Hyun-Joo Yang; Ji-Min Seo

doi:10.4040/jkan.2013.43.3.399

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Original Article
A Structural Model for Primiparas' Breastfeeding Behavior: Hyun-Joo Yang, Ji-Min Seo; Journal of Korean Academy of Nursing 2013;43(3):399-408.
DOI: https://doi.org/10.4040/jkan.2013.43.3.399
Published online: June 28, 2013

¹Department of Nursing, Kyungnam College of Information and Technology, Busan, Korea.

²College of Nursing, Pusan National University, Yangsan, Korea.

Address reprint requests to: Seo, Ji-Min. College of Nursing, Pusan National University, Beomeo-ri, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do 626-870, Korea. Tel: +82-51-510-8351, Fax: +82-51-510-8308, seojimin@pusan.ac.kr

• Received: January 8, 2013 • Accepted: April 16, 2013

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The study was done to construct and test a structural model to explain primipara breastfeeding behavior.
Methods
The participants were 213 primiparas on postpartum wards. Data were analyzed using the PASW 18.0 and AMOS 19.0 programs.
Results
Fitness statistics for the hypothetical model were appropriate (χ² =38.50, p=.070, GFI=.96, RMSEA=.05, AGFI=.93, NFI=.95, TLI=.97, CFI=.98, PNFI=.57, χ²/df=1.43). Breastfeeding behaviors were directly influenced by intention to breastfeed, perceived effectiveness of breastfeeding, and the amount of supplementary feeding. The amount of supplementary feeding had the largest direct impact on breastfeeding behavior. The largest total effect on breastfeeding behavior was intention to breastfeed. The environment of the maternity hospital indirectly influenced breastfeeding behavior. These factors explained 18.9% of variance in the primipara breastfeeding behavior.
Conclusion
The results of the study indicate that in order to promote primipara breastfeeding the amount of supplementary feeding immediately after the birth should be limited and an environment that encourages exclusive breastfeeding in the hospital should be provided. The results also suggest it is necessary to provide nursing interventions that increase the intention to breastfeed and the perceived effectiveness of breastfeeding.
Keywords: Breastfeeding; Structural models; Maternal behavior; Supplementary feeding

This manuscript is a condensed form of the first author's doctoral dissertation from Pusan National University.

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Figure 1

Conceptual framework.

Figure 2

Final model with parameter estimates.

Table 1

Descriptive Statistics of Variables (N=213)

Figure & Data

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