Breastfeeding but not Exclusively: Exploration of Chinese American Mothers’ Infant Feeding Practices
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...
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| Veröffentlicht in: | Journal of human lactation 2021-05, Vol.37 (2), p.380-389 |
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| creator | Goldbort, Joanne Bresnahan, Mary Zhuang, Jie Bogdan-Lovis, Elizabeth Park, Sunyoung |
| description | 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. |
| doi_str_mv | 10.1177/0890334420948451 |
| format | Article |
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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.</description><identifier>ISSN: 0890-3344</identifier><identifier>EISSN: 1552-5732</identifier><identifier>DOI: 10.1177/0890334420948451</identifier><identifier>PMID: 32960121</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Asian Americans ; Breast Feeding ; Child ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Infant ; Mothers ; Prospective Studies</subject><ispartof>Journal of human lactation, 2021-05, Vol.37 (2), p.380-389</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-177712ee777d520eb297b10b9c62d56c263f082149950836976bb7e562b4cbc13</citedby><cites>FETCH-LOGICAL-c337t-177712ee777d520eb297b10b9c62d56c263f082149950836976bb7e562b4cbc13</cites><orcidid>0000-0003-2483-394X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0890334420948451$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0890334420948451$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32960121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goldbort, Joanne</creatorcontrib><creatorcontrib>Bresnahan, Mary</creatorcontrib><creatorcontrib>Zhuang, Jie</creatorcontrib><creatorcontrib>Bogdan-Lovis, Elizabeth</creatorcontrib><creatorcontrib>Park, Sunyoung</creatorcontrib><title>Breastfeeding but not Exclusively: Exploration of Chinese American Mothers’ Infant Feeding Practices</title><title>Journal of human lactation</title><addtitle>J Hum Lact</addtitle><description>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.</description><subject>Asian Americans</subject><subject>Breast Feeding</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Infant</subject><subject>Mothers</subject><subject>Prospective Studies</subject><issn>0890-3344</issn><issn>1552-5732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1ULtOwzAUtRCIlsLOhDyyBPxKHLOVqjykIhhgjmz3BoJSu9gOgo3f4Pf4ElK1MCCx3KOr85DOQeiQkhNKpTwlpSKcC8GIEqXI6RYa0jxnWS4520bDFZ2t-AHai_GZEKqIpLtowJkqCGV0iOrzADqmGmDeuEdsuoSdT3j6ZtsuNq_Qvp_1z7L1QafGO-xrPHlqHETA4wWExmqHb3x6ghC_Pj7xtau1S_hiE3cXtE2NhbiPdmrdRjjY4Ag9XEzvJ1fZ7PbyejKeZZZzmbK-k6QMoId5zggYpqShxChbsHleWFbwmpSMCqVyUvJCycIYCXnBjLDGUj5Cx-vcZfAvHcRULZpooW21A9_FigkhSln0p5eStdQGH2OAulqGZqHDe0VJtVq3-rtubznapHdmAfNfw8-cvSBbC6J-hOrZd8H1bf8P_Ab-JIHS</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Goldbort, Joanne</creator><creator>Bresnahan, Mary</creator><creator>Zhuang, Jie</creator><creator>Bogdan-Lovis, Elizabeth</creator><creator>Park, Sunyoung</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2483-394X</orcidid></search><sort><creationdate>202105</creationdate><title>Breastfeeding but not Exclusively: Exploration of Chinese American Mothers’ Infant Feeding Practices</title><author>Goldbort, Joanne ; Bresnahan, Mary ; Zhuang, Jie ; Bogdan-Lovis, Elizabeth ; Park, Sunyoung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-177712ee777d520eb297b10b9c62d56c263f082149950836976bb7e562b4cbc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Asian Americans</topic><topic>Breast Feeding</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Infant</topic><topic>Mothers</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldbort, Joanne</creatorcontrib><creatorcontrib>Bresnahan, Mary</creatorcontrib><creatorcontrib>Zhuang, Jie</creatorcontrib><creatorcontrib>Bogdan-Lovis, Elizabeth</creatorcontrib><creatorcontrib>Park, Sunyoung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human lactation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldbort, Joanne</au><au>Bresnahan, Mary</au><au>Zhuang, Jie</au><au>Bogdan-Lovis, Elizabeth</au><au>Park, Sunyoung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breastfeeding but not Exclusively: Exploration of Chinese American Mothers’ Infant Feeding Practices</atitle><jtitle>Journal of human lactation</jtitle><addtitle>J Hum Lact</addtitle><date>2021-05</date><risdate>2021</risdate><volume>37</volume><issue>2</issue><spage>380</spage><epage>389</epage><pages>380-389</pages><issn>0890-3344</issn><eissn>1552-5732</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32960121</pmid><doi>10.1177/0890334420948451</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2483-394X</orcidid></addata></record> |
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| subjects | Asian Americans Breast Feeding Child Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Infant Mothers Prospective Studies |
| title | Breastfeeding but not Exclusively: Exploration of Chinese American Mothers’ Infant Feeding Practices |
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