Maternal Characteristics, Intention, Self-Efficacy, Perceived Social Support, and Exclusive Breastfeeding Practice: Structural Equation Modeling Approaches
Breast milk is a perfect food for infants; however, the rate of exclusive breastfeeding is low. The relationship between exclusive breastfeeding practices and influencing factors is complex and remains unclear. This cross-sectional study was conducted in Changsha County, China, and 414 mothers were...
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| Veröffentlicht in: | Healthcare (Basel) 2022-12, Vol.11 (1), p.87 |
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| creator | Li, Fang Huang, Cailian Lin, Qian Xi, Yue Xiang, Caihong Yong, Cuiting Deng, Jing |
| description | Breast milk is a perfect food for infants; however, the rate of exclusive breastfeeding is low. The relationship between exclusive breastfeeding practices and influencing factors is complex and remains unclear. This cross-sectional study was conducted in Changsha County, China, and 414 mothers were enrolled. An online questionnaire was used to collect data on general information, obstetrics and gynecology characteristics, the initial breastfeeding intention, breastfeeding practice, frequency of attending conventional breastfeeding programs before delivery, the status of breastfeeding self-efficacy, and the status of perceived social support. Structural equation modeling (SEM) was used to estimate the association between exclusive breastfeeding and potential risk factors of failing to practice exclusive breastfeeding for 6 months. The rate of exclusive breastfeeding for 6 months was 46.1%. The median and interquartile range of the scores for breastfeeding self-efficacy and perceived social support were 51.0 (18.0) and 68.0 (20.0), respectively. Factors that were statistically significant in the univariate analysis were included in the SEM and model fitness was acceptable based on the results. Exclusive breastfeeding for 6 months was directly associated with intention and self-efficacy, while it was indirectly associated with perceived social support and frequency of attending a breastfeeding program. The findings support the recommendation that comprehensive breastfeeding promotion strategies should be implemented to call on the intention and self-efficacy of breastfeeding mothers through various measures, such as education or providing medical and health services. |
| doi_str_mv | 10.3390/healthcare11010087 |
| format | Article |
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The relationship between exclusive breastfeeding practices and influencing factors is complex and remains unclear. This cross-sectional study was conducted in Changsha County, China, and 414 mothers were enrolled. An online questionnaire was used to collect data on general information, obstetrics and gynecology characteristics, the initial breastfeeding intention, breastfeeding practice, frequency of attending conventional breastfeeding programs before delivery, the status of breastfeeding self-efficacy, and the status of perceived social support. Structural equation modeling (SEM) was used to estimate the association between exclusive breastfeeding and potential risk factors of failing to practice exclusive breastfeeding for 6 months. The rate of exclusive breastfeeding for 6 months was 46.1%. The median and interquartile range of the scores for breastfeeding self-efficacy and perceived social support were 51.0 (18.0) and 68.0 (20.0), respectively. Factors that were statistically significant in the univariate analysis were included in the SEM and model fitness was acceptable based on the results. Exclusive breastfeeding for 6 months was directly associated with intention and self-efficacy, while it was indirectly associated with perceived social support and frequency of attending a breastfeeding program. The findings support the recommendation that comprehensive breastfeeding promotion strategies should be implemented to call on the intention and self-efficacy of breastfeeding mothers through various measures, such as education or providing medical and health services.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare11010087</identifier><identifier>PMID: 36611547</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Babies ; Breast cancer ; Breast feeding ; Breastfeeding & lactation ; Child development ; Consent ; Education ; Families & family life ; Health behavior ; Infants ; Mothers ; Obstetrics ; Psychological aspects ; Questionnaires ; Self-efficacy ; Self-efficacy (Psychology) ; Social aspects ; Social networks ; Social support ; Structural equation modeling ; Surveys</subject><ispartof>Healthcare (Basel), 2022-12, Vol.11 (1), p.87</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-f608c125d60cdc87e8cdf8ed32cec84ffd1a44b4db920b917a18f4812bb436083</citedby><cites>FETCH-LOGICAL-c497t-f608c125d60cdc87e8cdf8ed32cec84ffd1a44b4db920b917a18f4812bb436083</cites><orcidid>0000-0001-9461-9303 ; 0000-0002-7801-4379 ; 0000-0003-4287-1018</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819423/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819423/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36611547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Fang</creatorcontrib><creatorcontrib>Huang, Cailian</creatorcontrib><creatorcontrib>Lin, Qian</creatorcontrib><creatorcontrib>Xi, Yue</creatorcontrib><creatorcontrib>Xiang, Caihong</creatorcontrib><creatorcontrib>Yong, Cuiting</creatorcontrib><creatorcontrib>Deng, Jing</creatorcontrib><title>Maternal Characteristics, Intention, Self-Efficacy, Perceived Social Support, and Exclusive Breastfeeding Practice: Structural Equation Modeling Approaches</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Breast milk is a perfect food for infants; however, the rate of exclusive breastfeeding is low. The relationship between exclusive breastfeeding practices and influencing factors is complex and remains unclear. This cross-sectional study was conducted in Changsha County, China, and 414 mothers were enrolled. An online questionnaire was used to collect data on general information, obstetrics and gynecology characteristics, the initial breastfeeding intention, breastfeeding practice, frequency of attending conventional breastfeeding programs before delivery, the status of breastfeeding self-efficacy, and the status of perceived social support. Structural equation modeling (SEM) was used to estimate the association between exclusive breastfeeding and potential risk factors of failing to practice exclusive breastfeeding for 6 months. The rate of exclusive breastfeeding for 6 months was 46.1%. The median and interquartile range of the scores for breastfeeding self-efficacy and perceived social support were 51.0 (18.0) and 68.0 (20.0), respectively. Factors that were statistically significant in the univariate analysis were included in the SEM and model fitness was acceptable based on the results. Exclusive breastfeeding for 6 months was directly associated with intention and self-efficacy, while it was indirectly associated with perceived social support and frequency of attending a breastfeeding program. The findings support the recommendation that comprehensive breastfeeding promotion strategies should be implemented to call on the intention and self-efficacy of breastfeeding mothers through various measures, such as education or providing medical and health services.</description><subject>Age</subject><subject>Babies</subject><subject>Breast cancer</subject><subject>Breast feeding</subject><subject>Breastfeeding & lactation</subject><subject>Child development</subject><subject>Consent</subject><subject>Education</subject><subject>Families & family life</subject><subject>Health behavior</subject><subject>Infants</subject><subject>Mothers</subject><subject>Obstetrics</subject><subject>Psychological aspects</subject><subject>Questionnaires</subject><subject>Self-efficacy</subject><subject>Self-efficacy (Psychology)</subject><subject>Social aspects</subject><subject>Social networks</subject><subject>Social support</subject><subject>Structural equation modeling</subject><subject>Surveys</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUstu1DAUjRCIVqU_wAJFYsNipvg1icMCaVoNUKkVlQbWlnN9PeMqE6e2U9Fv4WdxNKW0gL3w455z7kOnKF5TcsJ5Q95vUXdpCzogpYQSIutnxSFjrJ43hLPnj-4HxXGM1ySvhnLJFy-LA15VlC5EfVj8vNQJQ6-78myrg4b8cDE5iLPyvE_YJ-f7WbnGzs5X1jrQcDcrrzAAuls05dqDy9z1OAw-pFmpe1OufkA3xhwuTwPqmCyicf2mvJrkHeCHcp3CCGkMmbm6GfWUo7z0BrsJthyG4DVsMb4qXljdRTy-P4-K759W386-zC--fj4_W17MQTR1mtuKSKBsYSoCBmSNEoyVaDgDBCmsNVQL0QrTNoy0Da01lVZIytpW8MzlR8XHve4wtjs0kLvOpakhuJ0Od8prp55GerdVG3-rGkkbwXgWeHcvEPzNiDGpnYuAXad79GNUrK5oU0tOmgx9-xf02o_T_PcouqgrLv6gNrpD5Xrrc16YRNWyFqLijeBT3Sf_QeVtcOfA92hd_n9CYHsCBB9jQPvQIyVqcpX611WZ9ObxdB4ovz3EfwGnps0M</recordid><startdate>20221228</startdate><enddate>20221228</enddate><creator>Li, Fang</creator><creator>Huang, Cailian</creator><creator>Lin, Qian</creator><creator>Xi, Yue</creator><creator>Xiang, Caihong</creator><creator>Yong, Cuiting</creator><creator>Deng, Jing</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9461-9303</orcidid><orcidid>https://orcid.org/0000-0002-7801-4379</orcidid><orcidid>https://orcid.org/0000-0003-4287-1018</orcidid></search><sort><creationdate>20221228</creationdate><title>Maternal Characteristics, Intention, Self-Efficacy, Perceived Social Support, and Exclusive Breastfeeding Practice: Structural Equation Modeling Approaches</title><author>Li, Fang ; Huang, Cailian ; Lin, Qian ; Xi, Yue ; Xiang, Caihong ; Yong, Cuiting ; Deng, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-f608c125d60cdc87e8cdf8ed32cec84ffd1a44b4db920b917a18f4812bb436083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Babies</topic><topic>Breast cancer</topic><topic>Breast feeding</topic><topic>Breastfeeding & lactation</topic><topic>Child development</topic><topic>Consent</topic><topic>Education</topic><topic>Families & family life</topic><topic>Health behavior</topic><topic>Infants</topic><topic>Mothers</topic><topic>Obstetrics</topic><topic>Psychological aspects</topic><topic>Questionnaires</topic><topic>Self-efficacy</topic><topic>Self-efficacy (Psychology)</topic><topic>Social aspects</topic><topic>Social networks</topic><topic>Social support</topic><topic>Structural equation modeling</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Fang</creatorcontrib><creatorcontrib>Huang, Cailian</creatorcontrib><creatorcontrib>Lin, Qian</creatorcontrib><creatorcontrib>Xi, Yue</creatorcontrib><creatorcontrib>Xiang, Caihong</creatorcontrib><creatorcontrib>Yong, Cuiting</creatorcontrib><creatorcontrib>Deng, Jing</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Fang</au><au>Huang, Cailian</au><au>Lin, Qian</au><au>Xi, Yue</au><au>Xiang, Caihong</au><au>Yong, Cuiting</au><au>Deng, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal Characteristics, Intention, Self-Efficacy, Perceived Social Support, and Exclusive Breastfeeding Practice: Structural Equation Modeling Approaches</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2022-12-28</date><risdate>2022</risdate><volume>11</volume><issue>1</issue><spage>87</spage><pages>87-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>Breast milk is a perfect food for infants; however, the rate of exclusive breastfeeding is low. The relationship between exclusive breastfeeding practices and influencing factors is complex and remains unclear. This cross-sectional study was conducted in Changsha County, China, and 414 mothers were enrolled. An online questionnaire was used to collect data on general information, obstetrics and gynecology characteristics, the initial breastfeeding intention, breastfeeding practice, frequency of attending conventional breastfeeding programs before delivery, the status of breastfeeding self-efficacy, and the status of perceived social support. Structural equation modeling (SEM) was used to estimate the association between exclusive breastfeeding and potential risk factors of failing to practice exclusive breastfeeding for 6 months. The rate of exclusive breastfeeding for 6 months was 46.1%. The median and interquartile range of the scores for breastfeeding self-efficacy and perceived social support were 51.0 (18.0) and 68.0 (20.0), respectively. Factors that were statistically significant in the univariate analysis were included in the SEM and model fitness was acceptable based on the results. Exclusive breastfeeding for 6 months was directly associated with intention and self-efficacy, while it was indirectly associated with perceived social support and frequency of attending a breastfeeding program. The findings support the recommendation that comprehensive breastfeeding promotion strategies should be implemented to call on the intention and self-efficacy of breastfeeding mothers through various measures, such as education or providing medical and health services.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36611547</pmid><doi>10.3390/healthcare11010087</doi><orcidid>https://orcid.org/0000-0001-9461-9303</orcidid><orcidid>https://orcid.org/0000-0002-7801-4379</orcidid><orcidid>https://orcid.org/0000-0003-4287-1018</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Babies Breast cancer Breast feeding Breastfeeding & lactation Child development Consent Education Families & family life Health behavior Infants Mothers Obstetrics Psychological aspects Questionnaires Self-efficacy Self-efficacy (Psychology) Social aspects Social networks Social support Structural equation modeling Surveys |
| title | Maternal Characteristics, Intention, Self-Efficacy, Perceived Social Support, and Exclusive Breastfeeding Practice: Structural Equation Modeling Approaches |
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