Using the socio-ecological framework to determine breastfeeding obstacles in a low-income population in Tijuana, Mexico: Healthcare services

Diana Bueno-Gutierrez, Caroline J Chantry

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: In Mexico, breastfeeding rates are one of the lowest of Latin America, with 14.4% of infants under 6 months being exclusively breastfed. Previous studies indicate that lack of support from healthcare services is a serious obstacle to breastfeeding mothers in Mexico. Our objective was to identify the main obstacles to breastfeeding presented by the healthcare services in a low-income population in Tijuana, Mexico. Materials and Methods: We used a socio-ecological framework to determine factors affecting breastfeeding practices. In four low-income communities in Tijuana we conducted focus groups and interviews with mothers, fathers, grandparents, and key informants. Interview notes and focus group transcripts were then studied in-depth independently by three researchers. The primary analytic technique was constant comparison. Results: One hundred twenty-nine subjects participated in this study: six focus groups (n=53) and 51 interviews among mothers, fathers, and grandparents, as well as 25 interviews among key informants. Main healthcare service obstacles to breastfeeding were erroneous information, lack of training and supervision, negative attitudes, miscommunication between healthcare providers (HCPs) and patients, detrimental medical practices such as giving free formula at hospitals, and the conflict of interest between the infant food industry and the HCPs. Conclusions: This study showed that women in low-income communities in Tijuana face multiple obstacles to breastfeeding presented by healthcare services. In order to increase breastfeeding rates, institutional and structural changes are required.

Original languageEnglish (US)
Pages (from-to)124-131
Number of pages8
JournalBreastfeeding Medicine
Volume10
Issue number2
DOIs
StatePublished - Mar 1 2015

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Poverty
Mexico
Breast Feeding
Delivery of Health Care
Focus Groups
Interviews
Mothers
Fathers
Health Personnel
Infant Food
Conflict of Interest
Latin America
Food Industry
Research Personnel

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery
  • Pediatrics
  • Health Policy

Cite this

Using the socio-ecological framework to determine breastfeeding obstacles in a low-income population in Tijuana, Mexico : Healthcare services. / Bueno-Gutierrez, Diana; Chantry, Caroline J.

In: Breastfeeding Medicine, Vol. 10, No. 2, 01.03.2015, p. 124-131.

Research output: Contribution to journalArticle

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