Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life

Mattiello, Rita; Kotoski, Aline; Ayala, Camila Ospina; Recha, Carine Lucena; Quiroga, Carolina Villanova; Machado, Cátia Regina; Roxo, C.; Varela, Fernanda Hammes; Couto, Giovanna Trevisan; Cassão, Gisele; Lopes, José Gabriel Pereira; Gonçalves, João Ismael Budelon; Silva, Juliana Fernandes da; Barh, Mariana Barth de; Rocha, Natalie Duran; Albuquerque, Nathália Saraiva de; Corte, Ricardo Arlindo Dalla; Bernardes, Rossana; Richter, Samanta Andresa; Rossi, Tainá; Santos, Iná S.

doi:10.1016/j.jped.2021.02.006

Cited by 1 publication

(1 citation statement)

References 23 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have independently documented the relationship between intention to breastfeed and Theory of Planned Behavior variables [ 17 , 34 , 35 ], sociodemographic variables [ 36 , 37 ], or biophysical or pregnancy-related variables [ 38 ]. However, there is limited information on the combined effect of all these characteristics on pregnant women’s intention to exclusively breastfeed in primary care settings, which is an important strength of our study.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and Personal Predictors of Exclusive Breastfeeding in Pregnant Mexican Women Using Public Health Services

et al. 2022

View full text Add to dashboard Cite

Exclusive breastfeeding (EBF) is a cost-effective healthy behavior for the mother–child dyad. Globally, rates of EBF are low. Little research has been conducted on the joint role of modifiable and nonmodifiable variables in pregnant women’s decision-making. The aim was to develop and test a model that used personal and sociodemographic factors to predict whether pregnant women who use public healthcare services plan to breastfeed. In a nonprobabilistic sample of 728 pregnant Mexican women, self-efficacy, the planned behavior theory constructs, and the intention to breastfeed (BFI) were measured. A total 60% of the sample was randomly chosen to develop a predictive multivariate logistic regression model. The model was validated in the remaining 40%. Women in the highest tertiles of attitudes and self-efficacy had fourfold increased chances of having a high BFI (OR 4.2, 95% CI [2.4, 7.4]). Working was associated with a decreased intention to exclusively breastfeed (OR 0.61, 95% CI [0.37, 0.98]). The model predicted BFI with a sensitivity of 38.3% and specificity of 82.2%. While personal variables predict the BFI, working decreases women’s chances of breastfeeding. The results can be utilized to develop primary prevention strategies to help mothers who use public health services to breastfeed.

show abstract