Breastfeeding intentions among pregnant adolescents and young adults and their partners.

TitleBreastfeeding intentions among pregnant adolescents and young adults and their partners.
Publication TypeJournal Article
Year of Publication2013
AuthorsSipsma, H. L., Divney A. A., Magriples U., Hansen N., Gordon D., & Kershaw T.
JournalBreastfeed Med
Volume8
Issue4
Pagination374-80
Date Published2013 Aug
ISSN1556-8342
KeywordsAdolescent, Adult, Breast Feeding, Cross-Sectional Studies, Domestic Violence, Ethnic Groups, Female, Humans, Intention, Male, Pregnancy, Pregnant Women, Sexual Partners, Socioeconomic Factors, Surveys and Questionnaires, Young Adult
Abstract

<p><b>BACKGROUND: </b>Rates of breastfeeding remain disproportionately low among young mothers in the United States. Although breastfeeding behavior may be most directly related to breastfeeding intention, little is known about breastfeeding intentions among young women who are expecting a baby.</p><p><b>SUBJECTS AND METHODS: </b>Pregnant adolescents and young adults (14-21 years old) and their male partners were recruited for participation. Females were asked if they intended to breastfeed, and their partners were asked if they wanted their partners to breastfeed; participants indicated reasons for their responses. Logistic regression modeling was used to determine the associations between breastfeeding intentions and sociodemographic characteristics, relationship characteristics, and partner's intention to breastfeed.</p><p><b>RESULTS: </b>Approximately 73% of females reported intending to breastfeed, and 80% of males reported wanting his partner to breastfeed, most commonly because it is "healthier for the baby" and "a more natural way to feed the baby." Sociodemographic and relationship characteristics explained a small amount of variance of breastfeeding intention (15% and 4% among females, respectively, and 8% and 4% among males, respectively). Partner intention explained an additional 23% and 24% of the variance in individual intention for females and males, respectively. Females who had experienced intimate partner violence (IPV) from their current partner had lower odds of intending to breastfeed (odds ratio=0.37; 95% confidence interval=0.16, 0.84). Race/ethnicity modified associations among both genders.</p><p><b>CONCLUSIONS: </b>These findings emphasize the importance of dyadic approaches and suggest strategies for improving breastfeeding intentions and behavior among young couples expecting a baby. These results are also among the first to document the relationship between IPV and breastfeeding intentions among young women.</p>

DOI10.1089/bfm.2012.0111
Alternate JournalBreastfeed Med
PubMed ID23611330
PubMed Central IDPMC3725794
Grant List1R01MH075685 / MH / NIMH NIH HHS / United States