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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

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

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
  EnglishReference Reference Reference
  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
  WhiteReference Reference Reference
  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/DoctoralReference Reference
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

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
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.