Understanding Breast-Feeding Behavior of Mothers Using a Developed Culture Specific Tool Grounded in the Theory of Planned Behavior in Western Kenya
DOI:
https://doi.org/10.3923/pjn.2015.29.36Keywords:
Breast-feeding Behavior, Kenya, psychosocial factors, reliability, theory of planned behaviour, validityAbstract
This study was set up to understand breast-feeding behavior of mothers using a developed culture-specific tool grounded in the Theory of Planned Behavior (TPB) in western Kenya. The methods used in the study were Mixed Methods Approaches, in-depth interviews and FGDs. About 230 breast-feeding mothers (18-40 years) attending Baby Friendly Hospital Initiatives were randomly selected for participation in the study. Data analysis was done using Factor analysis, Principle Component Analysis with Varimax rotation. The averages of intention, perceived behavioral control-2 and subjective norm communalities were 0.76, 0.82 and 0.78, respectively. A unit increase in maternal attitude and in perceived behavioral control resulted in a 4.93 units decrease of breast-feeding intention on early initiation of breast-feeding within the first hour of birth (p = 0.0296) and a 36.44 unit's decrease breast-feeding intention on initiation of breast-feeding within the first hour of birth (p = 0.0151), respectively. These results supported content and construct validity and the tool was useful in measuring factors influencing breast-feeding behaviour.
References
Ajzen, I., 1991. The theory of planned behavior. Organiz. Behav. Hum. Decis. Process., 50: 179-211.
Chen, Y.C., Y.C. Wu and W.C. Chie, 2006. Effects of work-related factors on the breastfeeding behavior of working mothers in a Taiwanese semiconductor manufacturer: A cross-sectional survey. BMC Public Health, Vol. 6.
Dai, X. and C.L. Dennis, 2003. Translation and validation of the breastfeeding Self-efficacy scale into Chinese. J. Midwifery Women's Health, 48: 350-356.
Dennis, C.L. and S. Faux, 1999. Development and psychometric testing of the breastfeeding Self-efficacy scale. Res. Nurs. Health, 22: 399-409.
Elliott, T.C., K.O. Agunda, J.G. Kigondu, S.N. Kinoti and M.C. Latham, 1985. Breastfeeding versus infant formula: The Kenyan case. Food Policy, 10: 7-10.
Gray, S.J., 1995. Correlates of breastfeeding frequency among nomadic pastoralists of Turkana, Kenya: A retrospective study. Am. J. Phys. Anthropol., 98: 239-255.
Janke, J.R., 1992. Prediction of breast-feeding attrition: Instrument development. Applied Nurs. Res., 5: 48-53.
Janke, J.R., 1994. Development of the breast-feeding attrition prediction tool. Nurs. Res., 43: 100-104.
Lakati, A., C. Binns and M. Stevenson, 2002. The effect of work status on exclusive breastfeeding in Nairobi. Asia-Pacific J. Public Health, 14: 85-90.
Motee, A., D. Ramasawmy, P. Pugo-Gunsam and R. Jeewon, 2013. An assessment of the breastfeeding practices and infant feeding pattern among mothers in mauritius. J. Nutr. Metab.
Nwankwo, B.O. and W.R. Brieger, 2002. Exclusive breastfeeding is undermined by use of other liquids in rural southwestern Nigeria. J. Trop. Pediatr., 48: 109-112.
Naanyu, V., 2008. Young mothers, first time parenthood and exclusive breastfeeding in Kenya. Afr. J. Reprod. Health, 12: 125-138.
Nduati, R., G. John, D. Mbori-Ngacha, B. Richardson and J. Overbaugh et al., 2000. Effect of breastfeeding and formula feeding on transmission of HIV-1: A randomized clinical trial. JAMA, 283: 1167-1174.
Swanson, V. and K.G. Power, 2005. Initiation and continuation of breastfeeding: Theory of planned behaviour. J. Adv. Nurs., 50: 272-282.
Thurman, S.E. and P.J. Allen, 2007. Integrating lactation consultants into primary health care services: Are lactation consultants affecting breastfeeding success? Pediatr. Nurs., 34: 419-425.
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