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Prevalence and Predictors of Infant Feeding Practices in Alberta, Western Canada Open Access


Other title
Iowa Infant Feeding Attitude Scale
Infant feeding
Alberta Pregnancy Outcomes and Nutrition study
Type of item
Degree grantor
University of Alberta
Author or creator
Jessri, Mahsa
Supervisor and department
Farmer, Anna P (Department of Agricultural, Food and Nutritional Sciences)
Examining committee member and department
Bell, Rhonda C (Department of Agricultural, Food and Nutritional Sciences)
Katerina Maximova (Department of Public Health Sciences)
Willows, Noreen D (Department of Agricultural, Food and Nutritional Sciences)
Department of Agricultural, Food, and Nutritional Science
Nutrition and Metabolism
Date accepted
Graduation date
Master of Science
Degree level
Despite the evidence supporting 6-month exclusive breastfeeding, few Canadian mothers follow the recommendations. The first study in this thesis evaluated predictors of 6-month exclusive breastfeeding among participants of Alberta Pregnancy Outcomes and Nutrition (APrON) study. The 6-month exclusive breastfeeding rate was 15.3%, and higher maternal education and multiparity increased the probability by 3.76 and 2.21 times, respectively (P<0.03). Women in the highest quartile of Iowa Infant Feeding Attitude Scale score were 4.29 times more likely to breastfeed exclusively (p-trend<0.001). The second study was an ethnographic assessment of infant feeding experiences among Middle Eastern mothers in Canada. Five layers of influence emerged from focus groups among which religious beliefs were the strongest factors dismissing all negative influences on breastfeeding. However, cultural practices promoted pre-lacteal feeding and jeopardized breastfeeding exclusivity. Our findings suggest the necessity of developing culturally-sensitive programs targeting maternal attitudes and beliefs to promote infant feeding practices in Alberta.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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