Pathways linking social support, self-efficacy, and exclusive breastfeeding among women in northern Uganda

Dados Bibliográficos

ID15540431
AutoresJoshua D Miller (0000-0002-2171-856X, University of North Carolina at Chapel Hill), Shalean M Collins (0000-0003-2991-8037, Tulane University), Godfred O Boateng (0000-0001-5898-6966, The University of Texas at Arlington), Elizabeth M Widen (0000-0002-9574-6109, The University of Texas at Austin), Barnabas Natamba (Uganda Virus Research Institute), Winnifred Achoko, Daniel Acidri, Sera Lewise Young (0000-0002-1763-1218, Northwestern University), Stephanie L Martin (0000-0002-0378-802X, University of North Carolina at Chapel Hill, autor correspondente)
Ano2022
Volume17
Fascículo12
Páginas3506-3518
Data de publicação2022-08-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2022.2110918
PMID35960598
OpenAlexW4290860675
IdiomaEN
Citações recebidas5
Referências citadas51

Despite improvements in infant feeding practices over the past two decades, the prevalence of exclusive breastfeeding (EBF) is below global targets. Social support can create an enabling environment for recommended infant feeding practices such as EBF, but the types of social support most important for sustained EBF and their potential mechanisms of action have not been thoroughly characterized. We therefore aimed to assess the relationship between EBF-specific social support, EBF self-efficacy, and EBF at 1 and 3 months among postpartum women in northern Uganda. Women (n = 238, 36.2% living with HIV) were recruited during pregnancy. EBF, social support, and EBF self-efficacy were assessed at 1 and 3 months postpartum. Path analysis was used to assess relationships between these factors. Most mothers exclusively breastfed to 1 (80.8%) and 3 months postpartum (62.9%). EBF-specific, but not general, social support differed by EBF status. EBF-specific social support was associated with higher odds of EBF, which was almost fully mediated by EBF self-efficacy. That is, there was evidence that social support primarily influences EBF through its association with self-efficacy. In sum, EBF-specific social support and self-efficacy likely promote EBF and are modifiable factors that can be intervened upon

Breast feeding · Breastfeeding · Environmental health · Logistic regression · Odds · Postpartum period · Pregnancy · Self-efficacy · Social support · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Psychology · Social Psychology · Pediatrics