Normative vs. attitudinal considerations in breastfeeding behavior: multifaceted social influences in a developing country context

Gökşen, Fatoş

doi:10.1016/s0277-9536(01)00145-9

Cited by 39 publications

(30 citation statements)

References 20 publications

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“…Researchers conducting a study of mothers found that social support and subjective norms were important enabling factors that determined continued breastfeeding at 1 month. 30 Among women who intended to exclusively breastfeed for several months, 68% reported they did not meet their own breastfeeding goals. 11 Formula supplementation during birth hospitalization can be a contributing factor, interfering with exclusive breastfeeding as well as being associated with shorter duration of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

et al. 2017

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OBJECTIVES: We examined the variation between 126 New York hospitals in formula supplementation among breastfed infants after adjusting for socioeconomic, maternal, and infant factors and stratifying by level of perinatal care. METHODS:We used 2014 birth certificate data for 160 911 breastfed infants to calculate hospital-specific formula supplementation percentages by using multivariable hierarchical logistic regression models. RESULTS:Formula supplementation percentages varied widely among hospitals, from 2.3% to 98.3%, and was lower among level 1 hospitals (18.2%) than higher-level hospitals (50.6%-57.0%). Significant disparities in supplementation were noted for race and ethnicity (adjusted odds ratios [aORs] were 1.54-2.05 for African Americans, 1.85-2.74 for Asian Americans, and 1.25-2.16 for Hispanics, compared with whites), maternal education (aORs were 2.01-2.95 for ≤12th grade, 1.74-1.85 for high school or general education development, and 1.18-1.28 for some college or a college degree, compared with a Master's degree), and insurance coverage (aOR was 1.27-1.60 for Medicaid insurance versus other). Formula supplementation was higher among mothers who smoked, had a cesarean delivery, or diabetes. At all 4 levels of perinatal care, there were exemplar hospitals that met the HealthyPeople 2020 supplementation goal of ≤14.2%. After adjusting for individual risk factors, the hospital-specific, risk-adjusted supplemental formula percentages still revealed a wide variation. CONCLUSIONS:A better understanding of the exemplar hospitals could inform future efforts to improve maternity care practices and breastfeeding support to reduce unnecessary formula supplementation, reduce disparities, increase exclusive breastfeeding and breastfeeding duration, and improve maternal and child health outcomes.

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Section: Discussionmentioning

confidence: 99%

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

et al. 2017

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“…Although Goksen (2002) found that intention alone was not a strong determinant of breastfeeding unless conditioned by SN regarding breastfeeding, the majority of studies employing the TRA have found SN to be the weakest predictor of breastfeeding intention (Humphreys et al, 1998a;Manstead et al, 1983Manstead et al, , 1984. Studies employing the TPB have echoed these findings, with SN consistently not predicting breastfeeding intention Wambach, 1997).…”

Section: Additional Variables In the Tpbmentioning

confidence: 99%

Predicting breastfeeding in women living in areas of economic hardship: Explanatory role of the theory of planned behaviour

McMillan

Conner

Woolridge

et al. 2008

Psychology & Health

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This study employed the theory of planned behaviour (TPB) and additional variables (descriptive norm, moral norm, self-identity) to investigate the factors underlying breastfeeding intention and subsequent breastfeeding at four time points (during hospital stay, at hospital discharge, 10 days postpartum and 6 weeks postpartum) in a sample of women selected from defined areas of economic hardship (N = 248). A model containing the TPB, additional variables and demographic factors provided a good prediction of both intention (R (2) = 0.72; attitude, perceived behavioural control, moral norm and self-identity significant predictors) and behaviour - breastfeeding at birth (88.6% correctly classified; household deprivation, intention, attitude significant), at discharge from hospital (87.3% correctly classified; intention, attitude significant), 10 days after discharge (83.1% correctly classified; education, intention, attitude, descriptive norm significant) and 6 weeks after discharge (78.0% correctly classified; age, household deprivation, ethnicity, moral norm significant). Implications for interventions are discussed, such as the potential usefulness of targeting descriptive norms, moral norms and perceived behavioural control (PBC) when attempting to increase breastfeeding uptake.

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“…This development is due, at least in part, to a change in the social climate. Breastfeeding is currently perceived as an expression of dedicated motherhood which, tailored to the baby's needs, promotes his/her optimal physical and emotional health (Murphy, 2000); as such, mothers are increasingly being pressured to choose the "right path" (Knaak, 2005), regardless of other circumstances such as pain and discomfort, limited independence, or return to work, (Dykes, 2005;Kelleher, 2006;Stewart-Knox et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding motivation and Self-Determination Theory

Kestler–Peleg

Shamir-Dardikman²,

Hermoni

et al. 2015

Social Science & Medicine

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Normative vs. attitudinal considerations in breastfeeding behavior: multifaceted social influences in a developing country context

Cited by 39 publications

References 20 publications

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

Variation in Formula Supplementation of Breastfed Newborn Infants in New York Hospitals

Predicting breastfeeding in women living in areas of economic hardship: Explanatory role of the theory of planned behaviour

Breastfeeding motivation and Self-Determination Theory

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