Psychosocial factors underlying the mother's decision to continue exclusive breastfeeding for 6months

An elicitation study

Yeon Bai, S. E. Middlestadt, C. Y.Joanne Peng, A. D. Fly

Research output: Contribution to journalArticleResearchpeer-review

29 Citations (Scopus)

Abstract

Background: Despite numerous benefits of exclusive breastfeeding (EBF) for infants and mothers, a significant decrease in the EBF rate in the USA at six months compared to the rate at birth suggests that reasons for initiation and continuation of EBF may differ. The purpose of this qualitative study was to explore psychosocial factors underlying the continued EBF behaviour for six months, in order to identify salient belief structures according to the theory of planned behaviour. Methods: Participants were recruited from central Indiana in the USA. They were asked to respond to an open-ended questionnaire designed to elicit positive/negative consequences, approving/disapproving social referents, and easy/difficult circumstances in continuing EBF for six months. Responses were translated into behavioural, normative, and control beliefs of the theory. Results: Findings suggest that respondents (1) value emotional and health benefits of continued EBF for six months; (2) feel the approval from family and friends but disapproval from the society; (3) view health professional's position as positive and negative. Conclusions: Breastfeeding educators can more likely improve the EBF duration by addressing these salient beliefs. Identified beliefs provide a basis for the development of a quantitative instrument to further study the EBF behaviour.

Original languageEnglish
Pages (from-to)134-140
Number of pages7
JournalJournal of Human Nutrition and Dietetics
Volume22
Issue number2
DOIs
StatePublished - 26 Mar 2009

Fingerprint

Breast Feeding
Mothers
Psychology
Birth Rate
Insurance Benefits
Health

Keywords

  • Beliefs about breastfeeding
  • Continued breastfeeding
  • Elicitation
  • Exclusive breastfeeding
  • Theory of planned behaviour

Cite this

@article{4f1234da99cb47ca960a8ff5bddf5afe,
title = "Psychosocial factors underlying the mother's decision to continue exclusive breastfeeding for 6months: An elicitation study",
abstract = "Background: Despite numerous benefits of exclusive breastfeeding (EBF) for infants and mothers, a significant decrease in the EBF rate in the USA at six months compared to the rate at birth suggests that reasons for initiation and continuation of EBF may differ. The purpose of this qualitative study was to explore psychosocial factors underlying the continued EBF behaviour for six months, in order to identify salient belief structures according to the theory of planned behaviour. Methods: Participants were recruited from central Indiana in the USA. They were asked to respond to an open-ended questionnaire designed to elicit positive/negative consequences, approving/disapproving social referents, and easy/difficult circumstances in continuing EBF for six months. Responses were translated into behavioural, normative, and control beliefs of the theory. Results: Findings suggest that respondents (1) value emotional and health benefits of continued EBF for six months; (2) feel the approval from family and friends but disapproval from the society; (3) view health professional's position as positive and negative. Conclusions: Breastfeeding educators can more likely improve the EBF duration by addressing these salient beliefs. Identified beliefs provide a basis for the development of a quantitative instrument to further study the EBF behaviour.",
keywords = "Beliefs about breastfeeding, Continued breastfeeding, Elicitation, Exclusive breastfeeding, Theory of planned behaviour",
author = "Yeon Bai and Middlestadt, {S. E.} and Peng, {C. Y.Joanne} and Fly, {A. D.}",
year = "2009",
month = "3",
day = "26",
doi = "10.1111/j.1365-277X.2009.00950.x",
language = "English",
volume = "22",
pages = "134--140",
journal = "Journal of Human Nutrition and Dietetics",
issn = "0952-3871",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "2",

}

Psychosocial factors underlying the mother's decision to continue exclusive breastfeeding for 6months : An elicitation study. / Bai, Yeon; Middlestadt, S. E.; Peng, C. Y.Joanne; Fly, A. D.

In: Journal of Human Nutrition and Dietetics, Vol. 22, No. 2, 26.03.2009, p. 134-140.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Psychosocial factors underlying the mother's decision to continue exclusive breastfeeding for 6months

T2 - An elicitation study

AU - Bai, Yeon

AU - Middlestadt, S. E.

AU - Peng, C. Y.Joanne

AU - Fly, A. D.

PY - 2009/3/26

Y1 - 2009/3/26

N2 - Background: Despite numerous benefits of exclusive breastfeeding (EBF) for infants and mothers, a significant decrease in the EBF rate in the USA at six months compared to the rate at birth suggests that reasons for initiation and continuation of EBF may differ. The purpose of this qualitative study was to explore psychosocial factors underlying the continued EBF behaviour for six months, in order to identify salient belief structures according to the theory of planned behaviour. Methods: Participants were recruited from central Indiana in the USA. They were asked to respond to an open-ended questionnaire designed to elicit positive/negative consequences, approving/disapproving social referents, and easy/difficult circumstances in continuing EBF for six months. Responses were translated into behavioural, normative, and control beliefs of the theory. Results: Findings suggest that respondents (1) value emotional and health benefits of continued EBF for six months; (2) feel the approval from family and friends but disapproval from the society; (3) view health professional's position as positive and negative. Conclusions: Breastfeeding educators can more likely improve the EBF duration by addressing these salient beliefs. Identified beliefs provide a basis for the development of a quantitative instrument to further study the EBF behaviour.

AB - Background: Despite numerous benefits of exclusive breastfeeding (EBF) for infants and mothers, a significant decrease in the EBF rate in the USA at six months compared to the rate at birth suggests that reasons for initiation and continuation of EBF may differ. The purpose of this qualitative study was to explore psychosocial factors underlying the continued EBF behaviour for six months, in order to identify salient belief structures according to the theory of planned behaviour. Methods: Participants were recruited from central Indiana in the USA. They were asked to respond to an open-ended questionnaire designed to elicit positive/negative consequences, approving/disapproving social referents, and easy/difficult circumstances in continuing EBF for six months. Responses were translated into behavioural, normative, and control beliefs of the theory. Results: Findings suggest that respondents (1) value emotional and health benefits of continued EBF for six months; (2) feel the approval from family and friends but disapproval from the society; (3) view health professional's position as positive and negative. Conclusions: Breastfeeding educators can more likely improve the EBF duration by addressing these salient beliefs. Identified beliefs provide a basis for the development of a quantitative instrument to further study the EBF behaviour.

KW - Beliefs about breastfeeding

KW - Continued breastfeeding

KW - Elicitation

KW - Exclusive breastfeeding

KW - Theory of planned behaviour

UR - http://www.scopus.com/inward/record.url?scp=62749100070&partnerID=8YFLogxK

U2 - 10.1111/j.1365-277X.2009.00950.x

DO - 10.1111/j.1365-277X.2009.00950.x

M3 - Article

VL - 22

SP - 134

EP - 140

JO - Journal of Human Nutrition and Dietetics

JF - Journal of Human Nutrition and Dietetics

SN - 0952-3871

IS - 2

ER -