1. Theory-based antecedents of breastfeeding among pregnant women in the United States
- Author
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Manoj Sharma, Christopher Johansen, Miguel Fudolig, Chia-Liang Dai, Sidath Kapukotuwa, Liliana Davalos, and Laurencia Bonsu
- Subjects
breastfeeding ,maternal health ,newborn ,Nutrition. Foods and food supply ,TX341-641 ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Breastfeeding provides several positive health benefits for the newborn child, yet breastfeeding rates remain low in the United States (US). Theory-based approaches have the potential to improve breastfeeding promotion interventions. Hence, the study examined the correlates of intention to breastfeed among US pregnant women based on the multi-theory model (MTM) of health behavior change. Methods: Using a cross-sectional design, a 36-item online survey was administered to a nationally representative sample of 315 pregnant women in the US. The instrument was psychometrically validated for face, content, and construct validity by a panel of six experts over two rounds. Further, construct validation was done by confirmatory factor analysis (CFA). Hierarchical regression modeling was employed to explain the intention to start breastfeeding and sustain exclusive breastfeeding for up to six months and with complementary foods for up to 24 months. Results: Internal consistency using Cronbach’s alpha was found to be acceptable. It was found that behavioral confidence and changes in the physical environment positively affected the initiation of breastfeeding (P
- Published
- 2024
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