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May 30, 2026Journal of Health Psychology0 citationsOpen Access

Exploring infant feeding explicit and implicit bias among healthcare professionals

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AUAli UsamaJCJames ConnollyISIan Stewart

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Abstract

Bias among healthcare professionals (HCPs) may shape infant feeding recommendations and influence maternal decision-making, with consequences for maternal and infant health. This study assessed implicit and explicit infant feeding attitudes among HCPs in the UK and Ireland using an online cross-sectional survey ( n = 66). Demographic information was collected, implicit attitudes were measured with the Infant Feeding Implicit Association Test, and explicit attitudes with the Iowa Infant Feeding Attitude Scale. D -scores ranged from −0.88 to 0.46, indicating a general implicit bias favouring breastfeeding over bottle-feeding. Explicit attitudes were also broadly pro-breastfeeding (scores 52–85). No significant correlation was found between implicit and explicit attitudes, suggesting they may operate independently. HCPs of older age ( r = 0.252, p < 0.05) and those currently breastfeeding or pregnant ( r = −0.293, p < 0.05) exhibited pro-breastfeeding attitudes. Future research should investigate the underlying mechanisms and the impact of these biases on actual breastfeeding practices.

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Cite This Study

Usama et al. (2026) studied this question.

synapsesocial.com/papers/6a1c6e00107ed6dc7cc3ce40https://doi.org/10.1177/13591053261450561
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