Maternal Knowledge, Attitudes and Self-efficacy in Relation to Intention to Exclusively Breastfeed Among Pregnant Women in Rural Bangladesh

Achieving optimal exclusive breastfeeding (EBF) remains a challenge. Because intention is a precursor of practice, we examined factors associated with EBF intention during pregnancy in two rural sub-districts of Kishoreganj district, Bangladesh. We studied 2,400 pregnant women in their third trimest...

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Bibliographic Details
Published in:Maternal and child health journal 2015-01, Vol.19 (1), p.49-57
Main Authors: Thomas, Joan S., Yu, Elaine A., Tirmizi, Noor, Owais, Aatekah, Das, Sumon K., Rahman, Shahed, Faruque, A. S. G., Schwartz, Benjamin, Stein, Aryeh D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Attitudes
Babies
Bangladesh
Breast feeding
Breast Feeding - psychology
Breast Feeding - statistics & numerical data
Breastfeeding & lactation
Childrens health
Counseling
Demography
Female
Gynecology
Health aspects
Health Knowledge, Attitudes, Practice
Humans
Industrialized countries
Intention
Interviews as Topic
Knowledge
Laws, regulations and rules
Linear Models
Male
Maternal and Child Health
Medicine
Medicine & Public Health
Middle Aged
Mothers
Parity
Pediatrics
Population Economics
Pregnancy
Pregnancy Trimester, Third
Pregnant Women - psychology
Public Health
Questionnaires
Rural Population
Self Efficacy
Social aspects
Social Support
Sociology
Support groups
Womens health
Young Adult
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Summary:Achieving optimal exclusive breastfeeding (EBF) remains a challenge. Because intention is a precursor of practice, we examined factors associated with EBF intention during pregnancy in two rural sub-districts of Kishoreganj district, Bangladesh. We studied 2,400 pregnant women in their third trimester (26–32 weeks gestation). We assessed knowledge (6 items, scale range 0–6), attitudes (15 items, scale range 15–75) and self-efficacy (6 items, scale range 6–30) by interview using a standardized questionnaire. 83.9 % of pregnant women reported EBF intention. Mean breastfeeding knowledge was 3.5 (SD 1.3), mean attitude was 55.8 (SD 8.1) and mean self-efficacy was 25.6 (SD 3.4). Knowledge was associated with EBF intention (OR 2.47, 95 % CI 1.74, 3.51), attitudes toward EBF (OR 1.68, 95 % CI 1.31, 2.16) and self-efficacy (OR 1.72, 95 % CI 1.23, 2.40) were independently associated with EBF intention in the model in which all three constructs were entered simultaneously. Receipt of breastfeeding counseling during pregnancy and being literate were each associated with EBF knowledge and EBF intention (all p  
ISSN:1092-7875
1573-6628
DOI:10.1007/s10995-014-1494-z