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

Bibliographic Collection: 
Publication Type: Journal Article
Authors: Scott, Jane A; Kwok, Yin Ying; Synnott, Kate; Bogue, Joe; Amarri, Sergio; Norin, Elizabeth; Gil, Angel; Edwards, Christine A
Corporate Author: Other Members of the INFABIO Project Team
Year of Publication: 2015
Journal: Birth
Volume: 42
Issue: 1
Pagination: 78-85
Date Published: 2015 Mar
Publication Language: eng
ISSN: 1523-536X
Keywords: Adult, Breast Feeding, Europe, Female, Health Knowledge, Attitudes, Practice, Humans, Longitudinal Studies, Mothers, Proportional Hazards Models, Social Norms, Time Factors, Weaning

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.

DOI: 10.1111/birt.12138
Alternate Journal: Birth