nutrition, feeding and movement behaviours. Cross-sectional and longitudinal multiple logistic regression models examined the association between engagement with health professionals in the first 6 months of life and child health behaviours at 6, 12 and 24 months of age.
Results:
A total of 1155 mothers completed the baseline survey, 947 (82%), 920 (80%) and 797 (69%) completed the 6-, 12- and 24-month surveys. Longitudinal modelling indicated that seeking health professional advice regarding infant feeding was associated with a lower likelihood of current breastfeeding (adjusted odds ratio = 0.54, 95% confidence interval = 0.41-0.71, p < 0.001). After adjustment for confounders, engagement with health professionals in the first 6 months of life was not associated with any other child health behaviours based on cross-sectional analyses.
Conclusions:
These findings suggest that parental engagement with health professionals for infant feeding support may be a response to significant breastfeeding challenges or transitions in infant feeding, pointing to an opportunity to support more routine health promotion in child healthcare settings before such challenges arise.
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