A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study

Background: There is wide variation in the duration of breastfeeding across Europe which may in part be due to the between-country differences in mothers' and societal attitudes towards breastfeeding in public. The objective of this study was to quantify and compare the maternal attitudes to, a...

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Main Authors: Scott, Jane, Kwok, Y., Synnott, K., Bogue, J., Amarri, S., Norin, E., Gil, A., Edwards, Christine
Format: Journal Article
Published: Blackwell Publishing Inc. 2015
Online Access:http://hdl.handle.net/20.500.11937/21071
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author Scott, Jane
Kwok, Y.
Synnott, K.
Bogue, J.
Amarri, S.
Norin, E.
Gil, A.
Edwards, Christine
author_facet Scott, Jane
Kwok, Y.
Synnott, K.
Bogue, J.
Amarri, S.
Norin, E.
Gil, A.
Edwards, Christine
author_sort Scott, Jane
building Curtin Institutional Repository
collection Online Access
description Background: There is wide variation in the duration of breastfeeding across Europe which may in part be due to the between-country differences in mothers' and societal attitudes towards breastfeeding in public. The objective of this study was to quantify and compare the maternal attitudes to, and practice of, breastfeeding in public in four European centers and investigate the association with duration of breastfeeding. Methods: Participants (n = 389) were mothers recruited from maternity wards of hospitals in Glasgow (Scotland), Stockholm (Sweden), Granada (Spain), and Reggio-Emilia (Italy). Results: Among those who had breastfed, Scottish (adjOR 0.25 [95% CI 0.12–0.50]) and Italian mothers (adjOR 0.30 [95% CI 0.14–0.63]) were significantly less likely than Swedish mothers to have ever breastfed in public. Mothers who had a negative attitude toward breastfeeding in public were less likely to have ever breastfed in public (adjOR 0.05 [95% CI 0.02–0.17]), and those who had never breastfed in public were in turn more likely to discontinue breastfeeding earlier. Conclusions: Perceived social norms may exert a stronger influence on breastfeeding outcomes than a woman's breastfeeding attitudes and knowledge. Differences between European countries in the duration of breastfeeding may be explained in part by differences in societal attitudes to breastfeeding in public.
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spelling curtin-20.500.11937-210712017-09-13T13:46:48Z A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study Scott, Jane Kwok, Y. Synnott, K. Bogue, J. Amarri, S. Norin, E. Gil, A. Edwards, Christine Background: There is wide variation in the duration of breastfeeding across Europe which may in part be due to the between-country differences in mothers' and societal attitudes towards breastfeeding in public. The objective of this study was to quantify and compare the maternal attitudes to, and practice of, breastfeeding in public in four European centers and investigate the association with duration of breastfeeding. Methods: Participants (n = 389) were mothers recruited from maternity wards of hospitals in Glasgow (Scotland), Stockholm (Sweden), Granada (Spain), and Reggio-Emilia (Italy). Results: Among those who had breastfed, Scottish (adjOR 0.25 [95% CI 0.12–0.50]) and Italian mothers (adjOR 0.30 [95% CI 0.14–0.63]) were significantly less likely than Swedish mothers to have ever breastfed in public. Mothers who had a negative attitude toward breastfeeding in public were less likely to have ever breastfed in public (adjOR 0.05 [95% CI 0.02–0.17]), and those who had never breastfed in public were in turn more likely to discontinue breastfeeding earlier. Conclusions: Perceived social norms may exert a stronger influence on breastfeeding outcomes than a woman's breastfeeding attitudes and knowledge. Differences between European countries in the duration of breastfeeding may be explained in part by differences in societal attitudes to breastfeeding in public. 2015 Journal Article http://hdl.handle.net/20.500.11937/21071 10.1111/birt.12138 Blackwell Publishing Inc. restricted
spellingShingle Scott, Jane
Kwok, Y.
Synnott, K.
Bogue, J.
Amarri, S.
Norin, E.
Gil, A.
Edwards, Christine
A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title_full A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title_fullStr A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title_full_unstemmed A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title_short A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study
title_sort comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four european countries: results of a cohort study
url http://hdl.handle.net/20.500.11937/21071