ArticleBMC public health2021
Determinants of infant feeding practices among Black mothers living with HIV: a multinomial logistic regression analysis.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The association between parents' stress and parental feeding practices and feeding styles: Systematic review and meta-analysis of observational studies.Maternal & child nutrition · 2023Pooled it
- Predictors of Exclusive Breastfeeding Amongst Mothers Living With HIV in Sub-Saharan Africa: A Scoping Review.Health science reports · 2026Article
- 'Breastfeeding Is Not the Sole Responsibility of Women': A Qualitative Examination of the Supportive Environment for Breastfeeding in Nigeria Across Levels of the Socioecological Model.Maternal & child nutrition · 2025Article
- "My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.AIDS care · 2025Article
- Scalable and robust machine learning framework for HIV classification using clinical and laboratory data.Scientific reports · 2025Article
- Correlates of adherence to exclusive breastfeeding while on anti-retroviral therapy among mothers living with HIV in Port Harcourt, Nigeria.The Pan African medical journal · 2025Article
- Breastfeeding in women with HIV infection: A qualitative study of barriers and facilitators.PloS one · 2024Article
- Antiretroviral Options and Treatment Decisions During Pregnancy.Paediatric drugs · 2023Review
- Evaluating elimination of mother-to-child transmission of HIV in Suriname: a mixed method study.Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Male Partners' Roles in Infant Feeding Practices: Perspectives of Black Mothers Living with HIV in Three Countries.Healthcare (Basel, Switzerland) · 2022Article
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Authors and funding
5 authors at 4 institutions in 4 countries.
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Abstract
backgroundInfant feeding practices are imperative for babies' and mothers' health and emotional wellbeing. Although infant feeding may seem simple, the decisions surrounding it are complex and have far-reaching implications for women globally. This is an especially difficult concern among mothers living with HIV because breastfeeding can transmit HIV from mother to child. This is further complicated by cultural expectations in case of Black mothers living with HIV. This paper discusses determinants of infant feeding practices among Black mothers living with HIV who were on anti-retroviral therapy (ART) in two North American cites and one African city.
methodsA cross-sectional, multi-country survey using venue-based convenience sampling of Black mothers living with HIV was employed. The effective response rates were 89% (n = 89) in Ottawa, Canada; 67% (n = 201) in Miami, Florida, US; and 100% (n = 400) in Port Harcourt, Nigeria, equaling a total sample size of 690. Data were collected in Qualtrics and managed in Excel and SPSS. Multinomial logistic regression analyses were used to determine the factors influencing the mothers' infant feeding practices (Exclusive Formula Feeding [EFF] = 1; Mixed Feeding [MF] = 2; and Exclusive Breastfeeding [EBF while on ART] =3).
resultsThe results highlight socio-demographics, EFF determinants, and EBF determinants. The statistically significant determinants of infant feeding practices included national guideline on infant feeding, cultural beliefs and practices, healthcare systems, healthcare personnel, infant feeding attitudes, social support, and perceived stress. Mothers' mean ages were Ottawa (36.6 ± 6.4), Miami (32.4 ± 5.8), and Port Harcourt (34.7 ± 5.7). All sampled women gave birth to least one infant after their HIV diagnoses. Statistically significant (p < .05) determinants of EFF relative to MF were the national guideline of EFF (relative risk [RR] = 218.19), cultural beliefs (RR = .15), received healthcare (RR = 21.17), received healthcare through a nurse/midwife (RR = 3.1), and perceived stress (RR = .9). Statistically significant determinants of EBF relative to MF were received healthcare (RR = 20.26), received healthcare through a nurse/midwife (RR = 2.31), functional social support (RR = 1.07), and perceived stress (RR = .9).
conclusionWhile cultural beliefs and perceived stress favoured MF over EFF, advice of healthcare workers, and the care received from a nurse/midwife improved EFF over MF. Also while the mothers' perceived stress favoured MF over EBF, advice of their nurses or midwife and the social support improved EBF over MF. The providers advice was congruent with WHO and national guidelines for infant feeding among mothers living with HIV. These results have implications for nursing, healthcare practice, and policies on infant feeding practices for mothers living with HIV.
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