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Association of Maternal Preferred Language with Breastfeeding Attitudes, Intentions, and Knowledge Cover

Association of Maternal Preferred Language with Breastfeeding Attitudes, Intentions, and Knowledge

Open Access
|Nov 2023

Figures & Tables

Table 1.

Comparisons of Sample Characteristics for the 448 Participants.

VariableEnglish M (SD) or # (%) (n=136)Russian M (SD) or # (%) (n=58)Spanish M (SD) or # (%) (n=104)Urdu M (SD) or # (%) (n=42)Uzbek M (SD) or # (%) (n=46)Other M (SD) or # (%) (n=62)p-value
Age (years) [mean]29.7 (5.76)32.4 (5.25)30.1 (6.69)29.6 (4.66)29.3 (4.88)30.0 (4.82)0.051
Race/ethnicity<0.001
  White30 (22.2)25 (44.6)1 (1.0)0 (0.0)11 (25.6)36 (60.0)
  African-American38 (28.1)3 (5.4)1 (1.0)0 (0.0)0 (0.0)4 (6.7)
  Hispanic32 (23.7)1 (1.8)81 (81.8)0 (0.0)0 (0.0)1 (1.7)
  Asian25 (18.5)11 (19.6)0 (0.0)37 (88.1)25 (58.1)13 (21.7)
  Other10 (7.4)16 (28.6)16 (16.2)5 (11.9)7 (16.3)6 (10.0)
Born in USA (yes)79 (59.4)5 (8.6)4 (3.9)1 (2.4)0 (0.0)3 (4.8)<0.001
Years lived in USA [mean]20.9 (11.19)7.2 (7.16)9.7 (7.34)12.5 (8.00)4.7 (3.45)6.0 (7.44)<0.001
Education<0.001
  Elementary2 (1.5)0 (0.0)32 (33.3)2 (4.9)0 (0.0)2 (3.3)
  Some HS19 (14.5)10 (17.5)32 (33.3)6 (14.6)10 (22.2)6 (9.8)
  Completed HS38 (19.0)9 (15.8)26 (27.1)11 (26.8)16 (35.6)12 (19.7)
  Associate27 (20.6)7 (12.3)2 (2.1)5 (12.2)14 (31.1)11 (18.0)
  Bachelor24 (18.3)21 (36.8)2 (2.1)13 (31.7)5 (11.1)20 (32.8)
  Master/Doctoral21 (16.0)10 (17.5)2 (2.1)4 (9.8)0 (0.0)10 (16.4)
Gravidity [mean]2.7 (1.69)3.1 (3.11)2.9 (1.80)2.5 (1.45)3.4 (1.74)2.1 (1.35)0.001
Parity [mean]2.1 (1.51)2.0 (0.97)2.3 (1.48)2.1 (1.30)2.9 (1.20)1.7 (1.24)<0.001
Number miscarriages/abortions [mean]0.7 (1.02)0.8 (1.16)0.5 (0.73)0.5 (0.71)0.8 (1.14)0.4 (0.64)0.27
Recently had baby (yes)67 (49.6)32 (57.1)48 (46.6)17 (41.5)36 (78.3)43 (69.4)<0.001
Breastfed previous child (yes)69 (53.5)36 (69.2)67 (65.0)21 (53.8)40 (90.9)25 (43.9)<0.001
Close relative breastfed child (yes)108 (81.2)45 (83.3)71 (70.3)31 (75.6)28 (60.9)47 (77.0)0.050

[i] Note: M=mean, SD=standard deviation. USA=United States of America, HS=high school. Sample size can slightly vary due to omissions from participants. Gravidity and number miscarriages/abortions had skewed distributions and were logarithmic transformed for analyses for the reporting of the p-value. The mean and standard deviation values shown are for non-transformed values. Race/ethnicity and education had certain expected cell sizes <5 but the Fisher's exact test could not be performed and instead were analyzed with the Pearson chi-square test.

Table 2.

Univariate Comparisons for Outcomes.

VariableEnglish M (SD) (n=136)Russian M (SD) (n=58)Spanish M (SD) (n=104)Urdu M (SD) (n=42)Uzbek M (SD) (n=46)Other M (SD) (n=62)p-valuePost-hoc
Attitudes23.2 (6.37)25.3 (4.82)25.6 (4.33)26.1 (3.10)27.0 (4.07)25.2 (5.24)0.001Russian>English (p=0.02)
Spanish>English (p=0.003)
Urdu>English (p=0.01)
Uzbek>English (p<0.001)
Other>English (p=0.02)
Subjective norms16.6 (4.61)17.0 (4.77)19.0 (3.39)18.6 (3.03)17.6 (4.52)18.3 (2.92)<0.001Spanish>English (p<0.001)
Urdu>English (p=0.01)
Other>English (p=0.01)
Spanish>Russian (p=0.003)
Behavioral control17.9 (3.14)17.9 (3.54)19.0 (2.67)18.2 (3.56)19.7 (2.59)18.0 (3.35)0.01Spanish>English (p=0.01)
Uzbek>English (p=0.002)
Spanish>Russian (p=0.046)
Uzbek>Russian (p=0.01)
Uzbek>Urdu (p=0.04)
Uzbek>Other (p=0.01)
Intentions17.9 (4.99)18.8 (4.39)19.3 (3.41)18.6 (4.07)17.5 (5.44)19.1 (3.43)0.11
IIFAS61.3 (8.25)60.0 (6.45)59.8 (5.74)60.1 (6.23)58.8 (6.61)61.5 (7.26)0.17
Knowledge correct6.6 (3.04)6.1 (2.96)6.1 (2.17)7.0 (2.64)6.5 (2.48)6.1 (2.74)0.31
Knowledge unsure4.4 (3.17)4.8 (3.10)4.2 (2.76)3.8 (3.01)3.6 (2.44)4.8 (2.55)0.16

[i] Note: M=mean, SD=standard deviation, IIFAS=Iowa Infant Feeding and Attitudes Scale. Sample size can slightly vary due to omissions from participants.

Table 3.

Multivariate Linear Regression Analyses for Attitudes, Subjective Norms, and Behavioral Control.

VariableAttitudes B (SE)p-valueSubjective Norms B (SE)p-valueBehavioral Control B (SE)p-value
Language
  EnglishReferenceReferenceReference
  Russian2.24 (1.09)0.040.98 (0.77)0.21−0.87 (0.63)0.17
  Spanish2.19 (1.27)0.091.34 (0.86)0.12−0.08 (0.70)0.91
  Urdu2.90 (1.45)0.0461.21 (0.92)0.190.14 (0.77)0.86
  Uzbek4.21 (1.35)0.0020.88 (0.92)0.340.22 (0.75)0.77
  Other1.49 (1.07)0.161.24 (0.75)0.10−1.08 (0.61)0.08
Age (years)0.07 (0.07)0.33−0.08 (0.04)0.070.02 (0.04)0.61
Race/ethnicity
  WhiteReferenceReferenceReference
  African-American0.17 (1.16)0.323.09 (0.83)<0.0011.32 (0.67)0.05
  Hispanic−0.55 (1.20)0.651.06 (0.83)0.200.05 (0.68)0.94
  Asian0.17 (0.97)0.860.87 (0.67)0.19−0.15 (0.54)0.79
  Other0.25 (1.05)0.811.24 (0.75)0.810.05 (0.60)0.93
Born in USA (yes)−1.47 (1.30)0.26−0.89 (0.87)0.31−1.22 (0.71)0.09
Years lived in USA0.03 (0.05)0.55−0.04 (0.03)0.19−0.05 (0.03)0.09
Education
  Elementary1.16 (1.62)0.480.75 (1.04)0.471.08 (0.86)0.21
  Some HS−2.03 (1.21)0.10−0.09 (0.81)0.910.65 (0.67)0.33
  Completed HS−0.92 (1.14)0.42−0.45 (0.78)0.570.02 (0.64)0.98
  Associate−1.84 (1.17)0.12−0.07 (0.82)0.930.76 (0.67)0.26
  Bachelor−1.51 (1.08)0.16−0.45 (0.75)0.55−0.28 (0.62)0.65
  Masters/DoctoralReferenceReference
Gravidity−6.47 (2.71)0.02−5.69 (1.84)0.002−1.82 (1.51)0.23
Parity0.30 (0.37)0.420.64 (0.26)0.010.17 (0.21)0.42
Recently had baby (yes)0.88 (0.62)0.16−0.49 (0.42)0.240.19 (0.35)0.58
Breastfed previous child (yes)0.78 (0.73)0.290.92 (0.49)0.061.09 (0.40)0.01
Close relative breastfed child (yes)1.55 (0.72)0.032.24 (0.48)<0.0011.03 (0.39)0.01
Constant23.07 (2.34)<0.00119.23 (1.59)<0.00117.58 (1.31)<0.001

[i] Note: B=unstandardized beta, SE=standard error. Variance inflation factor values indicated no multicollinearity concerns. Adjusted R square: Attitudes: 0.14, Subjective norms: 0.09, Behavioral control: 0.10.

DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-23-00026 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 209 - 216
Submitted on: Mar 3, 2023
Accepted on: Oct 19, 2023
Published on: Nov 22, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Lincoln Ferguson, Alexandra Chervonsky, Joshua Fogel, Allan J. Jacobs, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.