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Expectation of parental control and the maintenance of bottle-feeding in childhood

Abstract

Objective:

To investigate association between parental locus of control (belief of individuals about what or who has control of the events of their lives) and bottle feeding habits among children from 3 to 5 years of age.

Methodology:

Parental locus of control validated in Brazil, and semi-structured questionnaire to obtain sociodemographic, health, and oral habit behaviors was applied to mothers of 992 preschool children. Outcome variable “use of feeding bottle” was studied according to the time of its use (≤36 months and >36 months). Simple logistic regression models were adjusted and raw odds ratios were estimated for variables of distal blocks, which contemplated parental locus of control, socioeconomic characteristics of family, and maternal habits. In the intermediate block, the variables for conditions of the child's birth and place of health care attendance during the prenatal period and early childhood were included. In the proximal block, the time of breastfeeding and pacifier use were reported. Variables were analyzed from the distal to the proximal block, and the individual analyses that presented p ≤ 0.20 remained in each model; included in the subsequent block were the variables with p ≤ 0.10, because this was a study of prevention.

Results:

Longer time of feeding bottle use was associated with the internal parental locus of control, mothers older than 31 years of age, white race, premature children, who used pacifiers and are treated in the private health system.

Conclusions:

Children who maintained the habit of feeding bottle use for a longer time were those whose mother presented an internal locus of control.

KEYWORDS
Feeding bottle; Behavior; Internal–external control

Introduction

The feeding bottle is still frequently used worldwide, in opposition to the recommendations of agencies such as the World Health Organization and Brazilian Ministry of Health, which recommend exclusive breastfeeding up to the sixth month of the child's life and avoiding substitutes for mother's milk and/or artificial nipples.11 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Bases para a discussão da Política Nacional de Promoção, Proteção e Apoio ao Aleitamento Materno. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Brasília: Ministério da Saúde; 2017.Available from: http://bvsms.saude.gov.br/bvs/publicacoes/bases discussao_politica_aleitamento_materno.pdf [cited 25.06.18].
http://bvsms.saude.gov.br/bvs/publicacoe...

The mother's choice of type and duration of feeding has a direct influence on the time of oral habits,22 Pizzol KE, Boeck EM, Santos LF, Lunardi N, Oliveira GJ. Influence of family environment and socioeconomic status in the introduction and maintenance of non-nutritive oral habits. Rev Odontol UNESP. 2011;40:296-303. among them the use of feeding bottles. This places children's health at risk, considering its interference in craniofacial development and in the functions of respiration, swallowing, phonation, and mastication.33 Castilho SD, Filho AA, Cocetti M. Historical evolution of utensils used to feed non breastfed infants. Cien Saude Colet. 2010;15:1401-10.

The mother's decision to offer her children feeding bottles may be influenced by a combination of individual and behavioral factors.33 Castilho SD, Filho AA, Cocetti M. Historical evolution of utensils used to feed non breastfed infants. Cien Saude Colet. 2010;15:1401-10.55 Radzyminski S, Callister LC. Mother's beliefs, attitudes, and decision making related to infant feeding choices. J Perinat Educ. 2016;25:18-28. Among the behavioral factors, the mother's suffering when the baby cries and the need to control infants’ behaviors may be cited.66 Peacock-Chambers E, Dicks K, Sarathy L, Brown AA, Boynton-Jarrett R. Perceived maternal behavioral control, infant behavior, and milk supply: a qualitative study. J Dev Behav Pediatr. 2017;38:401-8. Thus, the use of the feeding bottle may be a way for the mother to gain control over the child's feeding, since it is possible to determine the times and quantities of that which is offered, and especially its quality, suiting the food to the child's taste or needs.

This being so, it is possible that mothers with greater tendency to assume control of day-to-day situations, whether for themselves or for their families, are those who most make us of this utensil for feeding their children. With the purpose of verifying this association, theories were investigated which would explain these behavioral patterns, and thus the locus of control, a theory developed by Rotter in 1966, was created. The locus of control refers to individuals’ beliefs about what or who has control of the events of their lives.77 Dela Coleta JA, Dela Coleta MF. Conhecendo a si e ao outro: percepção e atribuição de causalidade. In: Torres CV, Neiva ER (org.), Psicologia social: principais temas e vertentes. Porto Alegre: Artmed; 2011. p. 134-52. It is said that individuals tend to present an external locus of control when they are used to attributing the events that occur in their lives to other people, the environment, destiny or chance. On the other hand, individuals with an internal locus of control are those who believe that occurrences depend on their own capacities and actions.77 Dela Coleta JA, Dela Coleta MF. Conhecendo a si e ao outro: percepção e atribuição de causalidade. In: Torres CV, Neiva ER (org.), Psicologia social: principais temas e vertentes. Porto Alegre: Artmed; 2011. p. 134-52. In this sense, it is believed that applying the theory of the locus of control may contribute to an understanding of the reasons that lead to mothers to opt for the use of the feeding bottle.

To identify whether the locus of control is internal or external, various instruments have been developed, among them the Parental Locus of Control Scale in Health (PLOCH), which was adapted to the Brazilian culture by Cerqueira and Nascimento in 2008.88 Cerqueira MM, Nascimento E. Construction and validation of parental health locus of control scale. Psico-USF. 2008;13:253-63. With the use of this scale, the perception of external or internal control by parents was observed to be associated with the health of their children.88 Cerqueira MM, Nascimento E. Construction and validation of parental health locus of control scale. Psico-USF. 2008;13:253-63.,99 Furnham A, Steele H. Measuring locus of control: a critique of general, children's, health- and work-related locus of control questionnaires. Br J Psychol. 1993;84:443-79. However, the literature presents no studies that have verified the influence of control of parents regarding oral habits, more specifically, to the use of the feeding bottle. Thus, the objective this study was to investigate association between parental locus of control and the habit of bottle feeding among children from 3 to 5 years of age.

Material and methods

This cross-sectional study was approved by the local Research Ethics Committee (CAEE 36894814.8.0000.5418), and informed consent was obtained from each of the participants.

Study participants

The sample was composed of mothers of preschool children ranging from 3 years to 5 years and 11 months old, enrolled in school units of a mid-sized city in the interior of the state of São Paulo. In this research, no data from mothers of children with physical, sensory, and/or intellectual disabilities were included.

The sample was selected by the process of sampling by clusters, in two stages, by drawing 13 of the 33 school units existent in the city. After this, the children were drawn proportionally to the total number of children at each nursery school unit.

The sample size was calculated in order to provide a test power (1 − β) of 0.80 with a level of significance of 0.05 for an odds ratio of 1.5, 50% of responses in the non-exposed group, and a level of precision of sampling (interval of confidence) of ±5%, with a level of confidence of 95%. Considering a design effect of 1.5 for the estimate of prevalence of deleterious oral habits and a possible loss of 20%, a sample totaling 992 participants was required. Thus, the sample was composed of 855 mothers and 137 fathers. According to Cerqueira and Nascimento,88 Cerqueira MM, Nascimento E. Construction and validation of parental health locus of control scale. Psico-USF. 2008;13:253-63. the locus of control refers to the perception of fathers and mothers, so that both could participate in the study.

Data collection instruments

A self-applicable questionnaire was used to collect data relative to socioeconomic and demographic variables and those related to gestation and health behaviors.1010 Meneghim MC, Kozlowski FC, Pereira AC, Ambrosano GM, Meneghim ZM. A socioeconomic classification and the discussion related to prevalence of dental caries and dental fluorosis. Cien Saude Colet. 2007;12:523-9. In addition, the PLOCH scales, adapted to and validated for the Brazilian population by Cerqueira and Nascimento,88 Cerqueira MM, Nascimento E. Construction and validation of parental health locus of control scale. Psico-USF. 2008;13:253-63. were applied.

PHLOC is composed of 18 questions related to the parents’ belief about whom or what controls the events related to the health of their children, which are distributed into three domains:

  • - Internality (I): evaluation of the degree to which the individual believes he/she controls his/her life.

  • - Other Powerful Persons (OP): evaluation of the belief that this control is in the hands of powerful persons.

  • - Chance/Luck (A) evaluation of the belief of being controlled by chance, luck, or destiny.

The PLOCH has five response options for each question, in a Likert-type scale, varying from “completely disagree” to “completely agree.” It was observed that the higher the score in each scale was, the greater was the belief that this was the factor that controlled the individual's life/health.1111 Nunes VH, Perosa GB. Dental decay in 5-year-old children: sociodemographic factors, locus of control and parental attitudes. Cien Saude Colet. 2017;22:191-200.

Data analysis

For analysis of the data, the outcome considered was time of feeding bottle use less than or equal to 36 months, and longer than 36 months. The independent variables – age, mother's and father's educational level, monthly family income, number of persons in the family, and time of natural breastfeeding – were dichotomized by the median. The following variables were classified as “Yes” or “No”: mother smoked during gestation, smokers in the home, mother underwent prenatal care, prematurity, child's health problems, and use of pacifier. Parental locus of control was dichotomized as internal or external. External control included two subscales: OP and A.

The variables were grouped into three hierarchical blocks according to the theoretical model of Buccini et al., developed in 2014.1212 Buccini Gdos S, Benício MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48:571-82. This model establishes a prior order of importance among the pertinent and determinant factors for the event of interest. These factors may act in a distal (superior level), intermediate, and/or proximal (inferior level) manner. The groups were thus distributed as follows:

  • a) Block I: Distal. Factors related to socioeconomic characteristics and parental locus of control (internality or externality): parents’ marital status (married/partner, single/divorced/widowed), family income (≤3 minimum wages or >3 minimum wages), mother's schooling (up to complete high school or college), father's schooling (up to complete high school or college), mother's age (≤31 years or >31 years) and father's age (≤36 years or >36 years), order of birth of children (youngest sibling, oldest sibling, middle child, and twins), number of family members (≤4 or >4), mother smoked during gestation (yes or no), smokers in the house (yes or no), number of children (≤2 or >2).

  • b) Block II: Intermediate. Factors related to conditions of birth: type of delivery (normal or cesarean/forceps), prematurity (yes or no), child's gender (female or male), child's ethnic group (white/brown/black/indigenous/yellow). In the intermediate block, the characteristics related to health services were also included: mother underwent prenatal care (yes or no), doctor who provided prenatal care (public health system doctor (Brazilian national health service [SUS]) or doctors who worked in the private sector), child has a health problem (yes or no) and where the child was attended when it had health problems (public health system doctor [SUS] or doctors who worked in the private sector).

  • c) Block III: Proximal. Factors related to characteristics concerning the child's feeding and oral habits: time of breastfeeding (≤10 months or >10 months), use of pacifier (yes or no).

Simple logistic regression models were adjusted and the raw odds ratios were estimated with 95% confidence intervals for each variable of the distal, intermediate, and proximal blocks. After this, hierarchical multiple regression model was adjusted, according to the model of Buccini et al., developed in 2014.1212 Buccini Gdos S, Benício MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48:571-82. Initially, the models that presented p ≤ 0.20 in the individual analyses were tested in blocks. The blocks were separately analyzed; first, the distal block, then the intermediate, and finally, the proximal, with only the variables with p ≤ 0.10 remaining in the final model, and with this value being defined as the limit because this was a study of prevention, so that no important information would be lost. The data were analyzed using SAS software and adjustments of the models were evaluated by the Akaike information criterion (AIC) and by the −2 log-likelihood statistic.

Results

By association analysis, in the distal block, the habit of bottle feeding for more than 36 months was associated with internal locus of parental control and mothers older than 31 years of age. While in the intermediate block, the association with longer bottle use time occurred with the following variables: mothers who received prenatal care in the private sector and those who had cesarean delivery, children born premature, those treated in the private health system for health problems, and white children. Breastfeeding less than ten months and use of pacifier were associated with longer time of use of bottle in the proximal block (p < 0.10; Tables 13). Dichotomous variables number of children (total number of children in the family), number of people in the family (number of people living in the same environment as the child), and maternal age showed no association with the locus of control (p > 0.05; Table 1).

Table 1
Association between use of feeding bottle and socioeconomic, behavioral, and parental locus of control variables in preschool children of an age from 36 to 71 months (n = 992).
Table 2
Association between use of feeding bottle and socioeconomic, behavioral, and parental locus of control variables in preschool children of an age from 36 to 71 months (n = 992).
Table 3
Association between use of feeding bottle and socioeconomic, behavioral, and parental locus of control variables in preschool children aged 36-71 months (n = 992).

The hierarchical multiple logistic regression analyses revealed that longer time of feeding bottle use was associated with the internal parental locus of control, mothers older than 31 years of age, white children, premature birth, those who use or used pacifiers at some moment in their lives, and those treated in the private health system (Table 4).

Table 4
Result of hierarchical multiple logistic regression for the outcome variable use of feeding bottle.

Discussion

Due to the importance of psychological and behavioral factors that motivate mothers to use feeding bottles, this pioneering study investigated the association between parental locus of control and the habit of feeding bottle use among preschool children.

The literature has related that individuals with internal locus of control present more adequate health behaviors.77 Dela Coleta JA, Dela Coleta MF. Conhecendo a si e ao outro: percepção e atribuição de causalidade. In: Torres CV, Neiva ER (org.), Psicologia social: principais temas e vertentes. Porto Alegre: Artmed; 2011. p. 134-52.,1313 Duijster D, de Jong-Lenters M, de Ruiter C, Thijssen J, van Loveren C, Verrips E. Parental and family-related influences on dental caries in children of Dutch, Moroccan and Turkish origin. Community Dent Oral Epidemiol. 2015;43:152-62. Studies in the field of oral health77 Dela Coleta JA, Dela Coleta MF. Conhecendo a si e ao outro: percepção e atribuição de causalidade. In: Torres CV, Neiva ER (org.), Psicologia social: principais temas e vertentes. Porto Alegre: Artmed; 2011. p. 134-52.,1313 Duijster D, de Jong-Lenters M, de Ruiter C, Thijssen J, van Loveren C, Verrips E. Parental and family-related influences on dental caries in children of Dutch, Moroccan and Turkish origin. Community Dent Oral Epidemiol. 2015;43:152-62. have affirmed that mothers with internal locus of control had greater probability of having caries-free children, showing that when parents believed that the prevention of caries was their responsibility, more effective preventive practices were performed.

In this study, however, mothers with internal locus of control were more predisposed to offer their children feeding bottles; i.e., internality was associated with a habit that could be harmful to the child's health. Nevertheless, it is important to understand that people who demonstrate an internal locus of control are those who believe they control the events of their lives, and here, nutritional control of the child could be included. By offering the feeding bottle, mothers have greater control over the child's feeding, dosing frequency, quantity, and quality of the ingestion of milk and other liquid foods.

Natural feeding is associated with the free demand for providing the baby with milk, which limits the feeling of control by the mother, because it is not possible to measure the quantity of milk ingested every time the child breastfeeds, and possibly, due to the belief that mother's milk is “weak,” insufficient, and would not sustain the baby.66 Peacock-Chambers E, Dicks K, Sarathy L, Brown AA, Boynton-Jarrett R. Perceived maternal behavioral control, infant behavior, and milk supply: a qualitative study. J Dev Behav Pediatr. 2017;38:401-8.,1414 França MC, Giugliani ER, Oliveira LD, Weigert EM, Santo LC, Köhler CV, et al. Bottle feeding during the first month of life: determinants and effect on breastfeeding technique. Rev Saude Publica. 2008;42:607-14.,1515 Fonseca MO, Parreira BD, Machado DC, Machado AR. Aleitamento materno: conhecimento de mães admitidas no alojamento conjunto de um hospital universitário. Cienc Cuid Saude. 2011;10:141-9. In view of the foregoing, the decision-making process related to the infant's feeding has been verified to be influenced by the perception of maternal control in response to the infant's behavior, seeing that mothers express concern about the possibility of not producing sufficient milk, and the need to control the infant's behavior in order to avoid the child's crying and satisfying it as quickly as possible, and thus restore her sense of control.66 Peacock-Chambers E, Dicks K, Sarathy L, Brown AA, Boynton-Jarrett R. Perceived maternal behavioral control, infant behavior, and milk supply: a qualitative study. J Dev Behav Pediatr. 2017;38:401-8.

On the other hand, feeding with a formula from the feeding bottle may encourage the practice of a more controlled feeding routine,1616 Brown A, Raynor P, Lee M. Maternal control of child-feeding during breast and formula feeding in the first 6 months post-partum. J Hum Nutr Diet. 2011;24:177-86. because the clues indicative of the child's hunger and satiety are clearer, and eventually, more evenly spaced.1717 McNally J, Hugh-Jones S, Caton S, Vereijken C, Weenen H, Hetherington M. Communicating hunger and satiation in the first 2 years of life: a systematic review. Matern Child Nutr. 2016;12:205-28.

The mother's control is sensitive to the child's appetite and weight, since mothers who have the perception that their children are underweight and have less appetite increase food control,1818 Brown A, Lee M. Breastfeeding is associated with a maternal feeding style low in control from birth. PLoS One. 2013;8:e54229.,1919 Fildes A, van Jaarsveld CH, Llewellyn C, Wardle J, Fisher A. Parental control over feeding in infancy. Influence of infant weight, appetite and feeding method. Appetite. 2015;91:101-6. and provide higher food intake using a bottle to stimulate consumption, causing overeating and weight gain children.1818 Brown A, Lee M. Breastfeeding is associated with a maternal feeding style low in control from birth. PLoS One. 2013;8:e54229.2020 Hernandez A. Effects of opaque, weighted bottles on maternal sensitivity and infant intake during bottle-feeding. Matern Child Nutr. 2018;15:e12737.

In this sense, the feeding bottle provides mothers with greater control over feeding, because the mothers decide how much milk to put into the feeding bottle, and provides more information about how much the child consumed due to the visual signs (particularly in transparent feeding bottles), indicated on the bottle, instead of being guided by the infant's self-regulated ingestion.2020 Hernandez A. Effects of opaque, weighted bottles on maternal sensitivity and infant intake during bottle-feeding. Matern Child Nutr. 2018;15:e12737.,2121 Ventura AK, Inamdar LB, Mennella JA. Consistency in infants’ behavioral signaling of satiation during bottle-feeding. Pediatr Obes. 2015;10:180-7.

Moreover, children who should already be receiving food equal to that of adults frequently show themselves to be without appetite, but accept receiving milk from the feeding bottle. Therefore, the mothers’ desire for control of the routine could lead to the choice of children's food.2222 Brown A, Arnott B. Breastfeeding duration and early parenting behaviour: the importance of an infant-led, responsive style. PLoS One. 2014;9:e83893.

Corroborating the data of the present study, one study2323 Wenzel D, Ocaña-Riola R, Maroto-Navarro G, de Souza SB. A multilevel model for the study of breastfeeding determinants in Brazil. Matern Child Nutr. 2010;6:318-27. verified that mothers older than 30 years also had the habit of offering their children feeding bottles, probably due to their greater involvement with a professional career or a personal decision in not wishing to breastfeed.2323 Wenzel D, Ocaña-Riola R, Maroto-Navarro G, de Souza SB. A multilevel model for the study of breastfeeding determinants in Brazil. Matern Child Nutr. 2010;6:318-27. However, some studies1212 Buccini Gdos S, Benício MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48:571-82.,1414 França MC, Giugliani ER, Oliveira LD, Weigert EM, Santo LC, Köhler CV, et al. Bottle feeding during the first month of life: determinants and effect on breastfeeding technique. Rev Saude Publica. 2008;42:607-14. have verified that adolescent mothers also showed a short period of exclusive breastfeeding. In these cases, the reasons for using the feeding bottle were associated with family influence in offering the babies liquids right from the first days of life.

Another finding of the present study was the longer time that mothers of premature babies used the feeding bottle. Premature babies generally have difficulty with sucking at the breast, due to the immaturity of muscles for suction and swallowing.2424 López CP, Chiari BM, Goulart AL, Furkim AM, Guedes ZC. Assessment of swallowing in preterm newborns fed by bottle and cup. CoDAS. 2014;26:81-6. In this sense, concern about the vulnerability of the health and weight of their children may trigger actions of food compensation by parents to encourage the ingestion of foods, favoring the prolonged permanence of the feeding bottle in early childhood.2525 Cerro N, Zeunert S, Simmer KN, Daniels LA. Eating behaviour of children 1.5–3.5 years born preterm: parents’ perceptions. J Paediatr Child Health. 2002;38:72-8.

Moreover, longer time of feeding bottle use has also been associated with pacifier use. The pacifier and feeding bottle habits are commonly cited in the literature as factors that may have a great influence on interrupting breastfeeding.44 Balogun OO, Dagvadorj A, Anigo KM, Ota E, Sasaki S. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: a quantitative and qualitative systematic review. Matern Child Nutr. 2015;11:433-51.,1212 Buccini Gdos S, Benício MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48:571-82. This fact may be explained by the confusion that the nipples of the pacifier and feeding bottle generate in the baby, and may be caused by the differences in the pattern of suction existent between the breast and artificial nipple. This difference may interfere in the baby's capacity for sucking at the mother's breast, leading to rejection of the breast and preference for the feeding bottle.1414 França MC, Giugliani ER, Oliveira LD, Weigert EM, Santo LC, Köhler CV, et al. Bottle feeding during the first month of life: determinants and effect on breastfeeding technique. Rev Saude Publica. 2008;42:607-14.,2626 Brotanek JM, Halterman JS, Auinger P, Flores G, Weitzman M. Iron deficiency, prolonged bottle-feeding, and racial/ethnic disparities in young children. Arch Pediatr Adolesc Med. 2005;159:1038-42.2828 Zimmerman E, Thompson K. Clarifying nipple confusion. J Perinatol. 2015;35:895-9.

Furthermore, in the present study, children of white ethnicity continued to use a feeding bottle for a longer period of time. Previous studies have confirmed that variables such as ethnicity may play an important role in the use of the feeding bottle in the infant population.2727 Perrin EM, Rothman RL, Sanders LM, Skinner AC, Eden SK, Shintani A, et al. Racial and ethnic differences associated with feeding- and activity-related behaviors in infants. Pediatrics. 2014;133:e857-67. There are indications that parents of children of white ethnicity were more predisposed than those of black ethnicity to offer their children feeding bottles.2828 Zimmerman E, Thompson K. Clarifying nipple confusion. J Perinatol. 2015;35:895-9. However, there is no consensus about this in the literature.2727 Perrin EM, Rothman RL, Sanders LM, Skinner AC, Eden SK, Shintani A, et al. Racial and ethnic differences associated with feeding- and activity-related behaviors in infants. Pediatrics. 2014;133:e857-67.

This study also showed that children attended to in the private service were more predisposed to use the feeding bottle for a longer time. This may be understood because the public health service in Brazil develops actions for the promotion of infant health that cover the time from the gestational period (with encouragement of breastfeeding)2929 Brasil. Portaria n◦1.920. Institui a estratégia nacional para promoção do aleitamento materno e alimentação complementar saudável no sistema único de saúde (sus) - estratégia amamenta e alimenta Brasil; 2013. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/estrategianacional promocao aleitamento materno.pdf [cited 27.11.18].
http://bvsms.saude.gov.br/bvs/publicacoe...
up to 9 years of age,3030 Brasil. Portaria N◦1130. Institui a política nacional de atenção integral à saúde da criança (Pnaisc) no âmbito do sistema único de saúde (SUS); 2015. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2015/prt1130_05_08_2015.html [cited 27.11.18].
http://bvsms.saude.gov.br/bvs/saudelegis...
which is not a pattern observed when parents seek the private services.

A relevant aspect of the present study was the use of multilevel analysis, which allowed the confounding variables of the study to be controlled.2323 Wenzel D, Ocaña-Riola R, Maroto-Navarro G, de Souza SB. A multilevel model for the study of breastfeeding determinants in Brazil. Matern Child Nutr. 2010;6:318-27. Such an analysis is more appropriate for research with hierarchical data, functioning to explain how the individual variables and the demographic and socioeconomic contexts of families are capable of influencing the situation studied.2323 Wenzel D, Ocaña-Riola R, Maroto-Navarro G, de Souza SB. A multilevel model for the study of breastfeeding determinants in Brazil. Matern Child Nutr. 2010;6:318-27. In the case of the present study, the influence of the parent's locus of control on the longer time of feeding bottle use was studied.

Regarding the limitations of the study, as it is a retrospective study, parents may not remember, precisely, the age at which habits or breastfeeding were interrupted.

Identifying the association of parental locus of control and prolonged use of the feeding bottle may contribute to the planning of strategies by health professionals, with a view to preventing the onset of the habit in infant feeding, or of interrupting it as early as possible, specifically among the group of mothers older than 31 years, with children of white ethnicity, born premature, who use pacifiers and are attended to in the private health system, with the purpose of avoiding the harmful effects associated with feeding bottle use.

Longer time of feeding bottle use was associated with the internal parental locus of control, mothers older than 31 years of age, white ethnicity, premature children, and those who used pacifiers and are treated in the private health system.

References

  • 1
    Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Bases para a discussão da Política Nacional de Promoção, Proteção e Apoio ao Aleitamento Materno. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Brasília: Ministério da Saúde; 2017.Available from: http://bvsms.saude.gov.br/bvs/publicacoes/bases discussao_politica_aleitamento_materno.pdf [cited 25.06.18].
    » http://bvsms.saude.gov.br/bvs/publicacoes/bases_discussao_politica_aleitamento_materno.pdf
  • 2
    Pizzol KE, Boeck EM, Santos LF, Lunardi N, Oliveira GJ. Influence of family environment and socioeconomic status in the introduction and maintenance of non-nutritive oral habits. Rev Odontol UNESP. 2011;40:296-303.
  • 3
    Castilho SD, Filho AA, Cocetti M. Historical evolution of utensils used to feed non breastfed infants. Cien Saude Colet. 2010;15:1401-10.
  • 4
    Balogun OO, Dagvadorj A, Anigo KM, Ota E, Sasaki S. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: a quantitative and qualitative systematic review. Matern Child Nutr. 2015;11:433-51.
  • 5
    Radzyminski S, Callister LC. Mother's beliefs, attitudes, and decision making related to infant feeding choices. J Perinat Educ. 2016;25:18-28.
  • 6
    Peacock-Chambers E, Dicks K, Sarathy L, Brown AA, Boynton-Jarrett R. Perceived maternal behavioral control, infant behavior, and milk supply: a qualitative study. J Dev Behav Pediatr. 2017;38:401-8.
  • 7
    Dela Coleta JA, Dela Coleta MF. Conhecendo a si e ao outro: percepção e atribuição de causalidade. In: Torres CV, Neiva ER (org.), Psicologia social: principais temas e vertentes. Porto Alegre: Artmed; 2011. p. 134-52.
  • 8
    Cerqueira MM, Nascimento E. Construction and validation of parental health locus of control scale. Psico-USF. 2008;13:253-63.
  • 9
    Furnham A, Steele H. Measuring locus of control: a critique of general, children's, health- and work-related locus of control questionnaires. Br J Psychol. 1993;84:443-79.
  • 10
    Meneghim MC, Kozlowski FC, Pereira AC, Ambrosano GM, Meneghim ZM. A socioeconomic classification and the discussion related to prevalence of dental caries and dental fluorosis. Cien Saude Colet. 2007;12:523-9.
  • 11
    Nunes VH, Perosa GB. Dental decay in 5-year-old children: sociodemographic factors, locus of control and parental attitudes. Cien Saude Colet. 2017;22:191-200.
  • 12
    Buccini Gdos S, Benício MH, Venancio SI. Determinants of using pacifier and bottle feeding. Rev Saude Publica. 2014;48:571-82.
  • 13
    Duijster D, de Jong-Lenters M, de Ruiter C, Thijssen J, van Loveren C, Verrips E. Parental and family-related influences on dental caries in children of Dutch, Moroccan and Turkish origin. Community Dent Oral Epidemiol. 2015;43:152-62.
  • 14
    França MC, Giugliani ER, Oliveira LD, Weigert EM, Santo LC, Köhler CV, et al. Bottle feeding during the first month of life: determinants and effect on breastfeeding technique. Rev Saude Publica. 2008;42:607-14.
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Publication Dates

  • Publication in this collection
    19 Apr 2021
  • Date of issue
    Mar-Apr 2021

History

  • Received
    29 Nov 2019
  • Accepted
    17 Mar 2020
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E-mail: jped@jped.com.br