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Article: Theory of planned behavior-based models for breastfeeding duration among Hong Kong mothers.

TitleTheory of planned behavior-based models for breastfeeding duration among Hong Kong mothers.
Authors
Issue Date2003
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.nursingresearchonline.com
Citation
Nursing Research, 2003, v. 52 n. 3, p. 148-158 How to Cite?
AbstractBACKGROUND: The theory of planned behavior (TPB) has been used to explain breastfeeding behaviors in Western cultures. Theoretically-based investigations in other groups are sparse. OBJECTIVE: To evaluate cross-cultural application of TPB-based models for breastfeeding duration among new mothers in Hong Kong. METHOD: First-time breastfeeding mothers (N = 209) with healthy newborns provided self-reports of TPB predictor variables during postpartum hospitalization and information about breastfeeding experiences at 1, 3, 6, 9, and 12 months postdelivery or until they weaned. Three predictive models were proposed: (a) a strict interpretation of the TPB with two added proximal predictors of breastfeeding duration; (b) a replication with modification of the TPB-based model for more fully employed breastfeeding mothers from a previous study (Duckett et al., 1998); and (c) a model that posited perceived control (PC) as a mediating factor linking TPB motivational variables for breastfeeding with breastfeeding intentions and behavior. LISREL was used for the structural equation modeling analyses. RESULTS: Explained variance in PC and duration was high in all models. Overall fit of the strict TPB model was poor (GOFI = 0.85). The TPB for breastfeeding employed women and the PC-mediated models fit equally well (GOFI = 0.94; 0.95) and residuals were small (RMSR = 0.07). All hypothesized paths in the PC-mediated model were significant (p <.05); explained variance was 0.40 for perceived control and 0.36 for breastfeeding duration. DISCUSSION: Models were interpreted in light of the TPB, previous findings, the social context for breastfeeding in Hong Kong, and statistical model-building. Cross-cultural measurement issues and the need for prospective designs are continuing challenges in breastfeeding research.
Persistent Identifierhttp://hdl.handle.net/10722/88190
ISSN
2015 Impact Factor: 1.856
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorDodgson, JEen_HK
dc.contributor.authorHenly, SJen_HK
dc.contributor.authorDuckett, Len_HK
dc.contributor.authorTarrant, Men_HK
dc.date.accessioned2010-09-06T09:40:04Z-
dc.date.available2010-09-06T09:40:04Z-
dc.date.issued2003en_HK
dc.identifier.citationNursing Research, 2003, v. 52 n. 3, p. 148-158en_HK
dc.identifier.issn0029-6562en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88190-
dc.description.abstractBACKGROUND: The theory of planned behavior (TPB) has been used to explain breastfeeding behaviors in Western cultures. Theoretically-based investigations in other groups are sparse. OBJECTIVE: To evaluate cross-cultural application of TPB-based models for breastfeeding duration among new mothers in Hong Kong. METHOD: First-time breastfeeding mothers (N = 209) with healthy newborns provided self-reports of TPB predictor variables during postpartum hospitalization and information about breastfeeding experiences at 1, 3, 6, 9, and 12 months postdelivery or until they weaned. Three predictive models were proposed: (a) a strict interpretation of the TPB with two added proximal predictors of breastfeeding duration; (b) a replication with modification of the TPB-based model for more fully employed breastfeeding mothers from a previous study (Duckett et al., 1998); and (c) a model that posited perceived control (PC) as a mediating factor linking TPB motivational variables for breastfeeding with breastfeeding intentions and behavior. LISREL was used for the structural equation modeling analyses. RESULTS: Explained variance in PC and duration was high in all models. Overall fit of the strict TPB model was poor (GOFI = 0.85). The TPB for breastfeeding employed women and the PC-mediated models fit equally well (GOFI = 0.94; 0.95) and residuals were small (RMSR = 0.07). All hypothesized paths in the PC-mediated model were significant (p <.05); explained variance was 0.40 for perceived control and 0.36 for breastfeeding duration. DISCUSSION: Models were interpreted in light of the TPB, previous findings, the social context for breastfeeding in Hong Kong, and statistical model-building. Cross-cultural measurement issues and the need for prospective designs are continuing challenges in breastfeeding research.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.nursingresearchonline.comen_HK
dc.relation.ispartofNursing researchen_HK
dc.rightsNursing Research. Copyright © Lippincott Williams & Wilkins.en_HK
dc.titleTheory of planned behavior-based models for breastfeeding duration among Hong Kong mothers.en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0029-6562&volume=52&issue=3&spage=148&epage=158&date=2003&atitle=Theory+of+planned+behavior-based+models+for+breastfeeding+duration+among+Hong+Kong+Mothersen_HK
dc.identifier.emailTarrant, M: tarrantm@hkucc.hku.hken_HK
dc.identifier.authorityTarrant, M=rp00461en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid12792255-
dc.identifier.scopuseid_2-s2.0-0037865184en_HK
dc.identifier.hkuros76521en_HK
dc.identifier.volume52en_HK
dc.identifier.issue3en_HK
dc.identifier.spage148en_HK
dc.identifier.epage158en_HK
dc.identifier.isiWOS:000183049400004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridDodgson, JE=7005791972en_HK
dc.identifier.scopusauthoridHenly, SJ=6604002905en_HK
dc.identifier.scopusauthoridDuckett, L=7003884804en_HK
dc.identifier.scopusauthoridTarrant, M=7004340118en_HK

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