Applied Nursing Research
Volume 21, Issue 3 , Pages 123-130, August 2008

Influence of intention and self-efficacy levels on duration of breastfeeding for midwest rural mothers

  • Susan L. Wilhelm, RNC, PhD

      Affiliations

    • University of Nebraska College of Nursing, West Nebraska Division, Scottsbluff, NE 69361, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 308 632 0412; fax: + 1 308 632 0415.
    • ,
  • T. Kim Rodehorst, RNC, PhD

      Affiliations

    • University of Nebraska College of Nursing, West Nebraska Division, Scottsbluff, NE 69361, USA
    • ,
  • Mary Beth Flanders Stepans, RN, PhD

      Affiliations

    • University of Wyoming, Faye Whitney School of Nursing, Laramie, WY 82071, USA
    • ,
  • Melody Hertzog, PhD

      Affiliations

    • UNMC College of Nursing, Lincoln, NE, USA
    • ,
  • Cathy Berens, RN, MSN, APRN

      Affiliations

    • Women's Health Practitioner, Casper, WY, USA

Received 1 May 2006; received in revised form 20 October 2006; accepted 23 October 2006.

Abstract 

Objectives

The purpose of this study was to explore the relationship of two modifiable factors (intention to breastfeed for 6 months and breastfeeding self-efficacy) with the duration of breastfeeding in primiparous women.

Findings

Analyzed by logistic regression in a single prediction model, stronger intention (odds ratio = 1.89) and higher levels of self-efficacy at 2 weeks postpartum (odds ratio = 1.04) were significantly (p < .05) associated with an increased probability of breastfeeding for 6 months.

Conclusions

The combined influence of higher intention and self-efficacy increased the likelihood of breastfeeding for the recommended 6 months. Interventions to reinforce both should be designed and evaluated.

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PII: S0897-1897(06)00136-4

doi:10.1016/j.apnr.2006.10.005

Applied Nursing Research
Volume 21, Issue 3 , Pages 123-130, August 2008

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