Iranian journal of nursing and midwifery research · 2026
Determinants of Formula Feeding among Mothers in Indonesia: The Role of Digital Media and Microeconomic Factors.
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Khasanah Nur, Herliana Riska, Mustamu Alva Cherry, Liliana Anita, Wahyuni Endah Tri, Banul Maria Sriana, Hasim Nur Hafni
Аннотация
BACKGROUND: Maternal decision-making regarding the use of infant formula milk in Indonesia is shaped by a complex interplay of social, economic, and informational factors. This study aimed to elucidate the determinants of mothers' choices when selecting formula milk in Sorong City, Indonesia, addressing gaps in previous research that overlooked the role of digital media and microeconomic factors in maternal decision-making.
MATERIALS AND METHODS: This study employed a cross-sectional observational design and was conducted from January to June 2024. A cohort of 180 mothers with children aged 0-24 months was selected using stratified random sampling. Data were collected using the Maternal Infant Nutrition Questionnaire (MIN-Q). Multivariate logistic regression analysis was performed to identify the significant factors contributing to the decision to use formula milk.
RESULTS: The findings indicated that most respondents [88 (48.90%)] exclusively used formula milk, while 92 (51.10%) adopted a mixed feeding pattern. Logistic regression analysis revealed that the use of digital media for nutritional information was significantly associated with formula milk use (α = 0.21, P = 0.022), as were microeconomic factors such as savings or financial assistance (β = 0.18, P = 0.035).
CONCLUSIONS: These findings highlight the need for government-led interventions, including digital literacy programs and targeted financial subsidies for low-income breastfeeding mothers, to promote exclusive breastfeeding. Therefore, credible digital education programs and more stringent regulations on formula milk marketing are essential to support maternal and child health policies in Indonesia.
MATERIALS AND METHODS: This study employed a cross-sectional observational design and was conducted from January to June 2024. A cohort of 180 mothers with children aged 0-24 months was selected using stratified random sampling. Data were collected using the Maternal Infant Nutrition Questionnaire (MIN-Q). Multivariate logistic regression analysis was performed to identify the significant factors contributing to the decision to use formula milk.
RESULTS: The findings indicated that most respondents [88 (48.90%)] exclusively used formula milk, while 92 (51.10%) adopted a mixed feeding pattern. Logistic regression analysis revealed that the use of digital media for nutritional information was significantly associated with formula milk use (α = 0.21, P = 0.022), as were microeconomic factors such as savings or financial assistance (β = 0.18, P = 0.035).
CONCLUSIONS: These findings highlight the need for government-led interventions, including digital literacy programs and targeted financial subsidies for low-income breastfeeding mothers, to promote exclusive breastfeeding. Therefore, credible digital education programs and more stringent regulations on formula milk marketing are essential to support maternal and child health policies in Indonesia.