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

*Retnayu Pradanie scopus  -  Universitas Airlangga, Indonesia
Praba Diyan Rachmawati  -  Universitas Airlangga, Indonesia
Meilia Dwi Cahyani  -  Universitas Airlangga, Indonesia
Received: 2 Jan 2020; Revised: 9 Oct 2020; Accepted: 15 Nov 2020; Published: 28 Dec 2020.
Open Access Copyright (c) 2020 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Complementary feeding is usually given to babies at 6 to 24 months of age. Appropriate types, amounts, and methods of complementary feeding are crucial for baby growth and development. Various factors influence mothers’ behavior in selecting complementary feeding.  

Purpose: This study aimed to investigate factors affecting mothers’ behaviors in selecting complementary feeding for their babies. 

Methods: A descriptive analytical study with a cross-sectional approach was conducted on 153 mothers having babies aged 6-12 months old in Surabaya, Indonesia, recruited using simple random sampling. The independent variables were knowledge, attitude, belief, family income, and family support, while the dependent variable was mothers’ behavior in selecting complementary feeding. Data were collected using questionnaires and analyzed using the Spearman rho’s test with a significance level of <0.05.

Results: The results showed that knowledge (p=0.021), attitudes (p=0.030), beliefs (p=0.006), income (p=0.000), and family support (p=0.006) were factors affecting mothers’ behavior in selecting complementary feeding.

Conclusion: Knowledge, attitudes, beliefs, income and family support had a significant correlation with mothers’ behaviors in selecting complementary feeding. This finding emphasizes pivotal needs to increase knowledge and attitude of complementary feeding for both mothers as the infant primary caregivers, and families as the closest support system for mothers.

Keywords: Complementary feeding; feeding behavior; infant feeding

Article Metrics:

  1. Aguayo, V. M., & Menon, P. (2016). Stop stunting: Improving child feeding, women’s nutrition and household sanitation in South Asia. Maternal & Child Nutrition, 12(1), 3–11. doi: 10.1111/mcn.12283
  2. Barachetti, R., Villa, E., & Barbarini, M. (2017). Weaning and complementary feeding in preterm infants: Management, timing and health outcome. Pediatria Medica e Chirurgica, 39(4), 115–119. doi: 10.4081/pmc.2017.181
  3. Becheanu, C. A., Ţincu, I. F., & Leşanu, G. (2018). Feeding practices among Romanian children in the first year of life. Hong Kong Journal of Paediatrics, 23(1), 13–19.
  4. Cislak, A., Safron, M., Pratt, M., Gaspar, T., & Luszczynska, A. (2012). Family-related predictors of body weight and weight-related behaviours among children and adolescents: A systematic umbrella review. Child: Care, Health and Development, 38(3), 321–331. doi: 10.1111/j.1365-2214.2011.01285.x
  5. Data and Information Center. (2018). Situasi balita pendek (stunting) di Indonesia [The Situation of stunting in Indonesia]. Buletin Jendela Data dan Informasi Kesehatan, 1, 6–18. Retrieved from http://www.pusdatin.kemkes.go.id/download.php?file= download/pusdatin/buletin/Buletin-Stunting-2018.pdf
  6. Deshpande, M., & Gokhale, D. (2020). Knowledge, attitude and practices regarding infant and young child feeding among lactating mothers from rural areas of Nanded, Maharashtra. Biomedical and Pharmacology Journal, 13(02), 833–841. doi: 10.13005/bpj/1949
  7. Dewey, K. G. (2013). The challenge of meeting nutrient needs of infants and young children during the period of complementary feeding: an evolutionary perspective. The Journal of Nutrition, 143(12), 2050–2054. doi: 10.3945/jn.113.182527
  8. Fabrizio, C. S., Van Liere, M., & Pelto, G. (2014). Identifying determinants of effective complementary feeding behaviour change interventions in developing countries. Maternal & Child Nutrition, 10(4), 575–592. doi: 10.1111/mcn.12119
  9. Gross, F. de M., Van der Sand, I. C. P., Girardon-Perlini, N. M. O., & Cabral, F. B. (2011). Influence of grandmothers on infant feeding: What they say to their daughters and granddaughters. Acta Paulista de Enfermagem, 24(4), 534–540. doi: 10.1590/S0103-21002011000400014
  10. Indonesian Pediatric Association. (2015). Rekomendasi praktik pemberian makan berbasis bukti pada bayi dan batita di Indonesia untuk mencegah malnutrisi [Recommendation evidence-based feeding practices for infants and toddlers in Indonesia to prevent malnutrition]. Retrieved from http://www.idai.or.id/wp-content/uploads/2015/07/merged_document.pdf
  11. Kalra, N., Pelto, G., Tawiah, C., Zobrist, S., Milani, P., Manu, G., …, & Parker, M. (2018). Patterns of cultural consensus and intracultural diversity in Ghanaian complementary feeding practices. Maternal & Child Nutrition, 14(1), e12445. doi: 10.1111/mcn.12445
  12. Kim, R., Mejía-Guevara, I., Corsi, D. J., Aguayo, V. M., & Subramanian, S. V. (2017). Relative importance of 13 correlates of child stunting in South Asia: Insights from nationally representative data from Afghanistan, Bangladesh, India, Nepal, and Pakistan. Social Science & Medicine, 187, 144–154. doi: 10.1016/J.SOCSCIMED.2017.06.017
  13. Kittisakmontri, K., Fewtrell, M., Roekworachai, K., Phanpong, C., & Lanigan, J. (2018). Complementary feeding: Attitudes, knowledge and practices of urban families in northern Thailand. Nutrition and Dietetics, 1–10. doi: 10.1111/1747-0080.12474
  14. Lestari, M. U., Lubis, G., & Pertiwi, D. (2014). Hubungan pemberian makanan pendamping ASI (MP-ASI) dengan status gizi anak usia 1-3 tahun di Kota Padang tahun 2012 [relationship between complementary feeding and nutritional status of children aged 1-3 years old in Padang city in 2012]. Jurnal Kesehatan Andalas, 3(2), 188–190.
  15. Manjunath, M., Biradar, M. K., Goud, N. B., & Rajagopal, J. A. (2016). A study of factors influencing nutritional status of under five children in a tertiary teaching hospital. International Journal of Community Medicine and Public Health, 3(2), 473–475. doi: 10.18203/2394-6040.ijcmph20160435
  16. McDole, M., & Limke, A. (2008). Extended family support: Making a difference in the attachment styles of adult children of divorce. Journal of Scientific Psychology, 17-24.
  17. Ministry of Health of the Republic of Indonesia. (2018). Hasil riskesdas 2018 [The main results of the 2018 basic health research]. Retrieved from http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
  18. Nurzeza, A., Larasati, T. A., & Dyah Wulan, S. R. W. (2017). Hubungan tingkat pendidikan, pengetahuan dan kepercayaan ibu terhadap pemberian makanan pendamping ASI (MP-ASI) pada bayi di bawah usia 6 bulan di Desa Braja Sakti, Kecamatan Way Jepara [Kabupaten Lampung Timur [The Relationship between mother’s education, knowledge, and belief in complementary feeding for infants under the age of 6 months in Braja Sakti village, Way Jepara District, East Lampung regency]. Jurnal Kesehatan dan Agromedicine, 4(2), 210-217.
  19. Schuster, R. C., Szpak, M., Klein, E., Sklar, K., & Dickin, K. L. (2019). “I try, I do”: Child feeding practices of motivated, low-income parents reflect trade-offs between psychosocial- and nutrition-oriented goals. Appetite, 136, 114–123. doi: 10.1016/j.appet.2019.01.005
  20. Shams, N., Mostafavi, F., & Hassanzadeh, A. (2016). Determinants of complementary feeding practices among mothers of 6-24 months failure to thrive children based on behavioral analysis phase of PRECEDE model, Tehran. Journal of Education and Health Promotion, 5, 24. doi: 10.4103/2277-9531.184565
  21. Susanto, T., Syahrul, Sulistyorini, L., Rondhianto, & Yudisianto, A. (2017). Local-food-based complementary feeding for the nutritional status of children ages 6-36 months in rural areas of Indonesia. Korean Journal of Pediatrics, 60(10), 320–326. doi: 10.3345/kjp.2017.60.10.320
  22. Tahangnacca, M., Ridwan, A., Ansariadi, Syam, A. (2020). Contributing factors of stunted growth among toddlers in Makassar city: A qualitative Study. Journal of Health and Translational Medicine, 23(Suppl), 189–195.
  23. Thuita, F. M., Pelto, G. H., Musinguzi, E., & Armar‐Klemesu, M. (2019). Is there a “complementary feeding cultural core” in rural Kenya? Results from ethnographic research in five countries. Maternal & Child Nutrition, 15(1). doi: 10.1111/mcn.12671
  24. Wang, L., Van Grieken, A., Van Der Velde, L.A., Vlasblom, E., Beltman, M., L'Hoir, M.P., …, & Raat., H. (2019). Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: The BeeBOFT study. BMC Public Health, 19(1), 1–12.
  25. World Health Organization. (2020). Infant and young child feeding. Fact sheets. Retrieved from https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  26. Yeganeh, S., Motamed, N., Boushehri, S. N., Pouladi, S., & Ravanipour, M. (2018). Mothers’ knowledge and attitude toward food security in complementary feeding of 1-2 year-old offspring and its relation with demographic indices. Evidence Based Care Journal, 7(4), 22–29. doi: 10.22038/ebcj.2017.26237.1607

Last update: 2021-01-25 03:14:10

No citation recorded.

Last update: 2021-01-25 03:14:11

No citation recorded.