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Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia

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  • Alison Daly
  • Christina Mary Pollard
  • Michael Phillips
  • Colin William Binns

Abstract

Objective: The objective of this study was to investigate knowledge and community perceptions of breastfeeding in Western Australia using a factor analysis approach. Methods: Data were pooled from five Nutrition Monitoring Survey Series which included information on breastfeeding from 4,802 Western Australian adults aged 18–64 years. Tetrachoric factor analysis was conducted for data reduction and significant associations identified using logistic, ordinal and poisson regression analyses. Results: Four factors were derived for benefits (it’s natural, good nutrition, good for the baby, and convenience), barriers (breastfeeding problems, poor community acceptability, having to go back to work, and inconvenience) and for enablers (breastfeeding education, community support, family support and not having to work). As assessed by standardized odds ratios the most important covariates across benefit factors were: importance of breastfeeding (ORs range from 1.22–1.44), female gender (ORs range from 0.80 to 1.46), being able to give a time for how long a baby should be breastfed (ORs range from 0.96 to 1.27) and education (less than high school to university completion) (ORs range from 0.95 to 1.23); the most important covariate across barrier factors was being able to give a time for how long a baby should be breastfed (ORs range from 0.89 to 1.93); and the most important covariates across all enabling factors were education (ORs range from 1.14 to 1.32) and being able to give a time for how long a baby should be breastfed (ORs range from 1.17 to 1.42). Conclusions: Being female, rating breastfeeding as important, believing that babies should be breastfed for a period of time and education accounted for most of the statistically significant associations. The differences between male and female perceptions require investigation particularly in relation to returning to work.

Suggested Citation

  • Alison Daly & Christina Mary Pollard & Michael Phillips & Colin William Binns, 2014. "Benefits, Barriers and Enablers of Breastfeeding: Factor Analysis of Population Perceptions in Western Australia," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-10, February.
  • Handle: RePEc:plo:pone00:0088204
    DOI: 10.1371/journal.pone.0088204
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    References listed on IDEAS

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    1. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
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    1. Ritesh Chimoriya & Jane Anne Scott & James Rufus John & Sameer Bhole & Andrew Hayen & Gregory S. Kolt & Amit Arora, 2020. "Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    2. Malgorzata Witkowska-Zimny & Dorota Majczyna, 2021. "How Knowledge about Stem Cells Influences Attitudes towards Breastfeeding: Case Study of Polish Women," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    3. Diana Cascone & Davide Tomassoni & Francesco Napolitano & Gabriella Di Giuseppe, 2019. "Evaluation of Knowledge, Attitudes, and Practices about Exclusive Breastfeeding among Women in Italy," IJERPH, MDPI, vol. 16(12), pages 1-11, June.

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