Intention to Practice Exclusive Breastfeeding and its Associated Factors among Female College Students

Authors

  • Kusuma Estu Werdani Department of Public Health, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Central Java, Indonesia https://orcid.org/0000-0002-4513-434X
  • Izzatul Arifah Department of Public Health, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Central Java, Indonesia
  • Tanjung Anitasari Indah Kusumaningrum Department of Public Health, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Central Java, Indonesia
  • Anggi Putri Aria Gita Department of Health Administration, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Central Java, Indonesia
  • Suci RamadhaniRamadhani Department of Public Health, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Central Java, Indonesia
  • Aulia Nimas Rahajeng Department of Public Health, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Central Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6655

Keywords:

Exclusive breastfeeding, Intention, Knowledge, Perceptions, Subjective norms

Abstract

BACKGROUND: The breastfeeding intention of female students plays an important role in the formation of breastfeeding behavior in the future. Lack of attention to this, both owned by students and those around them, can reduce breastfeeding practices when they become mothers later. Moreover, the process of forming intentions to manifest into behavior takes a long time. Students are considered as an educated group who are expected to be role models in breastfeeding practices in the community.

AIM: This study intended to examine the relationship between knowledge, subjective norms, and perceptions (benefits, barriers, and vulnerabilities) toward exclusive breastfeeding intention on female college students of the Public Health department on Universitas Muhammadiyah Surakarta.

METHODS: A college basis cross-sectional study was conducted in March 2021. The samples were 187 female students who were willing to participate in the study. The selection of samples using a proportional random sampling technique. Data were collected online questionnaires through an online survey platform. A multi logistic regression test was deployed to examine the exclusive breastfeeding intention and its associated factors on a 95% confidence interval.

RESULTS: Results show that subjective norm is significantly associated with breastfeeding intention (p < 0.05). Students who had supportive subjective norm twice likely to had the intention to practice exclusive breastfeeding OR value 2.22 95% CI (1.07–4.06).

CONCLUSION: Overall, the intention to exclusively breastfed their child was related to the student’s subjective norm. The results of this study have an impact on female students to strengthen their intentions and increase their efforts to plan exclusive breastfeeding when they become mothers. Hence, educational communication is needed to the environment around young women regarding the importance of exclusive breastfeeding so that the social environment can provide support to adolescents in the success of exclusive breastfeeding.

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References

Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2019. Jakarta, Indonesia: Kementerian Kesehatan RI; 2020. https://doi.org/10.33560/jmiki.v8i1.257 DOI: https://doi.org/10.33560/jmiki.v8i1.257

Agushybana F, Siramaneerat I, Raksamat W, Siriphakhamongkhon S. Population-based survey of exclusive breastfeeding in Indonesia: A secondary analysis. Pac Rim Int J Nurs Res. 2018;22(1):6-17.

Frota D, Marcopito L. Breastfeeding among teenage and adult mothers in Montes Claros MG Brazil. J Public Health. 2017;38(1):85-92. DOI: https://doi.org/10.1590/S0034-89102004000100012

Kanhadilok S, McCain NL, McGrath JM, Jallo N, Price SK, Chiaranai C. Factors associated with exclusive breastfeeding through four weeks postpartum in thai adolescent mothers. J Perinat Educ. 2016;25(3):150-61. https://doi.org/10.1891/1058-1243.25.3.150 PMid:30538412 DOI: https://doi.org/10.1891/1058-1243.25.3.150

Zakar R, Zakar MZ, Zaheer L, Fischer F. Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan. Int Breastfeed J. 2018;13:24. https://doi.org/10.1186/s13006-018-0171-z PMid:29988704 DOI: https://doi.org/10.1186/s13006-018-0171-z

Sukowati S, Shinta S. Peran tenaga kesehatan masyarakat dalam mengubah perilaku masyarakat menuju hidup bersih dan sehat. Med Health Res Dev. 2012;13(2):31-7. https://doi.org/10.31219/osf.io/92kfb DOI: https://doi.org/10.31219/osf.io/92kfb

Sulaeman ES, Murti B, Setyawan H, Rinawati S. Exclusive breastfeeding behavior model in rural central Java, Indonesia: The application of theory of planned behavior. Glob J Health Sci. 2018;10(10):35. https://doi.org/10.5539/gjhs.v10n10p35 DOI: https://doi.org/10.5539/gjhs.v10n10p35

Pentecost R, Grassley JS. Adolescents’ needs for nurses’ support when initiating breastfeeding. J Hum Lact. 2014;30(2):224-8. https://doi.org/10.1177/0890334413510358 PMid:24194610 DOI: https://doi.org/10.1177/0890334413510358

Jamie K, O’Neill R, Bows H, Hackshaw-McGeagh L. Healthcare practitioner relationships, cultural health capital and breastfeeding support for adolescent mothers. Health Educ J. 2020;79(6):901-13. https://doi.org/10.1177/0017896920915945 DOI: https://doi.org/10.1177/0017896920915945

Handayani L, Dewi MK, Munira L. Barrier and facilitator on breastfeeding education and promotion: A literature review. Int J Public Health Sci. 2020;9(4):320-6. https://doi.org/10.11591/ijphs.v9i4.20495 DOI: https://doi.org/10.11591/ijphs.v9i4.20495

Atika Z, Salimo H, Dewi YL. Multilevel analysis on the determinants of exclusive breastfeeding at gunung anyar community health center, Surabaya, Indonesia. J Matern Child Health. 2018;3(3):76-183. https://doi.org/10.26911/thejmch.2018.03.03.02 DOI: https://doi.org/10.26911/thejmch.2018.03.03.02

Bartle NC, Harvey K. Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self-efficacy, and breastfeeding outcomes. Br J Health Psychol. 2017;22(4):763-85. https://doi.org/10.1111/bjhp.12254 PMid:28646537 DOI: https://doi.org/10.1111/bjhp.12254

Muelbert M, Giugliani ER. Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers. BMC Public Health. 2018;18(1):675. https://doi.org/10.1186/s12889-018-5585-4 PMid:29855364 DOI: https://doi.org/10.1186/s12889-018-5585-4

Rostamkhan S, Lakeh NM, Asiri S, Leili EK. Breastfeeding up to two years of age and its’ associated factors based on behaviors, Attitudes, subjective norms, and enabling factors (BASNEF) model. J Holist Nurs Midwifery. 2020;30(1):9-16. https://doi.org/10.32598/jhnm.30.1.2 DOI: https://doi.org/10.32598/JHNM.30.1.2

Wallenborn J, Ihongbe T, Rozario S, Masho S. Knowledge of breastfeeding recommendations and breastfeeding duration: A survival analysis on infant feeding practices II. Breastfeed Med. 2017;12:156-62. https://doi.org/10.1089/bfm.2016.0170 PMid:28394658 DOI: https://doi.org/10.1089/bfm.2016.0170

Robinson A, Lauckner C, Davis M, Hall J, Anderson AK. Facebook support for breastfeeding mothers: A comparison to offline support and associations with breastfeeding outcomes. Digit Health. 2019;5:1-12. https://doi.org/10.1177/2055207619853397 PMid:31218076 DOI: https://doi.org/10.1177/2055207619853397

Januraga PP, Izwardi D, Crosita Y, Indrayathi PA, Kurniasari E, Sutrisna A, et al. Qualitative evaluation of a social media campaign to improve healthy food habits among urban adolescent females in Indonesia Public Health Nutr. 2021;24(S2):s98-107. https://doi.org/10.1017/s1368980020002992 PMid:32907648 DOI: https://doi.org/10.1017/S1368980020002992

Thepha T, Marais D, Bell J, Muangpin S. Perceptions of northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: Focus group discussions. Int Breastfeed J. 2018;13:14. https://doi.org/10.1186/s13006-018-0148-y PMid:29632549 DOI: https://doi.org/10.1186/s13006-018-0148-y

Pemo K, Phillips D, Hutchinson AM. Midwives’ perceptions of barriers to exclusive breastfeeding in Bhutan: A qualitative study. Women Birth. 2020;33(4):e377-84. https://doi.org/10.1016/j.wombi.2019.07.003 PMid:31337586 DOI: https://doi.org/10.1016/j.wombi.2019.07.003

Anstey EH, Coulter M, Jevitt CM, Perrin KM, Dabrow S, Klasko- Foster LB, et al. Lactation consultants’ perceived barriers to providing professional breastfeeding support. J Hum Lact. 2018;34(1):51-67. https://doi.org/10.1177/0890334417726305 PMid:28820951 DOI: https://doi.org/10.1177/0890334417726305

Iliadou M, Lykeridou K, Prezerakos P, Swift EM, Tziaferi SG. Measuring the effectiveness of a midwife-led education programme in terms of breastfeeding knowledge and self- efficacy, Attitudes towards breastfeeding, and perceived barriers of breastfeeding among pregnant women. Mater Sociomed. 2018;30(4):240-5. https://doi.org/10.5455/msm.2018.30.240-245 PMid:30936785 DOI: https://doi.org/10.5455/msm.2018.30.240-245

Conner M. Cognitive determinants of health bevior. In: Handbook of Behavioral Medicine. Leeds, UK: Springer; 2010. p. 19-30. DOI: https://doi.org/10.1007/978-0-387-09488-5_2

Leurer MD, Petrucka P, Msafiri M. Maternal perceptions of breastfeeding and infant nutrition among a select group of Maasai women. BMC Pregnancy Childbirth. 2019;19(1):8. https://doi.org/10.1186/s12884-018-2165-7 PMid:30616549 DOI: https://doi.org/10.1186/s12884-018-2165-7

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Published

2021-10-12

How to Cite

1.
Werdani KE, Arifah I, Kusumaningrum TAI, Gita APA, RamadhaniRamadhani S, Rahajeng AN. Intention to Practice Exclusive Breastfeeding and its Associated Factors among Female College Students. Open Access Maced J Med Sci [Internet]. 2021 Oct. 12 [cited 2024 Apr. 19];9(E):931-5. Available from: https://oamjms.eu/index.php/mjms/article/view/6655

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Public Health Education and Training

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