Seeing other women breastfeed: how vicarious experience relates to breastfeeding intention and behaviour

Pat Hoddinott, Thilo Kroll, Amalraj Raja, Amanda Jane Lee

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I felt embarrassed'; 'I felt uncomfortable'; 'I did not know where to look'; and 'It was lovely' and 'It didn't bother me'. Test–retest reliability showed agreement (with one exception, kappas ranged from 0.36 to 0.71). Second, we conducted a longitudinal survey of 418 consecutive pregnant women in rural Scotland. We selected the 259 women who had never breastfed before for further analysis. Following multiple adjustments, women who agreed that 'It was lovely to see her breastfeed' were more than six times more likely to intend to breastfeed compared with women who disagreed with the statement [odds ratio (OR) 6.72, 95% confidence interval (CI) 2.85–15.82]. Women who completed their full-time education aged 17 (OR 3.09, 95% CI 1.41–6.77) or aged 19 (OR 7.41 95% CI 2.51–21.94) were more likely to initiate breastfeeding. Women who reported seeing breastfeeding within the preceding 12 months were significantly more likely to agree with the statement 'It was lovely to see her breastfeed' (P = 0.02). Positive attitudes to recently seen breastfeeding are more important determinants of feeding intention than age of first seeing breastfeeding, the relationship to the person seen and seeing breastfeeding in the media.
Original languageEnglish
Pages (from-to)134-146
Number of pages13
JournalMaternal and Child Nutrition
Volume6
Issue number2
Early online date27 Apr 2009
DOIs
Publication statusPublished - Apr 2010

Fingerprint

Breast Feeding
Odds Ratio
Confidence Intervals
Social Adjustment
Scotland
Self Efficacy
Longitudinal Studies
Pregnant Women
Education

Keywords

  • breastfeeding
  • behaviour
  • attitudes
  • vicarious experience
  • measures
  • psychosocial determinents

Cite this

Seeing other women breastfeed : how vicarious experience relates to breastfeeding intention and behaviour. / Hoddinott, Pat; Kroll, Thilo; Raja, Amalraj; Lee, Amanda Jane.

In: Maternal and Child Nutrition, Vol. 6, No. 2, 04.2010, p. 134-146.

Research output: Contribution to journalArticle

@article{bf5e99a93351468d8f62b549a8373914,
title = "Seeing other women breastfeed: how vicarious experience relates to breastfeeding intention and behaviour",
abstract = "Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I felt embarrassed'; 'I felt uncomfortable'; 'I did not know where to look'; and 'It was lovely' and 'It didn't bother me'. Test–retest reliability showed agreement (with one exception, kappas ranged from 0.36 to 0.71). Second, we conducted a longitudinal survey of 418 consecutive pregnant women in rural Scotland. We selected the 259 women who had never breastfed before for further analysis. Following multiple adjustments, women who agreed that 'It was lovely to see her breastfeed' were more than six times more likely to intend to breastfeed compared with women who disagreed with the statement [odds ratio (OR) 6.72, 95{\%} confidence interval (CI) 2.85–15.82]. Women who completed their full-time education aged 17 (OR 3.09, 95{\%} CI 1.41–6.77) or aged 19 (OR 7.41 95{\%} CI 2.51–21.94) were more likely to initiate breastfeeding. Women who reported seeing breastfeeding within the preceding 12 months were significantly more likely to agree with the statement 'It was lovely to see her breastfeed' (P = 0.02). Positive attitudes to recently seen breastfeeding are more important determinants of feeding intention than age of first seeing breastfeeding, the relationship to the person seen and seeing breastfeeding in the media.",
keywords = "breastfeeding, behaviour, attitudes, vicarious experience, measures, psychosocial determinents",
author = "Pat Hoddinott and Thilo Kroll and Amalraj Raja and Lee, {Amanda Jane}",
year = "2010",
month = "4",
doi = "10.1111/j.1740-8709.2009.00189.x",
language = "English",
volume = "6",
pages = "134--146",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Seeing other women breastfeed

T2 - how vicarious experience relates to breastfeeding intention and behaviour

AU - Hoddinott, Pat

AU - Kroll, Thilo

AU - Raja, Amalraj

AU - Lee, Amanda Jane

PY - 2010/4

Y1 - 2010/4

N2 - Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I felt embarrassed'; 'I felt uncomfortable'; 'I did not know where to look'; and 'It was lovely' and 'It didn't bother me'. Test–retest reliability showed agreement (with one exception, kappas ranged from 0.36 to 0.71). Second, we conducted a longitudinal survey of 418 consecutive pregnant women in rural Scotland. We selected the 259 women who had never breastfed before for further analysis. Following multiple adjustments, women who agreed that 'It was lovely to see her breastfeed' were more than six times more likely to intend to breastfeed compared with women who disagreed with the statement [odds ratio (OR) 6.72, 95% confidence interval (CI) 2.85–15.82]. Women who completed their full-time education aged 17 (OR 3.09, 95% CI 1.41–6.77) or aged 19 (OR 7.41 95% CI 2.51–21.94) were more likely to initiate breastfeeding. Women who reported seeing breastfeeding within the preceding 12 months were significantly more likely to agree with the statement 'It was lovely to see her breastfeed' (P = 0.02). Positive attitudes to recently seen breastfeeding are more important determinants of feeding intention than age of first seeing breastfeeding, the relationship to the person seen and seeing breastfeeding in the media.

AB - Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I felt embarrassed'; 'I felt uncomfortable'; 'I did not know where to look'; and 'It was lovely' and 'It didn't bother me'. Test–retest reliability showed agreement (with one exception, kappas ranged from 0.36 to 0.71). Second, we conducted a longitudinal survey of 418 consecutive pregnant women in rural Scotland. We selected the 259 women who had never breastfed before for further analysis. Following multiple adjustments, women who agreed that 'It was lovely to see her breastfeed' were more than six times more likely to intend to breastfeed compared with women who disagreed with the statement [odds ratio (OR) 6.72, 95% confidence interval (CI) 2.85–15.82]. Women who completed their full-time education aged 17 (OR 3.09, 95% CI 1.41–6.77) or aged 19 (OR 7.41 95% CI 2.51–21.94) were more likely to initiate breastfeeding. Women who reported seeing breastfeeding within the preceding 12 months were significantly more likely to agree with the statement 'It was lovely to see her breastfeed' (P = 0.02). Positive attitudes to recently seen breastfeeding are more important determinants of feeding intention than age of first seeing breastfeeding, the relationship to the person seen and seeing breastfeeding in the media.

KW - breastfeeding

KW - behaviour

KW - attitudes

KW - vicarious experience

KW - measures

KW - psychosocial determinents

U2 - 10.1111/j.1740-8709.2009.00189.x

DO - 10.1111/j.1740-8709.2009.00189.x

M3 - Article

VL - 6

SP - 134

EP - 146

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

IS - 2

ER -