Author: Ku, Ching-man
Title: Breastfeeding knowledge, self-efficacy, and demographic factors influencing exclusive breastfeeding practices among Hong Kong Chinese women
Degree: M.Sc.
Year: 2008
Subject: Hong Kong Polytechnic University -- Dissertations.
Breastfeeding -- China -- Hong Kong.
Department: School of Nursing
Pages: vii, 136 leaves : ill. ; 30 cm.
Language: English
Abstract: Background: Breastfeeding has been recognized worldwide as being beneficial for both mother and child, and exclusive breastfeeding is recommended for the first 6 months of life. However, rate of exclusive breastfeeding is low in Hong Kong, it is crucial to investigate modifiable factors contributing to the practice of exclusive breastfeeding. Aim: The aim of the study is to explore the relationships between breastfeeding knowledge, self-efficacy, and demographic factors on breastfeeding patterns among Hong Kong Chinese primiparous women. Design: The study was a non-experimental, cross-sectional design. A survey in the form of questionnaires was used to collect data during hospitalization and telephone follow-up interviews were conducted at 6 weeks postpartum. Outcome measures: The outcome measures are the results from the Breastfeeding Knowledge Questionnaire, Breastfeeding Self-Efficacy Scale, breastfeeding pattern at 6 weeks postpartum. Results: 82 primiparous mothers who initiated breastfeeding after delivery were recruited in the study. At 6 week postpartum, about half of the subjects (51.2%) were still breastfeeding, with only 19.5% practising exclusive breastfeeding. Linear regression analysis showed that subjects who live with their mother-in-laws, have higher household income and higher gravida would be associated with a higher score in the Breastfeeding Self-Efficacy Scale. On the other hand, decision made to breastfeeding later in pregnancy, got father-in-laws to "pei-yue" and older in age would be associated with a lower score in the Breastfeeding Self-Efficacy Scale. Pearson Product Moment Correlation was performed between the scores of Breastfeeding Knowledge and the results of Breastfeeding Self-Efficacy with the correlation coefficient equals to 0.29 (p = 0.008). Generalized Estimating Equations model revealed that the odds of practicing exclusive breastfeeding in primiparous women who have received breastfeeding information from the Internet are 3.9 times (CI 1.45 - 10.55) greater than those who have not searched through the Internet for breastfeeding information (p = 0.007). For those who have husbands to "pei yue", the odds of them to practice exclusive breastfeeding are 3.90 times (CI 1.76 - 8.38) greater than those who did not have husbands to "pei yue" (p = 0.001). The odds of primiparous women who live in flats under the House Ownership Scheme are 4.509 times (CI 1.78 - 11.46) greater to practice exclusive breastfeeding than primiparous women who live in flats in public housing estate (p = 0.002). Although the odds of primiparous mother who have married are 55.42 times (CI 5.81 - 528.76) greater than those who are single (p = <0.001), the confidence interval of the variable is wide, this imply the unreliability of concluding this factor in contributing to the practice of exclusive breastfeeding. Having a domestic helper to "pei yue" carries an odds 3.70 times (CI 1.14 - 11.95) greater in practising exclusive breastfeeding than those who do not have a domestic helper to "pei yue" (p = 0.029). Primiparous mothers who attained higher education carries an odds 2.34 times (CI 1.31 - 4.18) greater in practising exclusive breastfeeding than those who attained a relative lower education level (p = 0.004). Breastfeeding self-efficacy scale is most representative with a narrow confidence interval: women who scored high in the scale have an odds 1.076 time (CI 1.04 - 1.11) greater than those who scored relatively low in the scale (p <0.001). For women who have higher household incomes, they are 0.503 times (CI 0.34 - 0.74) less likely to practice exclusive breastfeeding than those who have lower household income (p = 0.001). Conclusion: The study results provide information for health professionals on development of breastfeeding supporting program for the primiparous women with normal baby. The prospects for successful breastfeeding may be enhanced by the level self-efficacy of breastfeeding.
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