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Predicting breast-feeding decisions ...

Jensen, Joan Lorraine.

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Predicting breast-feeding decisions among low-income African-American WIC clients in Baltimore, Maryland.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Predicting breast-feeding decisions among low-income African-American WIC clients in Baltimore, Maryland./
作者:	Jensen, Joan Lorraine.
面頁冊數:	321 p.
附註:	Source: Dissertation Abstracts International, Volume: 60-04, Section: B, page: 1557.
Contained By:	Dissertation Abstracts International60-04B.
標題:	Black Studies. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9927089
ISBN:	9780599268562

Predicting breast-feeding decisions among low-income African-American WIC clients in Baltimore, Maryland.
Jensen, Joan Lorraine.

Predicting breast-feeding decisions among low-income African-American WIC clients in Baltimore, Maryland. - 321 p.

Source: Dissertation Abstracts International, Volume: 60-04, Section: B, page: 1557.

Thesis (Ph.D.)--The Johns Hopkins University, 1999.

"Instead of waking up with birds, we were waking up with gunshots." 35 year old mother of 4 children.

ISBN: 9780599268562Subjects--Topical Terms:

1017673
Black Studies.

Predicting breast-feeding decisions among low-income African-American WIC clients in Baltimore, Maryland.
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520 $a Breast-feeding is the superior infant feeding method. Most women among a population of low-income African-American women enrolled in the WIC program in Baltimore realize this and want what is best for their babies. Yet only 5%--15% of them choose breast-feeding. Making sense out of this apparent contradiction requires understanding women's beliefs in the context of their lives.
520 $a This dissertation analyzed qualitative (ethnographic) and quantitative (questionnaire) data from a breast-feeding promotion study. Information from 176 ethnographic interviews, that included use of a photo-projective technique, guided study and intervention design, questionnaire development and data interpretation. Additionally, information from 242 women enrolled in the intervention study was analyzed using the framework of the Health Belief Model, to understand women's decisions about breast-feeding intention before 28 weeks gestation, and initiation of breast-feeding after delivery. Variables focusing on breast-feeding benefits, barriers, self-efficacy, self-inefficacy, social support, social learning, cues-to-action and knowledge were combined into additive scales or indices. Women's beliefs about their infants' susceptibility to any of ten ill-health conditions, and the seriousness of those conditions, were also examined. Demographic variables included maternal age, marital status, educational attainment, employment, parity, previous breast-feeding experience, and maternal smoking history.
520 $a Multiple logistic regression demonstrated that self-efficacy, social support, belief in benefits and barriers, and knowledge were significantly associated with breast-feeding intention before 28 weeks gestation, and correctly predicted 87% of women's intention. Self-efficacy, social support, employment status, previous breast-feeding experience and breast-feeding intention at 34 weeks gestation were significantly associated with breast-feeding initiation, and correctly predicted 84% of women's initiation.
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