abstract: 'Despite the documented health and emotional benefits of breast-feeding

  to women and children, breast-feeding rates are low among subgroups of

  women. In this study, we examine factors associated with breast-feeding

  initiation in low-income women, including Theory of Planned Behavior

  measures of attitude, support, and perceived control, as well as

  sociodemographic characteristics. A mail survey, with telephone

  follow-up, Of 733 postpartum Medicaid beneficiaries in Mississippi was

  conducted in 2000. The breast-feeding initiation rate in this population

  was 38\%. Women who were older, white, non-Hispanic, college-educated,

  married, not certified for the Supplemental Nutrition Program for Women,

  Infants, and Children, and not working full-time were more likely to

  breast-feed than formula-feed at hospital discharge. Attitudes regarding

  benefits and barriers to breast-feeding, as well as health care system

  and social support, were associated with breast-feeding initiation at

  the multivariate level. Adding the health care system support variables

  to the regression model, and specifically support from lactation

  specialists and hospital nurses, explained the association between

  breast-feeding initiation and women''s perceived control over the time

  and social constraints barriers to breast-feeding. The findings support

  the need for health care system interventions, family interventions, and

  public health education campaigns to promote breast-feeding in

  low-income women.'
affiliation: 'Khoury, AJ (Corresponding Author), Univ Florida, Dept Hlth Serv Res
  Management \& Policy, POB 100195, Gainesville, FL 32610 USA.

  Univ Florida, Dept Hlth Serv Res Management \& Policy, Gainesville, FL 32610 USA.

  Lincoln Lancaster Cty Hlth Dept, Lincoln, NE USA.

  Shands Hosp AGH, Shands Healthcare, Gainesville, FL USA.

  Best Start Social Marketing Inc, Tampa, FL USA.

  Univ So Mississippi, Dept Community Hlth Sci, Hattiesburg, MS 39406 USA.'
author: Khoury, AJ and Moazzem, SW and Jarjoura, CM and Carothers, C and Hinton, A
author-email: akhoury@phhp.ufl.edu
author_list:
- family: Khoury
  given: AJ
- family: Moazzem
  given: SW
- family: Jarjoura
  given: CM
- family: Carothers
  given: C
- family: Hinton
  given: A
da: '2023-09-28'
doi: 10.1016/j.whi.2004.09.003
eissn: 1878-4321
files: []
issn: 1049-3867
journal: WOMENS HEALTH ISSUES
keywords-plus: 'HUMAN-MILK; INFANT ILLNESS; CANCER-RISK; KNOWLEDGE; MOTHERS;

  EXPERIENCES; PHYSICIANS; INTENTION; PROTECTS; BARRIERS'
language: English
month: MAR-APR
number: '2'
number-of-cited-references: '107'
pages: 64-72
papis_id: 2c945bce673747f70a18633254c77b2a
ref: Khoury2005breastfeedinginitiat
tags:
- review
times-cited: '102'
title: 'Breast-feeding initiation in low-income women: Role of attitudes, support,
  and perceived control'
type: article
unique-id: WOS:000227868600004
usage-count-last-180-days: '1'
usage-count-since-2013: '21'
volume: '15'
web-of-science-categories: Public, Environmental \& Occupational Health; Women's Studies
year: '2005'