2023-09-28 14:46:10 +00:00
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abstract: 'Promoting exclusive breastfeeding among urban employed mothers is a
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complex phenomenon. Understanding the multiple level factors related to
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this and how they influence employed mothers'' regarding exclusive
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breastfeeding could help identify strategies to support mothers
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continuing exclusive breastfeeding. This study aimed to identify
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maternal, social, and workplace level factors and the interaction
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effects among those factors that influence exclusive breastfeeding for
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six months among urban employed mothers. This case-control study
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investigated among 57 cases (exclusive breastfeeding for six months) and
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228 controls (non-exclusive breastfeeding for six months) in six
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purposively-selected hospital settings in Bangkok, Thailand between
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September 2015 and June 2016. Data were collected through six
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self-administered questionnaires; Demographic Questionnaire, Iowa Infant
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Feeding Attitude Scale, Perceived Self-efficacy in Breastfeeding
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Questionnaire, Breastfeeding Knowledge Questionnaire, Perceived
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Breastfeeding Support Assessment Tool, and Infant Feeding Form, and were
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analyzed by descriptive statistics, univariate and multivariate logistic
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regression.
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The results revealed that maternal factors (family income, attitudes,
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intention, confidence, and knowledge) and workplace factors (maternity
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leave and working times) co-predicted exclusive breastfeeding six
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months. In the interaction effect model, the interaction effect between
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workplace policy on maternity leave and attitudes toward breastfeeding
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also exerted significant influence. The findings suggest that multiple
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level interventions to promote exclusive breastfeeding in employed women
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are needed. In clinical practice, nurses and midwives should implement
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antepartum interventions including assessment of maternal attitudes and
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intentions to breastfeed, providing breastfeeding knowledge to increase
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mothers'' confidence, and advice about planning to combine breastfeeding
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and employment. Of great concern was a finding that more than 75\% of
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the non-EBF mothers reported not having sufficient breastfeeding
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facility support in the workplace. Workplace policies should be reviewed
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in terms of sufficient paid maternity leave, workplace breastfeeding
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support, and an appropriate number of working hours, and this has
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implications for governments and multiple workplaces across the country.
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Nurses have a significant role to play in advocating for and
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contributing to such policies to increase the numbers of women
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successfully breastfeeding longer whilst employed.'
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affiliation: 'Ratinthorn, A (Corresponding Author), Mahidol Univ, Dept Obstet \& Gynecol
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Nursing, Fac Nursing, Phutthamonthon Dist, Nakhon Pathom, Thailand.
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Tangsuksan, Pornnapa, Mahidol Univ, Ramathibodi Hosp, Fac Nursing, Bangkok, Thailand.
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Tangsuksan, Pornnapa, Mahidol Univ, Ramathibodi Sch Nursing, Fac Med, Ramathibodi
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Hosp, Bangkok, Thailand.
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Ratinthorn, Ameporn, Mahidol Univ, Dept Obstet \& Gynecol Nursing, Fac Nursing,
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Phutthamonthon Dist, Nakhon Pathom, Thailand.
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Sindhu, Siriorn, Mahidol Univ, Fac Nursing, Dept Surg Nursing, Phutthamonthon Dist,
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Nakhon Pathom, Thailand.
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Spatz, Diane L., Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA.
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Spatz, Diane L., Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA.
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Viwatwongkasem, Chukiat, Mahidol Univ, Fac Publ Hlth, Dept Biostat, Phutthamonthon
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Dist, Nakhon Pathom, Thailand.'
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author: Tangsuksan, Pornnapa and Ratinthorn, Ameporn and Sindhu, Siriorn and Spatz,
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Diane L. and Viwatwongkasem, Chukiat
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author-email: 'pornnapa.tan@mahidol.ac.th
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ameporn.rat@mahidol.edu
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siriorn.sin@mahidol.edu
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spatz@nursing.upenn.edu
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chukiat.viw@mahidol.ac.th'
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author_list:
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- family: Tangsuksan
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given: Pornnapa
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- family: Ratinthorn
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given: Ameporn
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- family: Sindhu
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given: Siriorn
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- family: Spatz
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given: Diane L.
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- family: Viwatwongkasem
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given: Chukiat
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da: '2023-09-28'
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files: []
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issn: 1906-8107
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journal: PACIFIC RIM INTERNATIONAL JOURNAL OF NURSING RESEARCH
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keywords: 'Influencing factors; Exclusive breastfeeding; Employed mothers;
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Case-control study'
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keywords-plus: 'WORKING MOTHERS; BARRIERS; SUPPORT; WOMEN; WORKPLACE; KNOWLEDGE;
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ATTITUDE; INCOME'
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language: English
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month: JAN-MAR
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number: '1'
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number-of-cited-references: '39'
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pages: 54-72
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papis_id: 51b54a93d8b5d35c1eb8a4de2e17ba96
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ref: Tangsuksan2020factorsinfluencing
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times-cited: '3'
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title: 'Factors Influencing Exclusive Breastfeeding among Urban Employed Mothers:
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A Case-Control Study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000505213400005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '20'
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volume: '24'
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web-of-science-categories: Nursing
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year: '2020'
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