Association between Feeding Methods and Sucking Habits: A Cross-sectional Study of Infants in Their First 18 Months of Life

Abstract

The aim of this study is to investigate infant feeding patterns and to analyze the influence of breast-feeding methods on the prevalence of non-nutritive sucking habits in a sample of Japanese infants. A random sample of 353 mothers of infants of 18 months of age was interviewed at a public health facility in "K" city. The prevalence and duration of infant feeding patterns categorized as breast-feeding, partial breast-feeding, and bottle-feeding, were determined. The outcome investigated was the prevalence of non-nutritive sucking habits (pacifier use and finger sucking). The data were analyzed using the Chi-square and Fisher's exact tests with Bonferroni correction for multiple comparisons to assess possible association between feeding method and non-nutritive sucking behavior. The infants were categorized into the following groups depending on feeding method: breast-feeding (27.2%), partial breast-feeding (32.0%), or bottle-feeding (40.8%). Among all infants, 13.9% used a pacifier, 18.4% sucked their fingers, and 0.3% had both habits at 18 months of age. Breast-feeding was negatively correlated with pacifier use and finger sucking. In contrast, bottle-feeding was strongly associated with pacifier use and finger sucking. These results suggest that breast-feeding provides benefits to infants, and that non-nutritive sucking habits may be avoided by promoting correct breast-feeding practices.