scholarly journals Determinants of Exclusive Breastfeeding Intention in Pregnant Women in Birjand in 2020: Application of Integrated Behavioral Model

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Zari Gandomi ◽  
Gholamreza Sharifzadeh ◽  
Ensiyeh Norozi

Background: Exclusive breastfeeding (EBF) for the first six months of life is the best nutritional option for the growth and development of infants. EBF has a unique biological and emotional effect on the health of the infant and mother. Despite this, the prevalence of EBF is lower than the standard recommended by the World Health Organization (WHO). Objectives: The current study aimed to investigate the determinants of exclusive breastfeeding’ intention based on the Integrated Behavioral Model (IBM) in pregnant women living in Birjand. Methods: Following a descriptive-analytical design, 292 pregnant women referred to health centers of Birjand (Iran) in 2020 were recruited. Sampling was performed using the multistage cluster random technique. Data were collected using a researcher-made questionnaire based on the constructs of IBM. Analyses were conducted by SPSS-19 using Pearson correlation and regression analysis at the significance level of P < 0.05. Results: There was a significant positive correlation between EBF intention and the mean value of different constructs of IBM (P < 0.001). According to the results of regression analysis, perceived self-efficacy, experiential attitude, and injunctive norm could predict EBF intentions (R2 = 0.58). Conclusions: This study demonstrated that a considerable part of the changes relevant to EBF intention could be predicted by the constructs of the integrated behavioral model. Hence, using this model to analyze other health behaviors is a promising option.

2018 ◽  
Vol 12 (3) ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Ratu Ayu Dewi Sartika ◽  
Endang Laksminingsih Achadi ◽  
Urip Purwono ◽  
Anies Irawati ◽  
...  

AbstractExclusive breastfeeding intention is a mother’s intention to provide her baby only breast milk since the infant was born until at the age of 6 months. Intention in prenatal period is the direct affirmation of exclusive breastfeeding. This study aimed to find out the most dominant factor related to exclusive breastfeeding intention among pregnant women at a mother and child hospital in South Tangerang. A cross-sectional study design was conducted primarily. The samples were 143 pregnant women on their third semester pregnancy selected by purposive sampling. Intention was measured by the Infant Feeding Intention scale questionnaire. Meanwhile, attitude, subjective norms, and perceived behavioral control were measured by the modified Breastfeeding Attrition Prediction Tool questionnaire. Data were analyzed using the multivariate logistic regression analysis. It was 61.5% mother had strong exclusive breastfeeding intention. Perceived behavioral control dominantly influenced the exclusive breastfeeding intention (p value = 0.007; Odds Ratio 3.030; 95% CI = (1.361-6.746)). The other factors influencing intention were attitude, exposure to exclusive breastfeeding from social media, health workers’ support, previous breastfeeding experienceand mothers’ occupation. A mother with high perceived behavioral control has three times more likely to have ‘high exclusive breastfeeding intention’ than those having the low ones.AbstrakIntensi pemberian ASI eksklusif adalah intensi ibu untuk memberikan hanya ASI pada bayinya sejak dilahirkan hingga berusia enam bulan. Intensi pada periode prenatal merupakan penentu langsung pemberian ASI eksklusif. Penelitian ini bertujuan mengetahui faktor paling dominan berhubungan dengan intensi pemberian ASI eksklusif pada ibu hamil di sebuah rumah sakit ibu dan anak di Kota Tangerang Selatan. Penelitian dengan desain studi potong lintang dilakukan secara primer. Sampel berjumlah 143 ibu hamil trimester ketiga dipilih secara purposive sampling. Intensi pemberian ASI eksklusif diukur menggunakan kuesioner the Infant Feeding Intentions scale. Sedangkan sikap, norma subjektif dan persepsi kontrol perilaku dinilai menggunakan modifikasi kuesioner Breastfeeding Attrition Prediction Tool. Data dianalisis menggunakan analisis regresi logistik ganda. Sebanyak 61,5% ibu memiliki intensi kuat memberikan ASI eksklusif. Persepsi kontrol perilaku paling dominan berhubungan dengan intensi pemberian ASI eksklusif, (p=0,007; Odds Ratio 3,030; 95% CI (1,361-6,746). Faktor lainnya yang berhubungan dengan intensi adalah sikap, keterpaparan ibu terhadap ASI eksklusif dari media sosial, dukungan tenaga kesehatan, pengalaman menyusui sebelumnya, dan pekerjaan ibu dengan persepsi kontrol perilaku tinggi berpeluang tiga kali lebih besar memiliki ‘intensi tinggi’ untuk memberikan ASI eksklusif dibandingkan ibu berpersepsi kontrol perilaku rendah.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


2021 ◽  
Vol 1 (1) ◽  
pp. 144-153
Author(s):  
Ririn Riyadussolihat ◽  
Neli Nurlina

Introduction: Breastmilk is the first food for newborns and is the main nutrition for babies. The low level of exclusive breastfeeding is due to the lack of knowledge of mothers about exclusive breastfeeding. Therefore, in order for mother's knowledge to be good, it can be done by providing education about exclusive breastfeeding. The purpose of this study was to determine the effect of providing education using online media for pregnant women on the knowledge of mothers in breastfeeding, self-efficacy and the success of breastfeeding alone for one month. Methods: This study used a quasi-experimental design with a pre and post-test nonequivalent control group approach. The sampling technique used probability sampling, which consisted of 44 pregnant women in the third trimester. Collection using a questionnaire and analyzed using the chi square test with a significance level of α ≤ 0.05. Results: This study shows that there is no significant relationship between the provision of online education and maternal knowledge with a p value of 0.056 (α ≥ 0.05). There is a significant relationship between providing online education with maternal self-efficacy with a p value of 0.001 (α ≤ 0.05). There was no significant relationship between the provision of education and the success of breastfeeding for 1 month with a p value of 0.186 (α ≥ 0.05). Conclusion: It is suggested that health walkers can increase educational activities regarding exclusive breastfeeding by using any method and in an appropriate, structured and continuous way with direct or indirect interactions so that the knowledge and self-efficacy of mothers about exclusive breastfeeding will be better.


2016 ◽  
Vol 48 (3) ◽  
pp. 156
Author(s):  
Naomi Dewanto ◽  
Sudigdo Sastroasmoro ◽  
Rulina Suradi ◽  
Theresia Santi

Background World Health Organization (WHO) recommendsbreastfeeding as the appropriate method of infant feeding.Predelivery intentions about breastfeeding are strong predictorsof both initiating and continuing exclusively breastfeedingthrough the post delivery period.Objective To determine the association of age, education,occupation, parity, and information got by pregnant women withthe intention to give exclusive breastfeeding at Siloam LippoCikarang Hospital.Methods Pregnant women were chosen by consecutive samplingfilled in questionnaires contained identity, knowledge, obstacles ofbreastfeeding and intentions to exclusively breastfeed. Pregnantwomen visiting Obstetrics and Gynecologic Department SiloamLippo Cikarang Hospital who were able to read and write inIndonesian were eligible for this study.Result: Most of the 200 respondents were between 20-30 years ofage (69.5%), college graduated (55.5%), working women (50.5%),multiparous (58.5%) and have already got the informationabout breastfeeding (64.5%). The commonly cited source isprinted device (40%). Knowledge about breastfeeding in generalwere good (78%), but respondents who intended to exclusivelybreastfeed were only 58.5%. Multivariate analysis showed thatthe factors significant associated with the intention to exclusivelybreastfeed were age, with OR 0.9 (95%CI 0.84;0.98, P<0.05) andinformation, with OR 0.28 (95%CI 0.143;0.56, P<O.OOl)Conclusions The significant influencing factors to the intentionsto give exclusively breastfeed are age and information.


2021 ◽  
Vol 2 (2) ◽  
pp. 1-20
Author(s):  
Thafar S. Al-Safar ◽  
Reem H. Khamis ◽  
Sabah R. H. Ahmed

Background: In the form of mothers’ talent, the most imperative food for infants is human milk. Exclusive breastfeeding is recommended by World Health Organization during the first six months of life with well-established benefits to the mother and child.Aim: The aim of this study was to develop a midwifery and physician as health care-givers to prolong breastfeeding.Methods: Studies published between 2010 and 2020 were reviewed. An online literature search was carried out between January and July 2020; articles were gathered from Maternity and Infant Care, PsychINFO, CINAHL, Medline, PubMed, Google and Cochrane Database of systematic reviews as well as from references in published research and reviews. The search plan included the following keywords: breastfeeding, exclusive, initiation, factors, preterm, kangaroo care, education, partner, intention, social support, confidence, self-efficacy and extending the duration of paid maternity leave.Results: Adjustable factors and barriers that influence women’s exclusive breastfeeding duration to six months are breastfeeding intention, breastfeeding self-efficacy, maternal age, maternal occupation, parent's educational level, social-economic status, insufficient milk supply, infant health problems, preterm baby, parity, mode of delivery and other related factors.Conclusion: Based on the currently available information, there are many adjustable factors and barriers that are associated with exclusive breastfeeding duration to six months such as the woman’s breast feeding intention, breast feeding self-efficacy and social support.Recommendations: Enlightenment campaign about exclusive breastfeeding benefits should be done to pregnant women. Breastfeeding counseling from midwives and health care givers to pregnant women during antenatal care should be centered on solving problems associated with BF.


2007 ◽  
Vol 3 (3) ◽  
pp. 127 ◽  
Author(s):  
Mohammad Sami Walid, MD, PhD ◽  
Leon Hyer, PhD ◽  
Mohammed Ajjan, MD ◽  
Aaron C. M. Barth ◽  
Joe Sam Robinson, Jr, MD

Objective: We addressed the prevalence of opioid dependence (OD) in spine surgery patients and its correlation with length of stay (LOS) as the most important determinant of hospital cost.Methods: The study took place at Georgia Neurosurgical Institute and the Medical Center of Central Georgia between March 2006 and January 2007. A prospective convenience sample of 150 spine surgery patients (48 lumbar diskectomy, 60 cervical decompression and fusion, and 42 lumbar decompression and fusion [LDF]) was assembled. Patients were interviewed before surgery using a questionnaire designed in accordance with the World Health Organization and DSM-IV-TR criteria for the diagnosis of OD. The prevalence of OD was calculated based on questionnaire results. Pain intensity was quantified during admission using a 0-to-10 pain scale. We used pain intensity multiplied by duration of pain in months (WR index) as a new parameter. Lengths of stay were collected following patients’ discharge from hospital. Pearson correlation and regression analysis were performed using SPSS software.Results: Thirty (20.00 percent) patients were opioid dependent. The prevalence was highest among LDF patients (23.81 percent), females (22.78 percent), and, to a lesser degree, Caucasians (20.87percent). There was no correlation between OD and age (r = 0.08, p > 0.1) or between OD and LOS (r = 0.09, p > 0.1). This study proved a very significant positive correlation between OD and pain intensity (r = 0.24, p < 0.01) and between OD and the WR index (r = 0.30, p < 01). On the other hand, there was a significant positive correlation between LOS and age(r= 0.42, p < 0.01), between LOS and the number of previous spine surgeries (r = 0.28, p < 01), and between LOS and duration of pain (r = 0.18, p < 0.05). Regression analysis showed that age, ethnicity, and type of surgery were the main determinants of LOS.Conclusions: Chronic pain and prolonged use of opioids raise the prevalence of OD in spine surgery patients to 20 percent. The lack of effect of OD on LOS after surgical intervention means that efforts to decrease LOS by trying to satisfy patients’ craving for opioids will not be fruitful. Older, African-American LDF patients with a lengthy history of pain and multiple spine surgeries in the past are the most likely to stay longer in hospital.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Cyril Anoshirike ◽  
Chinagorom Asinobi ◽  
Vivienne Ibeanu

Abstract Objectives This study assessed the association of iron rich foods consumption, supplement intake and prevalence of anaemia among pregnant women in Owerri Imo state, Nigeria. Methods A cross-sectional study design was used, 429 pregnant women attending antenatal care were randomly selected from each of the five hospitals randomly selected from Owerri. Biochemical test (Haemoglobin determination) and a structured and pre-tested questionnaires was used for data collection. Data were statistically analyzed using Pearson correlation and Chi-square test with SPSS Version 22 at significance level of P < 0.05. Results Result shows that two third (72.3%) of the respondents were aged 26–35yrs, 72.3% were in the third trimester, 77.4% had multigravida, 43.4% had a birth spacing of 12–18months, 28.1% and 26.8% had loss a child at birth and caesarean delivery respectively, 51.0% commenced antenatal care visit at 13–24 weeks of their pregnancy, 75% had malaria and 39% were anaemic (17% mild, 17% moderate and 5% severe anaemia). More than half of the pregnancy women took folic acid (61.1%), B-complex vitamin (53.6%) and one third (35.9%) took Ferrous Sulphate at least once daily, 78% sourced their supplements from hospital. Most of the pregnant women consumed animal protein, green leafy vegetable and fruits at least 4 times weekly; there are significant (P < 0.05) associations between consumption of iron rich foods, supplement intake and prevalence of anaemia among pregnant women. Conclusions In conclusion, this study revealed a high prevalence of anaemia among pregnant women, moderate consumption of iron rich foods, poor intake of iron supplement and a significant association between prevalence of anaemia in pregnant women, consumption of iron rich food and intake iron supplement among pregnant women in the study area. Funding Sources Self Funded (Author).


2021 ◽  
Vol 18 (3) ◽  
Author(s):  
Kobra Abbasi ◽  
Mohammad Reza Miri ◽  
Ensiyeh Norozi ◽  
Abbas Ali Ramazani

Background: From the beginning of puberty, girls are exposed to many physical-psychological problems that experience for the first time, so it is very important to pay attention to puberty health. Objectives: The aim of this study was to determine the predictors of puberty health behaviors based on application of the Integrated Behavioral Model (IBM) among girls’ high school students. Methods: This descriptive-analytical study was performed on 265 first grade girls’ high school students in Birjand in 2020 using multi-stags sampling. Data collection tools were a researcher-made questionnaire including demographic information and questions related to IBM constructs that were completed self-administered. Data were analyzed by SPSS 19 software using Pearson correlation coefficient and linear regression analysis. Results: Pearson correlation showed that all IBM constructs except experiential attitude and control belief had a significant correlation with puberty health behaviors (P < 0.04). In total, about 54% of the behavior variance was explained by three variables of intention, self-efficacy, and mother's job, among which intention was the strongest predictor of puberty health behaviors (P = 0.001). Conclusions: The results of the present study indicate the high predictive power of IBM for investigating puberty health behaviors. Therefore, using this model to design educational interventions and improve behaviors in the field of maturity is recommended.


NSC Nursing ◽  
2021 ◽  
pp. 1-19
Author(s):  
Asnidawati Asnidawati ◽  
Wa Ode Salma ◽  
Adius Kusnan

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother


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