FACTORS ASSOCIATED WITH FORMULA USE AMONG INFANTS AGED 0 -6 MONTHS

Selma KAHRAMAN, Müjde ARSLAN, Pınar ACAR

Acta Medica Ruha - 2026;4(3):140-149

Department of Public Health Nursing, Faculty of Health Sciences, Harran University, Şanlıurfa, Türkiye

 

Introduction: This study aimed to determine the prevalence of infant formula use, the reasons for its use, and the factors associated with formula feeding among infants aged 0 -6 months. Methods: This descriptive, cross -sectional study included 274 mothers with infants aged 0 -6 months who were registered at selected Family Health Centers. Data were collected using a researcher -developed questionnaire and the Iowa Infant Feeding Attitude Scale (IIFAS). Data were analyzed using the Statistical Package for the Social Scienc es (SPSS). Descriptive statistics, the independent samples t -test, and one -way analysis of variance (ANOVA) were used for statistical analysis. Results: Among the infants included in the study, 76.6% were breastfed, while 51.8% received infant formula in a ddition to breast milk. Approximately half of the mothers who used infant formula reported feeding their infants formula more than four times per day, and 83.6% stated that they purchased infant formula once a week. The mean Iowa Infant Feeding Attitude Sc ale (IIFAS) score was 58.97 +/- 8.41. The most commonly reported reason for initiating infant formula feeding was the belief that formula provides greater satiety and promotes infant weight gain. Conclusions: The findings indicate a high prevalence of infant formula use among mothers of infants aged 0 -6 months and suggest that maternal attitudes and beliefs regarding infant formula play an important role in feeding decisions. Strengthening breastfeeding counse ling beginning during pregnancy and providing evidence -based education to correct misconceptions about infant formula are recommended to promote exclusive breastfeeding.