A Causal Model of Breastfeeding Duration among Working Muslim Mothers in Central Java Province, Indonesia
AbstractThis study aimed to develop and test a causal model predicting breast feeding duration in this population. A cross-sectional, predictive study was conducted to test the proposed causal model predicting breastfeeding duration among working Muslim mothers. The predictors specified in the model were selected based on findings from an extensive review of the literature. The study was conducted in Central Java, Indonesia. Two hundred forty Muslim mothers participated in the study. Self-reported questionnaires were used. A model testing using path analysis was performed to examine the hypothesized relationships. The study results were 1) hypothesized model did not fit the data and was modified based on the statistical and theoretical considerations and the modified model did fit the data, 2) intention to exclusively breastfeed affected breastfeeding initiation, 3) breastfeeding knowledge and attitude toward breastfeeding affected intention to exclusively breastfeed, 4) breastfeeding knowledge, family support, workplace support, attitude toward breastfeeding, sufficient milk supply, and intention to exclusively breastfeed affected breastfeeding duration, 5) breastfeeding problems affected breastfeeding duration, 6) intention to exclusively breastfeed mediated breastfeeding knowledge and attitude toward breastfeeding on breastfeeding duration and breastfeeding initiation, 7) breastfeeding initiation did not mediate breastfeeding knowledge, family support, and intention to exclusively breastfeed on breastfeeding duration. This results of this study provides empirical evidence regarding a causal model of breastfeeding duration among working Muslim mothers. Future studies should test the model in the other context and involve mothers from all occupation particularly that have night shift.
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