Volume 30, Issue 1 (1-2020)                   J Holist Nurs Midwifery 2020, 30(1): 9-16 | Back to browse issues page

DOI: 10.32598/JHNM.30.1.2


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1- Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- PhD. Candidate in Educational Administration, Social Determinants of Health Research Center (SDHRC), Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. , lakenasrin@gmail.com
3- PhD. Candidate in Gerontology, Social Determinants of Health Research Center (SDHRC), Instructor,Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. 
4- Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (584 Views)

Introduction: Breastfeeding after birth and during the first two years of life highly affects a baby’s development and growth. Various factors can affect mothers’ breastfeeding behaviors. 
Objective: This study aimed to evaluate the breastfeeding status of up to 2 years of age babies and its associated factors based on Behaviors, Attitudes, Subjective Norms, Enabling Factors (BASNEF) model.
Materials and Methods: This was an analytical and cross-sectional study. It was conducted on 270 mothers with babies aged 6-24 months, referring to the comprehensive health centers in Rasht, Iran. The samples were selected using a cluster sampling technique. A 6-part questionnaire was used for collecting data assessing the BASNEF model constructs of behaviors, attitudes, subjective norms, and enabling factors, as well as the demographic information of study participants. Chi-squared test, Fisher’s Exact test, and multivariate logistic regression analysis (backward method) were used for data analysis.
Results: The prevalence rate of breastfeeding was 56.3%, and 61.5% of infants had exclusive breastfeeding. In terms of breastfeeding knowledge, 25.6%, 50%, and 24.4% were at good, moderate, and poor levels, respectively. Regarding attitude towards breastfeeding, 61.9% and 38.1% had undesirable and desirable attitudes, respectively. Furthermore, 50.7% of the infants had favorable breastfeeding and 49.3% had unfavorable breastfeeding. The rate of favorable breastfeeding was significant in terms of infant age (P=0.03) and the pregnancy care location (P<0.05). Regression model suggested that infant’s age (OR=1.582, 95% CI; 1.133- 2.207, P=0.007), family income (OR=0.65, 95% CI;0.489-0.865, P=0.003), and breastfeeding knowledge (OR=1.3, 95% CI;1.101-1.428, P=0.001) contributed to breastfeeding status.
Conclusion: Raising the mothers’ knowledge of breastfeeding by considering the role of husbands, health workers, and grandmothers could help in choosing breast milk for feeding infants aged ≤2 years.

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Article Type : Applicable | Subject: Special
Received: 2019/10/28 | Accepted: 2019/12/5 | Published: 2020/01/1