title: Trust in Sources of Advice about Infant Care Practices: The SAFE Study.
abstract: Objectives (1) Determine the prevalence of maternal trust in advice sources on infant care practices; (2) Investigate the association of maternal and infant characteristics with trust in advice sources on infant care practices. Methods Using probability sampling methods, we recruited mothers from 32 U.S. maternity hospitals with oversampling of Black and Hispanic women resulting in a nationally representative sample of mothers of infants aged 2-6 months. Survey questions assessed maternal trust in advice sources (physicians, nurses, family, friends, and media) regarding infant care practices including infant sleep practices (sleep position, bed sharing, and pacifier use), feeding, and vaccination. Weighted frequencies of maternal trust in advice sources were calculated to obtain prevalence estimates. Multivariable logistic regression was used to assess the association of maternal and infant characteristics with maternal trust in advice sources. Results Mothers had the greatest trust in doctors for advice on all infant care practices (56-89 %), while trust was lowest for friends (13-22 %) and the media (10-14 %). In the adjusted analyses, there were significant associations of maternal race/ethnicity, education, and age with trust in advice sources. Conclusions for Practice Maternal trust in advice about infant care practices varied significantly by source. A better understanding of which advice sources are most trusted by mothers, as well as the factors associated with maternal trust, may guide the development of more effective strategies to improve adherence to health promoting infant care practices.
authors.affiliation: Section of Neonatology, Department of Pediatrics, Children's Hospital Colorado, 13121 E. 17th Street, Mailstop 8402, Aurora, CO, 80045, USA. Sunah.hwang@childrenscolorado.org.|Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA. Sunah.hwang@childrenscolorado.org.
authors.forename: Sunah S
authors.initials: SS
authors.lastname: Hwang
authors.affiliation: Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Denis V
authors.initials: DV
authors.lastname: Rybin
authors.affiliation: Biostatistics, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Heeren
authors.affiliation: Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Eve R
authors.initials: ER
authors.lastname: Colson
authors.affiliation: Slone Epidemiology Center, Boston University, Boston, MA, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Corwin
mesh_terms: D000328:Adult; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D054626:Consumer Health Information; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000379:methods*; D008425:Maternal Behavior / Q000208:ethnology; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035502:Trust; D055815:Young Adult
keywords: Advice; Consumer health information; Health behavior; Health promotion; Infant care practices; Preventive health services; Trust