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PubMed · 1972070

The need for action.

F Savage
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Abstract

Nutrition workers speculated about why poor mothers should decide to bottle feed, when their community in the past had apparently always breastfed effortlessly and successfully. Surveys cross-tabulated feeding methods against socioeconomic variables, but it was difficult to make use of the results. Few thought that there was anything we needed to learn about HOW to make breastfeeding succeed. There was also a tacit assumption that if you had the resources--for example if you were yourself an employed health worker--you could bottle feed safely, so there was no need to worry.

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Bottle FeedingBreast FeedingFemaleHealth EducationHumansJournal Article

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F Savage. 1990. The need for action.. https://pubmed.ncbi.nlm.nih.gov/1972070/

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PubMed1992

A comparison of 3-year-olds' caries experience in 1973, 1981 and 1989 in a Hertfordshire town, related to family behaviour and social class.

The teeth of three samples of 3-year-old children were examined in the same fashion over two 8-year periods in a predominantly 'middle-class' town in Hertfordshire. After correcting for the changing social class structure of the town, mean dmft fell by 60% over the first period and by 29% over the second period, so the rate of improvement is decreasing. Improvements in caries levels have taken place in all the social classes except for a slight deterioration in social classes IV + V between 1981 and 1989. Ninety-six per cent of social class I + II children, but only 72% of social class IV + V children were caries-free. After falling from 8% to 1% between 1973 and 1981, the proportion of children with rampant labial caries increased to 4% in 1989. More children now visit a dentist for a check-up before the age of 4 years, more start toothbrushing at an earlier age and with greater frequency, and more are given fluoride supplements. Generally, infant feeding practices have continued to improve, although more mothers reported using a comforter bottle. Some of these practices are still strongly class-related, with manual social class families adopting less favourable behaviour. In inner city areas, family preventive behaviour and dental health is likely to be poorer.

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