Theory of Planned Behavior-Based Models for Breastfeeding Duration Among Hong Kong Mothers

Dodgson, Joan E.; Henly, Susan J.; Duckett, Laura; Tarrant, Marie

doi:10.1097/00006199-200305000-00004

Cited by 95 publications

(104 citation statements)

References 19 publications

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“…Among relevant studies, all found positive associations (8,26,36,40) , which aligns with our study findings.…”

Section: Discussionsupporting

confidence: 92%

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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“…Among relevant studies, all found positive associations (8,26,36,40) , which aligns with our study findings.…”

Section: Discussionsupporting

confidence: 92%

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

Yu¹,

Thomas²,

Owais³

et al. 2014

Public Health Nutr.

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“…Other studies reported similar results, supporting the Theory of Reasoned Action, which suggests intention to breastfeed is a strong predictor of breastfeeding. 28,29 The practice of partially breastfeeding infants, as observed in Vietnam, 5 was also seen in these women. The Theory of Planned Behavior states the intention to perform a behavior is determined by favorable subjective norms, favorable beliefs and attitudes, and a strong perceived behavioral control.…”

Section: Discussionmentioning

confidence: 78%

Infant-Feeding Practices of Low-Income Vietnamese American Women

et al. 2008

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Healthy People 2010 breastfeeding goals include 50% exclusive breastfeeding at 6 months. Santa Clara County WIC (SCCWIC) data indicated Asian participants had low (5.6%) 6-month breastfeeding rates. To examine infant feeding practices, Vietnamese breastfeeding peer counselors surveyed 133 Vietnamese SCCWIC participants (>18 yrs old, non-pregnant, < 28 months post-partum) using a structured questionnaire regarding intentions, attitudes and subjective norms towards breastfeeding. Results indicated 75% initiated breastfeeding in the hospital (33% exclusively, 42% partially); 25% exclusively formula fed. At survey time, 49% had terminated breastfeeding (average duration 4.4 months). Feeding intentions during pregnancy predicted feeding method used (p < 0.001). Most prenatal advice was from SCCWIC employees, friends and doctors who supported breastfeeding. Most postnatal advice was from nurses who supported breast and bottle-feeding equally. Stronger control beliefs, peer counseling and education was correlated with breastfeeding (p < 0.001). Improved post-delivery hospital advice may further increase breastfeeding initiation and duration.

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“…Similarly, Armitage and Conner (1999) suggest another important socialcognitive variable is the perceived ability to undertake the action (i.e., self-efficacy). In line with this, breastfeeding is predicted by attitude (Manstead, Proffitt, & Smart, 1983), subjective norm (Bai, Wunderlich, & Fly, 2011), perceived control (Dodgson, Henly, Duckett, & Tarrant, 2003;McMillan et al, 2008), and self-efficacy (Blyth, Creedy, Dennis, Moyle, Pratt, & De Vries, 2002;de Jager, Broadbent, Fuller-Tyszkiewicz, Nagle, McPhie, & Skouteris, 2015;de Jager, Broadbent, Fuller-Tyszkiewicz, & Skouteris, 2014). Moreover, interventions based on these social-cognitive factors have been found to increase breastfeeding intentions (Giles et al, 2014).…”

Section: Social Cognitive and Emotional Factorsmentioning

confidence: 91%

The Role of Social-Cognitive and Emotional Factors on Exclusive Breastfeeding Duration

2017

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Theory of Planned Behavior-Based Models for Breastfeeding Duration Among Hong Kong Mothers

Abstract: Models were interpreted in light of the TPB, previous findings, the social context for breastfeeding in Hong Kong, and statistical model-building. Cross-cultural measurement issues and the need for prospective designs are continuing challenges in breastfeeding research.

Cited by 95 publications

References 19 publications

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

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

Infant-Feeding Practices of Low-Income Vietnamese American Women

The Role of Social-Cognitive and Emotional Factors on Exclusive Breastfeeding Duration

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