A Comparison of Maternal Attitudes to Breastfeeding in Public and the Association with Breastfeeding Duration in Four European Countries: Results of a Cohort Study

Jordan, Scott; Kwok, Y. Y.; Synnott, K.; Bogue, Joe; Amarri, Sergio; Norin, Elisabeth; Gil, Ángel; Edwards, Christine

doi:10.1111/birt.12138

Cited by 63 publications

(63 citation statements)

References 20 publications

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“…This may be partly due to the fact that mothers with higher education levels or with jobs discontinue their breastfeeding due to certain social barriers, such as having to return to work [25], in spite of their good attitudes or interests towards breastfeeding. This result supports findings that perceived social norms may exert a stronger influence on breastfeeding outcomes than a woman's breastfeeding attitudes and knowledge [10]. The strengths of our study include having a large sample size.…”

Section: Association Between Optimal Breastfeeding Practice and Totalsupporting

confidence: 86%

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Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study

et al. 2015

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Purpose: Maternal knowledge, positive attitudes and interest toward breastfeeding may improve the sustainability of breastfeeding. This study examined the associations of knowledge, attitudes, and interest toward breastfeeding with the duration of breastfeeding in Korean mothers who used the internet. Methods: We conducted a cross-sectional study of 604 Korean mothers who breastfed their babies. Mothers were recruited through the internet and their knowledge, attitudes and interest toward breastfeeding were assessed using a web-based self-administered questionnaire. Geometric means and odds ratio (OR) with 95% confidence intervals were calculated. Results: Higher knowledge, attitudes, and interest toward breastfeeding were associated with longer duration of breastfeeding in Korean mothers. In particular, mothers who had optimal breastfeeding duration were more likely to be aware of the easiness of breast milk stimulation and breastfeeding, the development of attachment between mother and child, and pleasure from breastfeeding compared to those mothers with shorter duration. The association with optimal breastfeeding duration was more pronounced among mothers who graduated from high school for total attitude scores and total interest scores, compared to mothers who graduated from college or above. Conclusion: The results of this study suggest that it is important to improve maternal knowledge, attitudes, and interest toward breastfeeding in Korean mothers who use the internet as a source of knowledge. Also, the study results imply that the development of strategies to target mothers with relatively low education levels may improve breastfeeding rates.

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Section: Association Between Optimal Breastfeeding Practice and Totalsupporting

confidence: 86%

“…Another study showed independent association between maternal perception of the acceptability of breastfeeding in public and breastfeeding practices [10]. A few studies have suggested that maternal attitude is a better predictor of infant feeding method than socio-demographic factors [11,12].…”

Section: Introductionmentioning

confidence: 97%

Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study

et al. 2015

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“…4,5 The most recent WHO position paper stating that promotion of breastmilk substitutes and complementary foods undermines breastfeeding (including "growing-up milks" advertised for older children) is likewise consistent with the view that breastfeeding attitudes play a significant role in the decision to breastfeed and the duration of breastfeeding. 6 In line with this, attitudes toward breastfeeding in public have been given an increased importance as a research subject.…”

Section: Introductionmentioning

confidence: 76%

Attitudes toward Breastfeeding and Breastfeeding Practice: Lack of Support for Breastfeeding in Public as a Factor in Low Breastfeeding Rates

Buturovic¹,

Ignjatović²,

Rasevic³

2017

J. appl. health sci.

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SummarySerbia is a country with one of the lowest breastfeeding rates in the world: 51% of women initiate breastfeeding and only 13% exclusively breastfeed for 6 months. Since Serbian social and health policies are rather favourable, the focus should be placed on psychosocial and cultural factors and attitudes as factors in breastfeeding decisions. Public breastfeeding is one of the most controversial issues. Lack of support for public breastfeeding could, by discouraging women from breastfeeding more openly, significantly contribute to low rates of breastfeeding and its short duration.The aim of this study was to determine to what extent mothers, fathers, and non-parents were supportive of public breastfeeding, independently and compared to their other attitudes about breastfeeding. A survey of 1884 Serbian adults -mostly highly engaged motherswas conducted online. The average support for uncovered breastfeeding in public was 6.3 on a 10-point scale. There was a statistically significant variation in support for public breastfeeding by breastfeeding intensity (among mothers), parenting status and gender. There were no significant differences in support by age and education. Support for public breastfeeding was lower than support for breastfeeding in general. Even highly engaged and informed mothers, who are very supportive of breastfeeding in general, are not very supportive of public breastfeeding. The same tendency was found in the general public represented by non-parents in our sample. A widespread disapproval of public breastfeeding could present practical obstacles to breastfeeding. These findings indicate that attitudes toward breastfeeding should be taken into account in future policies aimed at supporting breastfeeding.Keywords: infant feeding, breastfeeding in public, breastfeeding obstacles, attitudes toward breastfeeding 14 Women's health services are provided in public primary health centres and by gynaecologists. Acceptable rates of over 95% of antenatal care and assistance during delivery by skilled personnel have been achieved; 94% of women were visited by a community nurse during the week after the delivery and the average number of postnatal visits by a community nurse after birth is 4.3. 13 However, a recent survey has shown some issues in maternity care, especially when it comes to inadequate breastfeeding initiation at hospitals, including "baby-friendly" wards. 15On the other hand, attitudes toward breastfeeding in public are more problematic. Images of public breastfeeding in the media and public spaces are rare. A recent anthropological study of breastfeeding mothers in Serbia shows that mothers are receiving mixed messages with respect to breastfeeding, including comments such as "breastfeeding is unhealthy and primitive" by their partners and others. 16 Since these issues have not been systematically investigated so far, here we explore the possibility that a lack of support for breastfeeding in public plays a role in Serbian low breastfeeding rates. We focused on respondents' opinion ...

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“…Although breastfeeding generally aligns with moral standards of mothering, breastfeeding a toddler, wet nursing or cofeeding, and breastfeeding in public (particularly uncovered) are often considered deviant (Faircloth, 2010(Faircloth, , 2013Lane, 2014;Murphy, 1999;J. A. Scott et al, 2015;Shaw, 2004;Stearns, 1999) and may fall outside legal protection in some U.S. states (Carter & McCutcheon, 2013).…”

Section: Breastfeeding In Publicmentioning

confidence: 99%

Neutralizing the Maternal Breast: Accounts of Public Breastfeeding by African American Mothers

Owens

Carter

Nordham

et al. 2016

Journal of Family Issues

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U.S. mothers receive messages that they should breastfeed their babies, yet there is little cultural support for public breastfeeding and evidence of heightened opposition in African American communities. We use a social constructionist perspective to analyze 22 African American mothers' breastfeeding in public narratives. Findings show that participants use varying definitions of "public" in relation to breastfeeding that are based on geographic spaces and social relationships. Participants identify breastfeeding in public as problematic based on their interpretations of others' reactions, and discuss covering as an important component of breastfeeding in public. We conclude that the breastfeeding cover operates as a "cloak of neutralization" by creating a symbolically "private" space in a discursively constructed "public" one. Although the cover eliminates potential breast exposure, it announces a woman's use of the maternal breast-which Young identifies as challenging patriarchal claims to women's bodies-thereby failing to fully neutralize the situation.

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A Comparison of Maternal Attitudes to Breastfeeding in Public and the Association with Breastfeeding Duration in Four European Countries: Results of a Cohort Study

Cited by 63 publications

References 20 publications

Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study

Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study

Attitudes toward Breastfeeding and Breastfeeding Practice: Lack of Support for Breastfeeding in Public as a Factor in Low Breastfeeding Rates

Neutralizing the Maternal Breast: Accounts of Public Breastfeeding by African American Mothers

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