Volume 22, Issue 1 (Pajouhan Scientific Journal, Winter 2024)                   Pajouhan Sci J 2024, 22(1): 68-77 | Back to browse issues page

Research code: 1373
Ethics code: IR.ABADANUMS.REC.1400.135

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharifi M, Darabi M, Pahlavanzadeh B, Mahboubi M. Investigating the Factors Affecting the Tendency Towards Exclusive Breastfeeding Based on the Theory of Planned Behavior in Mothers Referring to Comprehensive Health Centers. Pajouhan Sci J 2024; 22 (1) :68-77
URL: http://psj.umsha.ac.ir/article-1-1074-en.html
1- Abadan University of Medical Sciences, Abadan, Iran
2- Department of Pediatrician, School of Medicine, Ayatollah Taleghani Hospital, Abadan University of Medical Sciences, Abadan, Iran
3- Department of Public Health, School of Health, Research Center for Environmental Contaminants, Abadan University of Medical Sciences, Abadan, Iran
4- Department of Public Health, School of Health, Abadan University ‎of Medical Sciences, Abadan, Iran , mm59m@gmail.com
Abstract:   (442 Views)
Background and Objectives: Human milk has properties that can be absorbed in terms of quality and quantity, providing the energy and growth of the child. The theory of planned behavior is one of the patterns of behavior change aimed at determining the main behavior. In this model, the intention itself is affected by three independent constructs: attitude, abstract norm, and control. The present study aimed to assess the factors affecting the tendency towards exclusive breastfeeding based on the theory of planned behavior in mothers referring to comprehensive health centers in Abadan and Khorramshahr in 2022-2023.
Materials and Methods: This descriptive-analytical cross-sectional study was conducted on 162 nursing mothers in Khorramshahr and Abadan in 2022 using multi-stage sampling. In this study, the theory of planned behavior (TPB) questionnaire was used. Cronbach's alpha coefficient was also used to check the reliability of the tool. Data were analyzed in AMOS software (version 24).
Results: This study was conducted on 162 lactating mothers living in Abadan and Khorramshahr. In the descriptive statistics analysis, the highest and lowest mean scores were related to attitude level (34.96) and behavioral intention (11.24). Moreover, the correlation between demographic factors and breastfeeding revealed that some variables, such as parents' education, exerted a marked effect on exclusive breastfeeding.
Conclusion: The results of the study pointed out that more than half of the children under six months were exclusively breastfed, and the initiation of breastfeeding in the first two hours of birth is one of the most important factors affecting breastfeeding. Health policymakers need to devote close attention to strengthening the child's breastfeeding attitude as soon as possible.
Full-Text [PDF 1203 kb]   (116 Downloads)    
Type of Study: Research Article | Subject: Health Sciences
Received: 2023/12/4 | Accepted: 2024/02/20 | Published: 2024/03/19

1. Taylor J. North american culture: undermining breastfeeding. 2011.
2. Herring CM, Bazer FW, Johnson GA, Wu G. Impacts of maternal dietary protein intake on fetal survival, growth, and development. Exp Biol Med. 2018;243(6):525-33. [DOI:10.1177/1535370218758275] [PMID] []
3. Nadeem A, Nadeem J, Sarwar MH, Sarwar M. Making the decision to breastfeed the baby and its advantages for the women's health'. American Journal of Food Science and Health. 2017;3(5):88-94.
4. Williams J, Namazova-Baranova L, Weber M, Vural M, Mestrovic J, Carrasco-Sanz A, et al. The importance of continuing breastfeeding during coronavirus disease-2019: in support of the World Health Organization statement on breastfeeding during the pandemic. J Pediatr. 2020;223:234-6. [DOI:10.1016/j.jpeds.2020.05.009] [PMID] []
5. Zakar R, Zakar MZ, Zaheer L, Fischer F. Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan. Int Breastfeed J. 2018;13:24. [DOI:10.1186/s13006-018-0171-z] [PMID] []
6. Kim SY, Yi DY. Components of human breast milk: From macronutrient to microbiome and microRNA. Clin Exp Pediatr. 2020;63(8):301-9. [DOI:10.3345/cep.2020.00059] [PMID] []
7. Abdel-Hady DM, El-Gilany A-H. Calculating exclusive breastfeeding rates: comparing dietary "24-hour recall" with recall "since birth" methods. Breastfeeding Medicine. 2016;11(10):514-8. [DOI:10.1089/bfm.2016.0032] [PMID]
8. WHO G. Global strategy for infant and young child feeding. 2003.
9. Kang NM, Lee JE, Bai Y, Van Achterberg T, Hyun T. Breastfeeding initiation and continuation by employment status among Korean women. J Korean Acad Nurs. 2015;45(2):306-13. [DOI:10.4040/jkan.2015.45.2.306] [PMID]
10. Kamudoni P, Maleta K, Shi Z, Holmboe-Ottesen G. Exclusive breastfeeding duration during the first 6 months of life is positively associated with length-for-age among infants 6-12 months old, in Mangochi district, Malawi. Eur J Clin Nutr. 2015;69(1):96-101. [DOI:10.1038/ejcn.2014.148] [PMID]
11. Waits A, Guo CY, Chien LY. Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: The 2011‐2016 National Surveys in Taiwan. Birth. 2018;45(2):184-92. [DOI:10.1111/birt.12340] [PMID]
12. Singh V, Arulanantham A, Parisipogula V, Arulanantham S, Biswas A. Moringa olifera: nutrient dense food source and world's most useful plant to ensure nutritional security, good health and eradication of malnutrition. EJNFS. 2018;8(4):204-14. [DOI:10.9734/EJNFS/2018/42468]
13. Ajzen I. The theory of planned behavior: Frequently asked questions. Hum Behav & Emerg Tech. 2020;2(4):314-24. [DOI:10.1002/hbe2.195]
14. Verma VK, Chandra B. An application of theory of planned behavior to predict young Indian consumers' green hotel visit intention. Journal of cleaner production. 2018;172:1152-62. [DOI:10.1016/j.jclepro.2017.10.047]
15. Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS, et al. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet. 2020;395(10217):75-88. [DOI:10.1016/S0140-6736(19)32472-9] [PMID]
16. Cernigliaro A, Palmeri S, Casuccio A, Scondotto S, Restivo V, Group IPW. Association of the individual and context inequalities on the breastfeeding: a study from the Sicily Region. Int. J. Environ. Res. Public Health. 2019;16(19):3514. [DOI:10.3390/ijerph16193514] [PMID] []
17. Talbert A, Jones C, Mataza C, Berkley JA, Mwangome M. Exclusive breastfeeding in first-time mothers in rural Kenya: a longitudinal observational study of feeding patterns in the first six months of life. Int Breastfeed J . 2020;15(1):1-9. [DOI:10.1186/s13006-020-00260-5] [PMID] []
18. Alzaheb RA, Alatawi N, Daoud KA, Altawil N. Assessment of the dietary intakes of 6-and 12-month-old infants in Saudi Arabia. Int J Vitam Nutr Res. 2017;87(1-2):37-48. [DOI:10.1024/0300-9831/a000250] [PMID]
19. Amiri P, Vejdani M, Malekkhahi A, Alizadeh B, Goudarzian M, Vaziri SM, et al. Doğum sonrası ev ziyareti eğitim programının yenidoğanlarda anne sütü ile beslenme üzerine etkisi: randomize klinik bir çalışma. Cukurova Medical Journal. 2017;42(3):407-12. [DOI:10.17826/cutf.322869]
20. Zhou D, Zhang P, Bao C, Zhang Y, Zhu N. Emerging understanding of etiology and epidemiology of the novel coronavirus (COVID-19) infection in Wuhan, China. Preprints .2020. [DOI:10.20944/preprints202002.0283.v1]
21. Bakari H, Hunjra AI, Niazi GSK. How does authentic leadership influence planned organizational change? The role of employees' perceptions: Integration of theory of planned behavior and Lewin's three step model. Journal of change management. 2017;17(2):155-87. [DOI:10.1080/14697017.2017.1299370]
22. Bauer D, Arnold J, Kremer K. Consumption-intention formation in education for sustainable development: An adapted model based on the theory of planned behavior. Sustainability. 2018;10(10):3455. [DOI:10.3390/su10103455]
23. Alami A, Moshki M, Alimardani A. Development and validation of theory of planned behavior questionnaire for exclusive breastfeeding. Journal of Neyshabur University of Medical Sciences. 2014;2.
24. Ciampo LAD, Ciampo IRLD. Breastfeeding and the Benefits of Lactation for Women's Health. Rev Bras Ginecol Obstet. 2018;40:354-9. [DOI:10.1055/s-0038-1657766] [PMID]
25. Heydarpoor Z, Valizadeh L. COVID-19 and Breastfeeding. J Arak Uni Med Sci. 2020;23(5):646-53. [DOI:10.32598/JAMS.23.COV.6200.1]
26. Rahimi T, Dehdari T, Faryabi R, Ghazvinian L. The applicability of the theory of planned-behavior in predicting the intention to exclusive breastfeeding among pregnant women in Qom in 2014. JRUMS . 2015;14(4):299-310.
27. Bai Y, Wunderlich SM, Fly AD. Predicting intentions to continue exclusive breastfeeding for 6 months: A comparison among racial/ethnic groups. Matern Child Health J. 2011;15:1257-64. [DOI:10.1007/s10995-010-0703-7] [PMID]
28. Ismail TAT, Muda WAMW, Bakar MI. The extended Theory of Planned Behavior in explaining exclusive breastfeeding intention and behavior among women in Kelantan, Malaysia. Nutr Res Pract. 2016;10(1):49-55. [DOI:10.4162/nrp.2016.10.1.49] [PMID] []
29. Martinez-Brockman JL, Shebl F, Harari N, Perez-Escamilla R. An assessment of the social cognitive predictors of exclusive breastfeeding behavior using the Health Action Process Approach. Social Science & Medicine. 2017;182:106-16. [DOI:10.1016/j.socscimed.2017.04.014] [PMID]
30. McDonald SD, Pullenayegum E, Chapman B, Vera C, Giglia L, Fusch C, et al. Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol. 2012;119(6):1171-9. [DOI:10.1097/AOG.0b013e318256194b] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb