title: Exploring and influencing the knowledge and attitudes of health professionals towards extended breastfeeding.
abstract: BACKGROUND
  Although many U.S. professional health organizations have policy statements that support the breastfeeding of children beyond one year (extended breastfeeding), the actual attitudes of health workers towards this practice have not been explored. The purposes of this study were (1) to explore the knowledge and attitudes of various U.S. health professionals towards extended nursing and (2) to pilot an educational display for U.S. health professionals to promote their knowledge and attitudes towards extended breastfeeding.
  
  
  METHODS
  A total of 84 participants in a New York City academic medical center provided responses to a structured self-administered questionnaire given before and after an educational display.
  
  
  RESULTS
  Respondents reported negative attitudes towards extended breastfeeding at baseline, with negative attitudes increasing as the age of the breastfed child increased. After education, the percentage of participants who found breastfeeding acceptable for 1- or 2-year-old children increased from 61% to 89% (p < 0.001). Acceptability of 3- or 4-year-old children breastfeeding increased from 22% to 41% (p < 0.001).
  
  
  CONCLUSIONS
  Viewing educational media concerning older nursing children may lead to more positive attitudes towards extended breastfeeding among healthcare professionals.
authors.affiliation: School of Public Health, State University of New York Downstate Medical Center, Brooklyn, 11203, USA. laurencolas@gmail.com
authors.forename: Lauren
authors.initials: L
authors.lastname: Cockerham-Colas
authors.forename: Laura
authors.initials: L
authors.lastname: Geer
authors.forename: Karen
authors.initials: K
authors.lastname: Benker
authors.forename: Michael A
authors.initials: MA
authors.lastname: Joseph
mesh_terms: D001291:Attitude of Health Personnel; D001942:Breast Feeding / Q000706:statistics & numerical data; D002675:Child, Preschool; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008895:Milk, Human; D009034:Mother-Child Relations; D009519:New York City / Q000453:epidemiology; D009753:Nutritive Value; D010865:Pilot Projects; D011247:Pregnancy; D012929:Psychological Distance; D011795:Surveys and Questionnaires; D013997:Time Factors