Breastfeeding Attitudes: Association Between Maternal and Male Partner Attitudes and Breastfeeding Intent (original) (raw)
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Maternal and Child Health Journal, 2011
Past research on breastfeeding demonstrates that male partners' support is a significant factor in mothers' decisions to breastfeed. This study explored the diversity of men's opinions about breastfeeding, for the purpose of increasing breastfeeding support among men. This study used the Texas sample of the 2007 Behavioral Risk Factor Surveillance System (BRFSS) to examine whether men's attitudes toward breastfeeding varied by their demographic characteristics and whether fathers' breastfeeding attitudes were related to couples' choice of infant feeding method. Descriptive statistics and linear regression estimated the influence of each demographic characteristic on breastfeeding attitudes. Among a subsample of fathers, multinomial logistic regression analyzed the influence of men's breastfeeding attitudes on their choice of infant feeding method. Findings showed that Spanish-speaking Hispanic men were most likely to agree that breastfeeding had social limitations (e.g. interfere with social life) for mothers, yet they viewed public images of breastfeeding as more acceptable compared with other men. In comparison to U.S.born men, foreign-born men were in greater agreement that employers should accommodate breastfeeding. Among fathers, support of public images of breastfeeding and attitudes toward employers' accommodations were positively associated with the choice to use breast milk. Men's ethnicity, country of origin, education level, and socioeconomic status all contribute to different norms and expectations about breastfeeding. Men's attitudes about public images of breastfeeding and employers' accommodations for breastfeeding mothers influence the choice of breast milk as the sole infant-feeding method.
Psychosocial and Sociodemographic Contributors to Breastfeeding Intention in First-Time Mothers
Maternal and Child Health Journal, 2020
Objective Breastfeeding has multiple benefits for women and babies. Understanding factors contributing to intention to exclusively breastfeed may allow for improving the rates in first-time mothers. The study objective was to examine factors associated with a woman's intention to breastfeed her first child. Methods A secondary analysis of the prospective "Nulliparous Pregnancy Outcomes Study: monitoring mothers-to-be" (nuMoM2b) study of nulliparous women in the U.S. with singleton pregnancies was performed. Sociodemographic and psychosocial factors were analyzed for associations with breastfeeding intention. Results For the 6443 women with complete information about breastfeeding intention and all factors under consideration, women who intended to breastfeed (either exclusively or any breastfeeding) were more likely to be older, not black, have reached a higher level of education, have higher incomes, have a lower body mass index (BMI), and be nonsmokers. Reporting a planned pregnancy and several psychosocial measures were also associated with intention to breastfeed. In the multivariable analysis for exclusive breastfeeding, in addition to age, BMI, race, income, education, and smoking, of the psychosocial measures assessed, only women with higher hassle intensity ratios on the Pregnancy Experience Scale had lower odds of exclusive breastfeeding intention (OR 0.71, 95% CI 0.55-0.92). Other psychosocial measures were not associated with either exclusive breastfeeding or any breastfeeding after controlling for demographic characteristics. Conclusions for Practice Several sociodemographic factors, having a planned pregnancy, and fewer intense pregnancy hassles compared to uplifts are associated with intention to exclusively breastfeed. Identifying these factors may allow providers to identify women for focused, multilevel efforts to enhance breastfeeding rates.
Predictors of breastfeeding intention among low-income women
Maternal and Child Health …, 2004
Breastfeeding rates are below the Healthy People 2010 goals despite recognized benefits of breastfeeding. This study determined factors that predict breastfeeding initiation among low-income pregnant women. Methods: A self-administered closed-ended questionnaire was introduced to 694 pregnant women who were certified for WIC in Mississippi. The questionnaire collected data about demographics, breastfeeding intention, breastfeeding knowledge, self-efficacy, and three recognized barriers to breastfeeding: embarrassment, time and social constraints, and lack of social support. Results: In bivariate analysis, women who intended to breastfeed were more often white and had at least some college education, higher income, a smaller family size, fewer children, and previous breastfeeding experience than women who did not intend to breastfeed. Intenders had higher levels of breastfeeding knowledge and self-efficacy and reported fewer barriers to breastfeeding than nonintenders. In multivariate logistic regression, fewer children, past breastfeeding experience, breastfeeding knowledge, self-efficacy, and perceived social support were independent predictors of breastfeeding intention. Conclusions: Women at high risk for not wanting to breastfeed can be identified for additional support. Interventions should focus on improving breastfeeding knowledge, enhancing confidence in one's ability to breastfeed, and overcoming barriers to breastfeeding, especially lack of social support, among low-income women.
Mothers' Attitudes toward Breastfeeding and Their Association with Infants' Characteristics
Breastfeeding promotes optimal growth and development for infant and children. So this study aims to assess mother's breastfeeding attitudes and identify to their association with infants' characteristics. Descriptive cross-sectional design was used. The study was conducted in breastfeeding clinic at Dr. Soliman Fakeeh Hospital (DSFH) in Jeddah city, Saudi Arabia. A convenient sample of the Saudi mothers (276) who were accepted to participate in the study. The mothers 'age was 18 years and above, their infant's age were less than 12 months, Two tools were used to collect data. The first tool: The mother's and infant's demographic characteristics: Mothers' data (age, education level, and husband educational level, occupation status for mothers and their husbands, family income, previous training regarding breastfeeding. Infant's characteristics (gender, birth weight, gestational age, health status, if they admitted to NICU, child order, if the mother planned for pregnancy of this infant and delivery type and using of pacifier). The second tool is the modified Iowa Infant Feeding Attitude Scale (IIFAS) was used to measure mothers' attitudes to breastfeeding. It consists of 21 items with a 5-point Likert scale ranging from 5 (strongly agree) to 1 (strongly disagree). A higher score achieved on IIFAS indicates a more positive attitude toward breastfeeding. The Results showed that: Mothers were more positive attitudes toward breastfeeding (81.39 ± 8.35). There was a significant relationship between mother's attitude with their family income (P=0.027), occupation status (P=0.015), and previous experiences with breastfeeding (P=0.043). While there was no a significant relationship between mother's attitude with their age, education level, marital status, and their husband education and occupation. No significant association between the baby gender, gestational age, and current baby weight admission to NICU, baby order, planning pregnancy and type of delivery and mother's attitude toward breastfeeding. Only one variable was significantly associated with the attitudes toward breastfeeding, this variable was infant health status (p= 0.008).The researcher recommend to apply Baby Friendly Hospital Initiative (BFHI) in all hospitals. A future longitudinal study to follow infant's development in the first year; considering influences and factors that affect it alongside.
Journal of Community Health, 2007
Breastfeeding is associated with improved developmental and social outcomes for an infant. Despite these health benefits, only 54% of women breastfeed in the early postpartum period. Although an understanding of socio-demographic characteristics, breastfeeding intent, and breastfeeding attitudes can facilitate breastfeeding initiatives, these factors have not been characterized particularly for urban and immigrant mothers. The objectives of this study are to provide a descriptive analysis of the socio-demographic characteristics, breastfeeding intent, and breastfeeding attitudes of primiparas presenting to an inner city prenatal clinic and determine if breastfeeding attitudes are associated with breastfeeding intent and socio-demographic variables. Of 100 primiparas, 79 reported the intent to breastfeed. Breastfeeding intent was associated with 1) positive breastfeeding attitudes, 2) higher household incomes, 3) being born outside the US, 4) being Afro-Caribbean as opposed to African American, 5) having family, peer, and partner support for breastfeeding, 6) attending breastfeeding classes, and 7) greater years of education. These findings suggest that targeting breastfeeding initiatives towards low-income, less educated, US born mothers who lack breastfeeding support from their loved ones may improve breastfeeding rates among urban primiparas.
Attitudes of young adults about breastfeeding and the association of breastfeeding exposure
2010
This study was conducted to determine the attitudes of young adults in Clark County, Nevada about breastfeeding and was a replication of part of a study by Marrone, . The theory for reasoned action was used as the framework to guide the study. This theory explains deliberate behavior and how specific behaviors, such as breastfeeding, are affected by individual attitudes and social support.
Factors Associated with Breastfeeding Intention Among Low-Income Women
The FASEB Journal, 2003
Background: Breastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality. However, few studies have explored perceived barriers to breastfeeding and factors associated with breastfeeding intent among mothers of newborn babies in Viet Nam. We conducted a study to assess breastfeeding initiation rates, intent to breastfeed exclusively for 6 months or more and perceived barriers to breastfeed among mothers of newborn babies in Da Nang, Viet Nam. Methods: We conducted a cross-sectional questionnaire survey of mothers in the postnatal wards of Da Nang Hospital for Women and Children in central Viet Nam from 10 February 2017 to 24 February 2017, following implementation of the World Health Organization (WHO) Essential Newborn Care (ENC) package. Results: Of 286 mothers surveyed, 259 (90.6%) initiated breastfeeding; 203/258 (78.7%) within 1 hour (h) of birth. Most (207, 72.4%) mothers indicated intent to breastfeed exclusively for 6 months or more, but this was lower among mothers of preterm babies (82.2% versus 20.0%, p < 0.001) and those without post-secondary school education (74.8% versus 55.6%, p = 0.02). Amongst mothers struggling to establish breastfeeding, 18/27 (66.7%) had a Cesarean section. Planned non-exclusive breastfeeding was mostly (39, 60.9%) motivated by mothers' concern that their milk supply would be insufficient for their baby's growth requirements. Most mothers had good knowledge about the benefits of breastfeeding and indicated strong decision autonomy. Conclusions: We documented high rates of early breastfeeding establishment and intent to breastfeed exclusively for 6 months or more. This probably reflects high levels of maternal education and successful implementation of the WHO ENC package. Mothers of premature babies may benefit from additional support.
Breastfeeding Intentions Among Pregnant Adolescents and Young Adults and Their Partners
Breastfeeding Medicine, 2013
Background: Rates of breastfeeding remain disproportionately low among young mothers in the United States. Although breastfeeding behavior may be most directly related to breastfeeding intention, little is known about breastfeeding intentions among young women who are expecting a baby. Subjects and Methods: Pregnant adolescents and young adults (14-21 years old) and their male partners were recruited for participation. Females were asked if they intended to breastfeed, and their partners were asked if they wanted their partners to breastfeed; participants indicated reasons for their responses. Logistic regression modeling was used to determine the associations between breastfeeding intentions and sociodemographic characteristics, relationship characteristics, and partner's intention to breastfeed.
Journal of the Academy of Nutrition and Dietetics, 2014
In the United States, about 25% of women choose not to initiate breastfeeding, yet little is known about how opinions of individuals in a woman's support network influence her decision to breastfeed. In the 2005-2007 Infant Feeding Practices Study II, women completed questionnaires from the last trimester of pregnancy until 12 months postpartum. Mothers indicated prenatally their family members' and health care providers' opinion on how newborns should be fed: breastfed only, formula fed only, breast and formula fed, or no opinion/don't know. Breastfeeding initiation was determined by asking mothers around 4 weeks postpartum (n¼2,041) whether they ever breastfed. Logistic regression was used to examine the association between mothers' perception of family members' and health care providers' opinion on how to feed the infant and the initiation of breastfeeding, adjusting for sociodemographic characteristics. Nearly 14% of mothers surveyed did not initiate breastfeeding. Mothers who believed their family members or health care providers preferred breastfeeding only were least likely not to initiate breastfeeding. Never breastfeeding was significantly associated with the following perceptions: the infant's father (odds ratio [OR]¼110.4; 95% CI 52.0 to 234.4) or maternal grandmother (OR¼15.9; 95% CI 7.0 to 36.0) preferred only formula feeding; the infant's father (OR¼3.2; 95% CI 1.7 to 5.9) or doctor (OR¼2.7; 95% CI 1.2 to 6.2) preferred both breast and formula feeding; and the infant's father (OR¼7.6; 95% CI 4.5 to 12.7), maternal grandmother (OR¼5.4; 95% CI 2.6 to 11.0), or doctor (OR¼1.9; 95% CI 1.0 to 3.7) had no opinion/didn't know their feeding preference. The prenatal opinions of family members and health care providers play an important role in a woman's breastfeeding decisions after the infant's birth.