title: [A structural model for primiparas' breastfeeding behavior].
abstract: OBJECTIVE
  The study was done to construct and test a structural model to explain primipara breastfeeding behavior.
  
  
  METHODS
  The participants were 213 primiparas on postpartum wards. Data were analyzed using the PASW 18.0 and AMOS 19.0 programs.
  
  
  RESULTS
  Fitness statistics for the hypothetical model were appropriate (χ² =38.50, p=.070, GFI=.96, RMSEA=.05, AGFI=.93, NFI=.95, TLI=.97, CFI=.98, PNFI=.57, χ²/df=1.43). Breastfeeding behaviors were directly influenced by intention to breastfeed, perceived effectiveness of breastfeeding, and the amount of supplementary feeding. The amount of supplementary feeding had the largest direct impact on breastfeeding behavior. The largest total effect on breastfeeding behavior was intention to breastfeed. The environment of the maternity hospital indirectly influenced breastfeeding behavior. These factors explained 18.9% of variance in the primipara breastfeeding behavior.
  
  
  CONCLUSIONS
  The results of the study indicate that in order to promote primipara breastfeeding the amount of supplementary feeding immediately after the birth should be limited and an environment that encourages exclusive breastfeeding in the hospital should be provided. The results also suggest it is necessary to provide nursing interventions that increase the intention to breastfeed and the perceived effectiveness of breastfeeding.
authors.affiliation: Department of Nursing, Kyungnam College of Information and Technology, Busan, Korea.
authors.forename: Hyun-Joo
authors.initials: HJ
authors.lastname: Yang
authors.forename: Ji-Min
authors.initials: JM
authors.lastname: Seo
mesh_terms: D000328:Adult; D001903:Bottle Feeding; D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D033182:Intention; D008961:Models, Structural; D009035:Mothers / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Breastfeeding; Maternal behavior; Structural models; Supplementary feeding