Document Detail


What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population.
MedLine Citation:
PMID:  21342016     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Maternal knowledge and comfort with breastfeeding affect prenatal feeding intentions, and these intentions are strong predictors of feeding outcomes. However, predictors of exclusive breastfeeding intention have not been well characterized.
METHODS: We measured the association between intentions to exclusively breastfeed and knowledge of infant health benefits, feeding guidelines, and comfort related to breastfeeding in social settings. Participants were lower-income, ethnically diverse women in two randomized, controlled trials of breastfeeding support. We compared results with data from the national Infant Feeding Practices Study II.
RESULTS: Among 883 women in our trials, exclusive breastfeeding, mixed feeding, and exclusive formula feeding intentions were 45.9%, 46.1%, and 8.0%, respectively. In multivariate-adjusted models, women who disagreed that "Infant formula is as good as breastmilk" were more likely to intend exclusive breastfeeding versus exclusive formula feeding (odds ratio 3.44, 95% confidence interval 1.80-6.59) compared with women who agreed with this statement. Increasing levels of agreement that breastfed infants were less likely to develop ear infections, respiratory infections, diarrhea, and obesity were positively associated with intentions to exclusively breastfeed (p for trend < 0.001 for all). Compared with the national sample, our study participants were more likely to agree with all of these statements. Women who felt comfortable breastfeeding in public intended to exclusive breastfeed for 0.84 month longer (95% confidence interval 0.41-1.28) than those who felt uncomfortable.
CONCLUSIONS: Maternal knowledge about infant health benefits, as well as comfort with breastfeeding in social settings, was directly related to intention to exclusively breastfeed. Prenatal interventions that address these issues may increase exclusive breastfeeding intention and duration.
Authors:
Alison M Stuebe; Karen Bonuck
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2011-02-22
Journal Detail:
Title:  Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine     Volume:  6     ISSN:  1556-8342     ISO Abbreviation:  Breastfeed Med     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-02     Completed Date:  2012-03-29     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  101260777     Medline TA:  Breastfeed Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  413-20     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, NC 27599, USA. astuebe@med.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding / ethnology*
Choice Behavior*
Female
Health Knowledge, Attitudes, Practice / ethnology*
Humans
Infant
Infant Formula
Infant, Newborn
Longitudinal Studies
Maternal Behavior / ethnology*
Mothers / psychology,  statistics & numerical data*
Multivariate Analysis
North Carolina / epidemiology,  ethnology
Odds Ratio
Pregnancy
Questionnaires
Socioeconomic Factors
Urban Population / statistics & numerical data*
Grant Support
ID/Acronym/Agency:
P60 MD 000516/MD/NIMHD NIH HHS; R01 HD04976301/HD/NICHD NIH HHS
Comments/Corrections

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