Breastfeeding but not Exclusively: Exploration of Chinese American Mothers' Infant Feeding Practices

被引:1
作者
Goldbort, Joanne [1 ]
Bresnahan, Mary [2 ]
Zhuang, Jie [3 ]
Bogdan-Lovis, Elizabeth [4 ]
Park, Sunyoung [2 ]
机构
[1] Michigan State Univ, Coll Nursing, E Lansing, MI 48824 USA
[2] Michigan State Univ, Dept Commun, 404 Wilson Rd, E Lansing, MI 48824 USA
[3] Texas Christian Univ, Dept Commun Studies, Ft Worth, TX 76129 USA
[4] Michigan State Univ, Coll Human Med, E Lansing, MI 48824 USA
关键词
breastfeeding; breastfeeding barriers; complementary feeding; duration of breastfeeding exclusive breastfeeding; feeding patterns; social support; PLANNED BEHAVIOR; PREDICTING INTENTIONS; DURATION; EFFICACY; SCALE; DISPARITIES; FRAMEWORK; SUPPORT; WOMEN; RATES;
D O I
10.1177/0890334420948451
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background Previous qualitative researchers have shown that Chinese American mothers experienced high rates of suboptimal breastfeeding, especially early introduction of other foods before the recommended 6-month period of exclusive breastfeeding. Research aims (1) To explore attitudes that Chinese American mothers have about the meaning and practice of exclusive breastfeeding; (2) to evaluate the extent of family pressure and support to maintain exclusive breastfeeding; and (3) to examine the influence of breastfeeding self-efficacy and the intention to continue exclusive breastfeeding. Method Guided by the theory of planned behavior, this descriptive cross-sectional prospective online survey was conducted with Chinese American breastfeeding mothers (N = 401). Participants' attitudes, subjective norms, and perceived behavioral control for exclusive breastfeeding behaviors were measured. Results The M (SD) age of participants was 29.14 (SD = 6.90). Just over 50% reported receiving family support for exclusive breastfeeding. While participants had positive attitudes about exclusive breastfeeding and the value of colostrum, 64% (n = 257) had already introduced foods other than mother's own milk before their infant was 6-months old. Participants also expressed concern that their infants did not receive enough nutrition from exclusive mother's milk. Participants with more than one child had significantly greater intention to continue exclusive breastfeeding compared to participants with only one child. Perception of approval by others for exclusive breastfeeding and breastfeeding self-efficacy were significantly related to behavioral intention to continue exclusive breastfeeding. Conclusion Suboptimal infant feeding is a problem for Chinese American women and may also be a problem for mothers in other ethnic groups. We found a lack of adherence with standard recommendations for sustaining 6-months of exclusive breastfeeding.
引用
收藏
页码:380 / 389
页数:10
相关论文
共 45 条
[1]   Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature [J].
Abbass-Dick, Jennifer ;
Brown, Hilary K. ;
Jackson, Kimberley T. ;
Rempel, Lynn ;
Dennis, Cindy-Lee .
MIDWIFERY, 2019, 75 :41-51
[2]   THE THEORY OF PLANNED BEHAVIOR [J].
AJZEN, I .
ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1991, 50 (02) :179-211
[3]   Racial and Geographic Differences in Breastfeeding - United States, 2011-2015 [J].
Anstey, Erica H. ;
Chen, Jian ;
Elam-Evans, Laurie D. ;
Perrine, Cria G. .
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2017, 66 (27) :723-727
[4]   Relationship between the Infant Feeding Preferences of Chinese Mothers' Immediate Social Network and Early Breastfeeding Cessation [J].
Bai, Dorothy Li ;
Fong, Daniel Yee Tak ;
Lok, Kris Yuet Wan ;
Tarrant, Marie .
JOURNAL OF HUMAN LACTATION, 2016, 32 (02) :301-308
[5]   Predicting Intentions to Continue Exclusive Breastfeeding for 6 Months: a Comparison Among Racial/Ethnic Groups [J].
Bai, Yeon ;
Wunderlich, Shahla M. ;
Fly, Alyce D. .
MATERNAL AND CHILD HEALTH JOURNAL, 2011, 15 (08) :1257-1264
[6]   Infant feeding and maternal guilt: The application of a feminist phenomenological framework to guide clinician practices in breast feeding promotion [J].
Benoit, Britney ;
Goldberg, Lisa ;
Campbell-Yeo, Marsha .
MIDWIFERY, 2016, 34 :58-65
[7]   Acculturation and Breastfeeding Among Hispanic American Women: A Systematic Review [J].
Bigman, Galya ;
Wilkinson, Anna V. ;
Perez, Adriana ;
Homedes, Nuria .
MATERNAL AND CHILD HEALTH JOURNAL, 2018, 22 (09) :1260-1277
[8]  
Bright K., 2019, Late Preterm Infants, P17
[9]   Age at introduction to complementary solid food and food allergy and sensitization: A systematic review and meta-analysis [J].
Burgess, John A. ;
Dharmage, Shyamali C. ;
Allen, Katrina ;
Koplin, Jennifer ;
Garcia-Larsen, Vanessa ;
Boyle, Robert ;
Waidyatillake, Nilakshi ;
Lodge, Caroline J. .
CLINICAL AND EXPERIMENTAL ALLERGY, 2019, 49 (06) :754-769
[10]  
Chambers J.M., 1992, Statistical models in S, V251