'Life does not make it easy to breast-feed': using the socio-ecological framework to determine social breast-feeding obstacles in a low-income population in Tijuana, Mexico

Public Health Nutrition
Diana Bueno-Gutierrez, Caroline Chantry

Abstract

Breast-feeding rates reflect sociodemographic discrepancies. In Mexico, exclusive breast-feeding under 6 months of age has deteriorated among the poor, rural and indigenous populations from 1999 to 2012. Our objective of the present study was to identify the main social obstacles to breast-feeding in a low-income population in Tijuana, Mexico. Qualitative study using a socio-ecological framework for data collection. Low-income communities in Tijuana, Mexico. Mothers (n 66), fathers (n 11), grandparents (n 27) and key informants (n 25). One hundred and twenty-nine individuals participated in the study: six focus groups (n 53) and fifty-one interviews among mothers, fathers and grandparents; and twenty-five interviews among key informants. Seven social themes were identified: (i) embarrassment to breast-feed in public; (ii) migrant experience; (iii) women's role in society; (iv) association of formula with higher social status; (v) marketing by the infant food industry; (vi) perception of a non-breast-feeding culture; and (vii) lack of breast-feeding social programmes. Socio-structural factors influence infant feeding practices in low-income communities in Tijuana. We hypothesize that messages emphasizing Mexican traditions along...Continue Reading

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Citations

Jan 15, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Galya BigmanAdriana Pérez
Aug 21, 2020·International Breastfeeding Journal·María Natividad Ávila-OrtizAdriana Zambrano-Moreno
Jun 20, 2020·International Breastfeeding Journal·Gordon Abekah-NkrumahFred Yao Gbagbo
May 20, 2020·International Breastfeeding Journal·Mahat Jimale MohamedVictor O Owino

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