Predictors of Breastfeeding Intention Among Low-Income Women

Mitra, Amal K.; Khoury, Amal; Hinton, Agnes; Carothers, Cathy

doi:10.1023/b:maci.0000025728.54271.27

Cited by 154 publications

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“…Our results suggest that some, but not all, of the psychosocial factors we assessed were predictive of EBF intention among rural Bangladeshi women, which is similar to previous studies in other settings that consider attitudes (20,21) and knowledge (22) in relation to breast-feeding intentions. Prenatal attitudes and self-efficacy were not predictive of EBF or full breast-feeding at 3 months of age.…”

Section: Discussionsupporting

confidence: 88%

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Yu¹,

Thomas²,

Owais³

et al. 2014

Public Health Nutr.

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Objective: To assess the relationships between maternal breast-feeding intention, attitudes, self-efficacy and knowledge at 7 months' gestation with exclusive or full breast-feeding at 3 months postpartum. Design: Prospective cohort study with structured home interviews during pregnancy and 3 months after delivery. Setting: Two rural sub-districts of Kishoreganj district, Bangladesh. Subjects: Mother-infant dyads. Results: Over 80 % of 2178 pregnant women intended to exclusively breast-feed (EBF). Maternal positive attitudes, self-efficacy and knowledge about breastfeeding were positively associated with EBF intention (all P < 0·05). All mothers except one reported initiating breast-feeding and 99·6 % of children were still breast-fed at 3 months. According to 24 h dietary recalls, we categorized 985 (45·2 %) infants as EBF at 3 months (47·8 % among mothers with EBF intention; 31·7 % among mothers with no EBF intention; P < 0·05) and 551 (25·3 %) infants as predominantly breast-fed at 3 months (24·2 % among mothers with EBF intention; 30·8 % among mothers with no EBF intention; P < 0·05). Prenatal EBF intention was associated with EBF (OR = 1·48, 95 % CI 1·14, 1·91) and with full breastfeeding (OR = 1·34, 95 % CI 1·04, 1·72) at age 3 months. EBF at age 3 months was not associated with maternal breast-feeding knowledge, attitudes or self-efficacy. Conclusions: Despite widespread expressed maternal EBF intention and universal breast-feeding initiation, prevalence of both exclusive and full breast-feeding at 3 months remains lower than WHO recommendations. EBF intention predicts breast-feeding behaviours, suggesting the importance of prenatal counselling to improve infant feeding behaviours.Keywords Breast-feeding Attitude Self-efficacy KnowledgeGlobally, over 55 % of infant deaths from diarrhoeal disease and acute respiratory infections are preventable by appropriate breast-feeding and complementary feeding (1) . Suboptimal infant feeding and endemic malnutrition contribute to mortality and morbidity, as well as to detrimental long-term developmental consequences, poorer educational performance and decreased productivity (2)(3)(4)(5)(6)(7) . Although the potential benefits of exclusive breastfeeding (EBF) through to infant age 6 months are widely recognized, EBF remains low in both developed and developing countries.Maternal psychosocial factors and intentions to breastfeed have been associated, to varying extents, with infant feeding behaviours in previous literature. A nationally representative US study among 2372 women found that intention to partially or fully breast-feed predicted breastfeeding duration (>6 months) (8) . Similarly, in a cohort of 566 Australian women, intention to breast-feed was also positively associated with breast-feeding duration (9) . In separate study among 733 women, attitudes about benefits and barriers to breast-feeding, health-care systems, as well as social support were associated with breast-feeding initiation (10) .Over the past two decades, many studies have incorporate...

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Section: Discussionsupporting

confidence: 88%

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Yu¹,

Thomas²,

Owais³

et al. 2014

Public Health Nutr.

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“…This is might be due to increase awareness in breastfeeding among young mothers through social networks, media and introduction of benefits of breastfeeding in the academic curriculum. However, few studies reported older maternal age as the predictive factor of breastfeeding intention (Dungy et al, 2008;Forster, McLachlan, & Lumley, 2006;Mitra et al, 2004).The present study showed that higher education was associated with breastfeeding intention among the mothers. This finding is aligned with a study done in the United States (Colaizy, Saftlas, & Morriss, 2012).…”

supporting

confidence: 49%

“…Infants who were not breastfeeding may expose to higher risks of infectious morbidity, as well as associated with increased risks of childhood obesity, leukemia, type I and II diabetes and sudden infant death syndrome (SIDs) (Stuebe, 2009). Breastfeeding intention is a significant predictor of positive breastfeeding outcomes, having an intention to breastfeed linked to early initiation and longer duration of breastfeeding (Donath & Amir, 2003;Mitra, Khoury, Hinton, & Carothers, 2004;Tarrant, Younger, Sheridan-Pereira, White, & Kearney, 2010a). Intention is an immediate precursor of behaviour and is defined as the perception of an individual towards performance of a particular behaviour (Ajzen & Fishbein, 1980).…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have documented there are various factors associated with breastfeeding intention (Kavanagh, Lou, Nicklas, Habibi, & Murphy, 2012;McLnnes, Love, & Stone, 2001;Mitra et al, 2004;Persad & Mensinger, 2008 Hamid, S. B., et.al./ 5 th AicQoL2017Bangkok, 25-27 February 2017 / E-BPJ, 2(5), March 2017 162 education status, household income, parity, marital status, being breastfed before, mother's knowledge on the benefits of breastfeeding, mother's attitude towards breastfeeding and social support network received by mothers. Interestingly, various studies have suggested that higher body mass index (BMI) was associated with adverse breastfeeding outcomes.…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Predictors of Breastfeeding Intention in Malaysia

Hamid¹,

Hc²,

Binns³

2017

E-BPJ

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Breastfeeding is linked to a number of health related benefits among infants. Breastfeeding provides the ideal nutrition for infants, by promoting a higher IQ and protecting against childhood and adult diseases. Despite these health benefits, the rates of exclusive breastfeeding are still low in Malaysia. Intention to breastfeed is closely related to early initiation to breastfeed and could also be a predictor of longer duration of breastfeeding. The objectives of this study are to provide a descriptive analysis of the sociodemographic characteristics, breastfeeding intention and breastfeeding attitudes and determine predictors affecting breastfeeding intention among low-to-middle income women. A prospective cohort study was undertaken of mothers attending eight antenatal clinics run by the Ministry of Health in Selangor, Malaysia. Mothers were recruited during the antenatal period and followed up until six months postpartum to document breastfeeding outcomes. Among 652 mothers in our study, exclusive breastfeeding, mixed feeding, and exclusive formula feeding intentions were 49.6%, 46.3%, and 9.0%, respectively. Age, maternal employment, maternal education, parity, pre-pregnancy body mass index (BMI), breastfeeding attitude, spouse's preference, grandmother's preference and breastfeeding experience had significant relationship with breastfeeding intention (p< 0.05). However, further analysis showed that breastfeeding intention was associated with positive breastfeeding attitudes, older age, greater years of education, being housewives, having partner and family support for breastfeeding and grandmothers' breastfeeding experience. These findings suggest that by providing breastfeeding initiatives towards less educated, young mothers who lack breastfeeding support from their loved ones may improve breastfeeding rates. IntroductionBreastmilk is the most complete nutrition for infants (Gartner et al., 2005). Breastfeeding provides significant protective effect towards various childhood diseases to the infants in the short term and beyond (Binns, Lee, & Low, 2016;Horta & Victora, 2013). Infants who were not breastfeeding may expose to higher risks of infectious morbidity, as well as associated with increased risks of childhood obesity, leukemia, type I and II diabetes and sudden infant death syndrome (SIDs) (Stuebe, 2009). Breastfeeding intention is a significant predictor of positive breastfeeding outcomes, having an intention to breastfeed linked to early initiation and longer duration of breastfeeding (Donath & Amir, 2003;Mitra, Khoury, Hinton, & Carothers, 2004;Tarrant, Younger, Sheridan-Pereira, White, & Kearney, 2010a). Intention is an immediate precursor of behaviour and is defined as the perception of an individual towards performance of a particular behaviour (Ajzen & Fishbein, 1980). In this study breastfeeding intention was defined as the degree of confidence about practising optimal breastfeeding behaviour. Intention to breastfeed is closely related to early initiation to breastfeed and could al...

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Breastfeeding and Cognition

Christakis¹

2013

JAMA Pediatr

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Predictors of Breastfeeding Intention Among Low-Income Women

Cited by 154 publications

References 23 publications

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Predictors of Breastfeeding Intention in Malaysia

Breastfeeding and Cognition

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