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How Motivation Influences Breastfeeding Duration Among Low-Income Women

Washington, DC WIC clinic, efracine{at}uncc.edu

Kevin D. Frick, PhD

Baltimore City Healthy Start program

Donna Strobino, PhD

Healthy Steps (HS) Program for Young Children (co-investigator; Commonwealth Fund, AHRQ)

Laura M. Carpenter, PhD

Renee Milligan, RNC, PhD

NILBW

Linda C. Pugh, PhD, RNC

NILBW

In-depth interviews were conducted with 44 low-income breastfeeding women to explore the incentives and disincentives to breastfeeding experienced within 6 months postpartum. Using an individual net benefit maximization (INBM) framework based on economic theory, we assessed women's motivations, incentives, and disincentives for breastfeeding. Based on the framework and their experience breastfeeding, women fell into 3 groups: intrinsically motivated, extrinsically motivated, and successfully experienced with both intrinsic and extrinsic motivation. Successfully experienced women were most likely to breastfeed to 6 months. Intrinsically motivated women valued breastfeeding but often required information and instruction to reach breastfeeding goals. Extrinsically motivated women were least likely to continue breastfeeding even with support and instruction. Providers can screen women to determine their experience and motivation then tailor interventions accordingly. Intrinsically motivated women may need support and instruction, extrinsically motivated women may benefit from motivational interviewing, and successfully experienced women may need only minimal breastfeeding counseling. J Hum Lact. 25(2):173-181

Key Words: low-income • breastfeeding duration

This version was published on May 1, 2009

Journal of Human Lactation, Vol. 25, No. 2, 173-181 (2009)
DOI: 10.1177/0890334408328129


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