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Journal of Human Lactation
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"Breast Is Best": Knowledge Among Low-Income Mothers Is Not Enough

Deena R. Zimmerman, MD, MPH, IBCLC

Department of Pediatrics at University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School, New Brunswick, New Jersey; Nof Ayalon 223, DN Shimshon, Israel

Nurit Guttman, PhD

Department of Family Medicine, University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School, New Brunswick, New Jersey, Department of Communication, Tel Aviv University, Israel

The beliefs of low-income mothers regarding breastfeeding compared to formula feeding, according to feeding method, were investigated. Interviews were conducted with 154 women who were assigned to one of two groups. Four health benefits of breastfeeding were rated significantly higher than for infant formula within both the breastfeeding (BF) and formula-feeding (FF) groups. Breastfeeding was seen as less convenient than formula feeding by the FF group (x= 2.3 ± 1.7 versus 3.8 ± 1.5 for formula feeding and breastfeeding, respectively; P< .001). Both groups rated formula feeding as more likely to enable others to help in infant care, easier in terms of the mother's time control, and less likely to tie the mother down than breastfeeding. The findings show that, despite formula-feeding mothers' beliefs in the health benefits of breastfeeding, they perceive that it limits their activities. Therefore, breastfeeding promotion must address not only benefits but also lifestyle issues.

Key Words: breastfeeding promotion • breastfeeding attitudes

Journal of Human Lactation, Vol. 17, No. 1, 14-19 (2001)
DOI: 10.1177/089033440101700104
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This article has been cited by other articles:


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J Hum Lact, May 1, 2002; 18(2): 115 - 124.
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