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Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study

Breastfeeding attitudes are strong predictors of breastfeeding behavior. Gaining a deeper understanding on the levels and determinants of antenatal breastfeeding attitudes is crucial. This cross-sectional study involved 124 pregnant women at a tertiary hospital in Hunan, China. A self-administered q...

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Detalles Bibliográficos
Autores principales: Liu, Li, Xiao, Gui, Zhang, Tingting, Zhou, Mengjia, Li, Xingxing, Zhang, Yu, Owusua, Theresah, Chen, Yang, Qin, Chunxiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954942/
https://www.ncbi.nlm.nih.gov/pubmed/36832403
http://dx.doi.org/10.3390/children10020275
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author Liu, Li
Xiao, Gui
Zhang, Tingting
Zhou, Mengjia
Li, Xingxing
Zhang, Yu
Owusua, Theresah
Chen, Yang
Qin, Chunxiang
author_facet Liu, Li
Xiao, Gui
Zhang, Tingting
Zhou, Mengjia
Li, Xingxing
Zhang, Yu
Owusua, Theresah
Chen, Yang
Qin, Chunxiang
author_sort Liu, Li
collection PubMed
description Breastfeeding attitudes are strong predictors of breastfeeding behavior. Gaining a deeper understanding on the levels and determinants of antenatal breastfeeding attitudes is crucial. This cross-sectional study involved 124 pregnant women at a tertiary hospital in Hunan, China. A self-administered questionnaire, the Iowa Infant Feeding Attitude Scale, the Edinburgh Postnatal Depression Scale, the Pregnancy Stress Rating Scale, the Childbirth Attitude Questionnaire, the Perceived Social Support Scale, and the Breastfeeding Knowledge Questionnaire were assessed during their first-trimester, second-trimester, and third-trimester hospital visit. Multiple linear regression was conducted to identify the determinants of breastfeeding attitudes. The participants reported neutral (56.39 ± 5.69) levels of breastfeeding attitudes. The determinants of antenatal breastfeeding attitudes were other family members’ support for exclusive breastfeeding: moderate (β = 0.278, p < 0.05), depressive symptoms (β = −0.191, p < 0.05), and breastfeeding knowledge (β = 0.434, p < 0.001). The variables explained 33.9% (adjusted R(2)) of the total variation in breastfeeding attitudes scores (F = 4.507, p < 0.001). Namely, other family members’ support for EBF was a negative influence on positive breastfeeding attitudes. The women whose other family members were moderate of EBF had more positive attitudes toward breastfeeding compared to those whose other family members were very supportive of EBF. The depressive symptoms were negatively associated with positive breastfeeding attitudes, and lower levels of depressive symptoms were associated with higher levels of positive breastfeeding attitudes among pregnant women. Additionally, breastfeeding knowledge was positively associated with positive breastfeeding attitudes. The more knowledgeable about breastfeeding, the more positive the attitude towards breastfeeding. Health professionals should identify these modifiable factors that may contribute to poorer breastfeeding attitudes, which is useful in targeting promotions of breastfeeding.
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spelling pubmed-99549422023-02-25 Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study Liu, Li Xiao, Gui Zhang, Tingting Zhou, Mengjia Li, Xingxing Zhang, Yu Owusua, Theresah Chen, Yang Qin, Chunxiang Children (Basel) Article Breastfeeding attitudes are strong predictors of breastfeeding behavior. Gaining a deeper understanding on the levels and determinants of antenatal breastfeeding attitudes is crucial. This cross-sectional study involved 124 pregnant women at a tertiary hospital in Hunan, China. A self-administered questionnaire, the Iowa Infant Feeding Attitude Scale, the Edinburgh Postnatal Depression Scale, the Pregnancy Stress Rating Scale, the Childbirth Attitude Questionnaire, the Perceived Social Support Scale, and the Breastfeeding Knowledge Questionnaire were assessed during their first-trimester, second-trimester, and third-trimester hospital visit. Multiple linear regression was conducted to identify the determinants of breastfeeding attitudes. The participants reported neutral (56.39 ± 5.69) levels of breastfeeding attitudes. The determinants of antenatal breastfeeding attitudes were other family members’ support for exclusive breastfeeding: moderate (β = 0.278, p < 0.05), depressive symptoms (β = −0.191, p < 0.05), and breastfeeding knowledge (β = 0.434, p < 0.001). The variables explained 33.9% (adjusted R(2)) of the total variation in breastfeeding attitudes scores (F = 4.507, p < 0.001). Namely, other family members’ support for EBF was a negative influence on positive breastfeeding attitudes. The women whose other family members were moderate of EBF had more positive attitudes toward breastfeeding compared to those whose other family members were very supportive of EBF. The depressive symptoms were negatively associated with positive breastfeeding attitudes, and lower levels of depressive symptoms were associated with higher levels of positive breastfeeding attitudes among pregnant women. Additionally, breastfeeding knowledge was positively associated with positive breastfeeding attitudes. The more knowledgeable about breastfeeding, the more positive the attitude towards breastfeeding. Health professionals should identify these modifiable factors that may contribute to poorer breastfeeding attitudes, which is useful in targeting promotions of breastfeeding. MDPI 2023-01-31 /pmc/articles/PMC9954942/ /pubmed/36832403 http://dx.doi.org/10.3390/children10020275 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Li
Xiao, Gui
Zhang, Tingting
Zhou, Mengjia
Li, Xingxing
Zhang, Yu
Owusua, Theresah
Chen, Yang
Qin, Chunxiang
Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title_full Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title_fullStr Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title_full_unstemmed Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title_short Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study
title_sort levels and determinants of antenatal breastfeeding attitudes among pregnant women: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954942/
https://www.ncbi.nlm.nih.gov/pubmed/36832403
http://dx.doi.org/10.3390/children10020275
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