title: Maternal knowledge, attitudes and self-efficacy in relation to intention to exclusively breastfeed among pregnant women in rural Bangladesh.
abstract: Achieving optimal exclusive breastfeeding (EBF) remains a challenge. Because intention is a precursor of practice, we examined factors associated with EBF intention during pregnancy in two rural sub-districts of Kishoreganj district, Bangladesh. We studied 2,400 pregnant women in their third trimester (26-32 weeks gestation). We assessed knowledge (6 items, scale range 0-6), attitudes (15 items, scale range 15-75) and self-efficacy (6 items, scale range 6-30) by interview using a standardized questionnaire. 83.9 % of pregnant women reported EBF intention. Mean breastfeeding knowledge was 3.5 (SD 1.3), mean attitude was 55.8 (SD 8.1) and mean self-efficacy was 25.6 (SD 3.4). Knowledge was associated with EBF intention (OR 2.47, 95 % CI 1.74, 3.51), attitudes toward EBF (OR 1.68, 95 % CI 1.31, 2.16) and self-efficacy (OR 1.72, 95 % CI 1.23, 2.40) were independently associated with EBF intention in the model in which all three constructs were entered simultaneously. Receipt of breastfeeding counseling during pregnancy and being literate were each associated with EBF knowledge and EBF intention (all p < 0.05). Increasing maternal knowledge, positive attitudes, and self-efficacy regarding EBF were associated with prenatal EBF intention. These results reinforce the importance of appropriate counseling to increase EBF prevalence .
authors.affiliation: Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Room 7007, Atlanta, GA, 30322, USA.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Thomas
authors.forename: Elaine A
authors.initials: EA
authors.lastname: Yu
authors.forename: Noor
authors.initials: N
authors.lastname: Tirmizi
authors.forename: Aatekah
authors.initials: A
authors.lastname: Owais
authors.forename: Sumon K
authors.initials: SK
authors.lastname: Das
authors.forename: Shahed
authors.initials: S
authors.lastname: Rahman
authors.forename: A S G
authors.initials: AS
authors.lastname: Faruque
authors.forename: Benjamin
authors.initials: B
authors.lastname: Schwartz
authors.forename: Aryeh D
authors.initials: AD
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001459:Bangladesh; D001942:Breast Feeding / Q000523:psychology* / Q000706:statistics & numerical data*; D003376:Counseling; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009035:Mothers; D010298:Parity; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D037841:Pregnant People / Q000523:psychology*; D012424:Rural Population; D020377:Self Efficacy; D012944:Social Support; D055815:Young Adult
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