Evaluation of the Effectiveness of Breastfeeding as a Factor in the Prevention
of Breast Cancer

Cabrera, Luna; Trapero, Isabel

doi:10.2174/1871530321666210427083707

Cited by 3 publications

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“…Breastfeeding protects mothers against breast cancer and cardiovascular diseases in later life [ 1 , 2 ], offers infants better mental and intellectual development [ 3 ], strengthens mother-infant bonding, and saves related health care costs [ 4 ]. The World Health Organization, among other institutions, recommends that all infants receive exclusive breastfeeding until 6 months postpartum and sets the goals for achieving a six-month exclusive breastfeeding rate of at least 50% in 2025 [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The mothers’ breastfeeding behaviour within six weeks postpartum: new scale development and psychometric validation study

Pang

Jiang

et al. 2023

BMC Pregnancy Childbirth

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Background The evaluation of mothers’ breastfeeding behaviour within 6 weeks postpartum could help health workers comprehensively identify maternal breastfeeding shortcomings, clarify nursing problems, and provide targeted interventions. However, no prior study was found, therefore this study aimed to develop and validate the reliability and validity of the mothers’ breastfeeding behaviour scale within 6 weeks postpartum. Methods A main two-step approach was used: (1) a qualitative pilot study using the purposive sampling method was adopted to test the fitness, simplicity, and clarity of items with 30 mothers; (2) a cross-sectional survey using the convenient sampling method was conducted for item analysis and psychometric validation with 600 mothers. Results The final version of the scale consisted of 36 items with seven dimensions, explaining 68.852% of the total variance. The Cronbach’s α, split-half, and retest coefficients were 0.958, 0.843, and 0.753, respectively. The validity of the scale: (1) Content validity: content validity index (CVI) range of items was between 0.882 and 1.000. The scale-level-CVI was 0.990. (2) Structure validity: The fitting indices were as follows: χ2/ⅆf =2.239, RMR = 0.049, RMSEA = 0.069, TLI = 0.893, CFI = 0.903, IFI = 0.904, PGFI = 0.674, and PNFI = 0.763. (3) Convergent validity: The composite reliability and average variance extracted (AVE) of the seven dimensions were between 0.876 and 0.920 and between 0.594 and 0.696. (4) Distinguish validity: The correlation coefficients were less than the square root of the AVE, except for self-decision behaviour, self-coping behaviour, and self-control behaviour. However, the fit index of the original three-factor model was better than that of the other new models, with significant differences (P < 0.001). (5) Calibration validity: The area under the curve was 0.860 or 0.898 when the scale was used to predict exclusive or any breastfeeding at 42 days. The correlation coefficients of the maternal breasting feeding evaluation scale, breastfeeding self-efficacy short-form scale, and the scale were 0.569 and 0.674, respectively. Conclusion The newly developed mothers’ breastfeeding behaviour scale within 6 weeks postpartum consists of 36 items belonging to seven dimensions with good reliability and validity and is a reliable and valid instrument to be used in future maternal breastfeeding behaviour assessments and interventions.

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Section: Introductionmentioning

confidence: 99%

The mothers’ breastfeeding behaviour within six weeks postpartum: new scale development and psychometric validation study

Pang

Jiang

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Estrogens and the risk of breast cancer: A narrative review of literature

Al-Shami,

Awadi,

Khamees

et al. 2023

Heliyon

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The role of breastfeeding in breast cancer prevention: a literature review

Chen,

Jiang,

Geng

2023

Front. Oncol.

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Breast cancer stands as the most prevalent malignancy globally. Despite the array of treatment options, its mortality rate continues to rise annually. Thus, reevaluation of factors directly linked to breast cancer emergence is imperative, alongside the development of more effective preventive measures. Estrogen levels, profoundly tied to reproduction, play a pivotal role in breast cancer development. Speculation centers on the potential of breastfeeding to mitigate cancer risk in women. However, the precise mechanism remains elusive. Breastfeeding is a modifiable reproductive factor extensively studied. Studies highlight a direct connection between lack of breastfeeding and breast cancer emergence, potentially linked to DNA methyltransferase expression alteration, aberrant methylation levels, pregnancy-associated plasma protein-A, cellular microenvironment, and oncogenes. This study reviews recent mechanisms underlying breastfeeding’s role in reducing breast cancer incidence.

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Evaluation of the Effectiveness of Breastfeeding as a Factor in the Prevention of Breast Cancer

Cited by 3 publications

References 0 publications

The mothers’ breastfeeding behaviour within six weeks postpartum: new scale development and psychometric validation study

The mothers’ breastfeeding behaviour within six weeks postpartum: new scale development and psychometric validation study

Estrogens and the risk of breast cancer: A narrative review of literature

The role of breastfeeding in breast cancer prevention: a literature review

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