Breastfeeding Status up to 2-Year-Olds and Its’ Associated Factors Based on Behaviors, Attitudes, Subjective Norms, and Enabling Factors(BASNEF) Model

نویسندگان

  • Asiri, Shahla PhD. Candidate in Gerontology, Social Determinants of Health Research Center (SDHRC), Instructor,Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. 
  • Kazemnezhad Leili, Ehsan Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran.
  • Mokhtari Lakeh, Nasrin PhD. Candidate in Educational Administration, Social Determinants of Health Research Center (SDHRC), Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
  • Rostamkhan, Somayeh Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
چکیده مقاله:

Introduction: Breastfeeding after birth and during the first two years of life highly affects a baby’s development and growth. Various factors can affect mothers’ breastfeeding behaviors.  Objective: This study aimed to evaluate the breastfeeding status of up to 2 years of age babies and its associated factors based on Behaviors, Attitudes, Subjective Norms, Enabling Factors (BASNEF) model. Materials and Methods: This was an analytical and cross-sectional study. It was conducted on 270 mothers with babies aged 6-24 months, referring to the comprehensive health centers in Rasht, Iran. The samples were selected using a cluster sampling technique. A 6-part questionnaire was used for collecting data assessing the BASNEF model constructs of behaviors, attitudes, subjective norms, and enabling factors, as well as the demographic information of study participants. Chi-squared test, Fisher’s Exact test, and multivariate logistic regression analysis (backward method) were used for data analysis. Results: The prevalence rate of breastfeeding was 56.3%, and 61.5% of infants had exclusive breastfeeding. In terms of breastfeeding knowledge, 25.6%, 50%, and 24.4% were at good, moderate, and poor levels, respectively. Regarding attitude towards breastfeeding, 61.9% and 38.1% had undesirable and desirable attitudes, respectively. Furthermore, 50.7% of the infants had favorable breastfeeding and 49.3% had unfavorable breastfeeding. The rate of favorable breastfeeding was significant in terms of infant age (P=0.03) and the pregnancy care location (P<0.05). Regression model suggested that infant’s age (OR=1.582, 95% CI; 1.133- 2.207, P=0.007), family income (OR=0.65, 95% CI;0.489-0.865, P=0.003), and breastfeeding knowledge (OR=1.3, 95% CI;1.101-1.428, P=0.001) contributed to breastfeeding status. Conclusion: Raising the mothers’ knowledge of breastfeeding by considering the role of husbands, health workers, and grandmothers could help in choosing breast milk for feeding infants aged ≤2 years.

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عنوان ژورنال

دوره 30  شماره None

صفحات  9- 16

تاریخ انتشار 2020-01

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