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SURVEY OF BREASFEEDING KNOWLEDGE, BELIEFS AND BEHAVIORS AMONG WOMEN IN CARBONDALE. Fatimah Ali-Ferre´ CHES. Significance. Benefits Health, nutritional, immunologic, developmental, psychological, social, economic, and environmental benefits. Significance.
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SURVEY OF BREASFEEDING KNOWLEDGE, BELIEFS AND BEHAVIORS AMONG WOMEN IN CARBONDALE Fatimah Ali-Ferre´ CHES
Significance • Benefits • Health, nutritional, immunologic, developmental,psychological, social, economic, and environmental benefits. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Significance • Lower incidence of infectious diseases, respiratory disease, allergies, obesity, SDS, etc. (Agency for Healthcare Research and Quality). Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Significance • Exclusive breastfeeding for 6 months should support optimal growth and development of a child (AAP). Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Significance • National Goal • Healthy People 2010 to increase breastfeeding by • 75% at postpartum, • 60% at 6 months and • 25% at 1 year (CDC). Photo: AP / Pat Roque) Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Study Purpose • To find: • The disparities in breastfeeding knowledge (K), beliefs/attitudes (A) and behaviors (B). Breastfeeding Knowledge, Beliefs and Behaviors. F. Ali-Ferre
Theory • The Health Belief Model- • People’s behavior influenced by their knowledge and beliefs. • A woman will (not) breastfeed depends on direct/indirect factors affecting these variables. Breastfeeding Knowledge, Beliefs and Behaviors. F. Ali-Ferre
Delineation • Target population • Women living in Carbondale, Illinois. • Sample • 50 respondents from a local OB/GYN office at time of their doctor’s office. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Delineation • Sample • Women 18-40 years old. • Random sampling. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Method: Instrument Measurement Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Method: Data Analysis Reliability Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Method: Data Analysis • Descriptive statistics • Excel 2007 • Frequency distribution Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Descriptive Statistics Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Data Analysis • Inferential Statistics • Independent t-test for K, A and B scores for difference between groups ( races and education). • Correlation analysis between K and A. Breastfeeding Knowledge, Beliefs and Behaviors. F. Ali-Ferre
Results: Knowledge • T-test Results for Knowledge (12 items) Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Knowledge Results for Knowledge (12 items) Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results:Attitude Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Attitude Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Attitude • Correlation coefficient • Inverse relation between K and A -0.32 • T-test=0.159 (.05); not a significant difference btw African Americans and Whites. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Behavior Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Behavior Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Results: Behavior Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Conclusion and Recommendations • Disparity in breastfeeding K between African Americans and Whites. • Need targeted programming • No significant difference in K • Educational levels • Between expecting mothers and those that are not. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Conclusion and Recommendations • No significant difference in Attitude between races. • Average Knowledge (K) test score low • Need to increase K. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Conclusion and Recommendations • Revise content of breastfeeding information provided through physicians, health departments and hospitals. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Implications • Findings could be utilized as part of a pilot study to create a breastfeeding promotion program for the women of Carbondale. • Majority on Medicaid implies modest income • Need to research further for SES barriers to breastfeeding. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Implications • Focus on WIC program. • Apply Stages of Change Theory to learning material to target the “intending but undecided” group. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre
Limitations and Recommendations • Items for attitudes should be revised since the CA was not within an accepted value. • A likely response bias may have affected the survey because respondents’ significant others were seated next to them. • Participation skewed towards Medicaid recipients. • Pilot study needs more research. Breastfeeding Knowledge, Attitudes and Behaviors. F. Ali-Ferre