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Journal of Human Lactation
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The Role of Personality and Other Factors in a Mother’s Decision to Initiate Breastfeeding

Carol L. Wagner, MD

Medical University of South Carolina, Charleston, South Carolina, Academy of Breastfeeding Medicine, Society for Pediatric Research, International Society for Research in Human Milk and Lactation

Mark T. Wagner, PhD

Medical University of South Carolina, Charleston, South Carolina, National Association of Neuropsychologists, Internationa Society of Neuropsychologists, American Psychological Association

Myla Ebeling

Division of Epidemiology, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina

Katreia Gleaton Chatman, BSN

College of Nursing, Medical University of South Carolina, Charleston, South Carolina

Millicent Cohen

Medical University of South Carolina, Charleston, South Carolina

Thomas C. Hulsey, ScD

Division of Epidemiology, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina

The objective of the study was to measure the impact of personality and other factors on the decision to initiate breastfeeding. Mothers were enrolled (24-96 hours postpartum) and were classified as fully breastfeeding, formula-feeding, or combination-feeding. A semi-structured interview about maternal sociodemographics and attitudes and a standardized personality inventory (NEO-PI-R) were conducted. Eighty-seven mothers completed the study: 50 breastfeeders, 6 combination feeders, and 31 formula feeders. Because of small numbers, combination-feeder mothers (n = 6) were excluded from analyses. Maternal age, marriage, ethnicity, and socioeconomic status were significantly associated with breastfeeding. Breastfeeding and formula-feeding groups differed on 3 personality domains: extraversion (53.3 breastfeeding vs 46.9 formula-feeding, P = .002), openness (51.6 vs 46.2, P = .008), and agreeableness (48.5 vs 41.5, P = .01). In a multiple variable logistic regression model, extraversion (P = .03) and openness (P = .003) remained significant. Sociodemographics, experiential factors, and specific personality characteristics of mother were independently associated with maternal feeding decision.

Key Words: breastfeeding • maternal attitudes • socioeconomic factors • personality

References

  • Pediatrics AAP, Workgroup B. Breastfeeding and the use of human milk. Pediatrics. 1997;100:1035-1039.[Abstract/Free Full Text]
  • US Department of Health and Human Services. Healthy People 2010: National Health Promotion and Disease Prevention Objectives. Washington, DC: US Department of Health and Human Services; 2000.
  • Newton N. Women’s feelings about breast feeding. In: Maternal Emotions: A study of Women’S Feelings Toward Menstruation, Pregnancy, Childbirth, Breast Feeding, Infant Care, and Other Aspects of Their Femininity. New York, NY: Paul B. Hoeber; 1955:43-58.
  • Scott J, Binns C, Aroni R. The influence of reported paternal attitudes on the decision to breastfeed. J Paediatr Child Health. 1997;33:305-307.[Web of Science][Medline] [Order article via Infotrieve]
  • Wagner CL, Wagner MT. Factors influencing a mother’s decision to breastfeed. In: B. Koletzko, editor. Short and Long Term Effects of Breastfeeding on Child Health. London: Plenum Publishing Co.; 2000:435-436.
  • Losch M, Dungy C, Russell D, Dusdieker L. Impact of attitudes on maternal decisions regarding infant feeding. J Pediatr. 1995;126:507-514.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Manstead A, Plevin C, Smart J. Predicting mothers’ choice of infant feeding method. Br J Soc Psychol. 1984;23:223-231.[Medline] [Order article via Infotrieve]
  • Baranowski T, Rassin D, Richardson C, Brown J, Bee D. Attitudes toward breastfeeding. J Dev Behav Pediat. 1986;7:367-372.
  • Call J. Emotional factors favoring successful breast feeding of infants. J Pediatr. 1959;55:485-496.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Lawrence R. Toward understanding maternal choices for infant feeding. J Dev Behav Pediat. 1986;7:373-376.
  • Newton N. Psychologic differences between breast and bottle feeding. Am J Clin Nutr. 1971;24:993-1004.[Web of Science][Medline] [Order article via Infotrieve]
  • Newton N, Newton M. Psychologic aspects of lactation. N Engl J Med. 1967;277:1179-1188.[Web of Science][Medline] [Order article via Infotrieve]
  • Newton N, Newton M. Relation of ability to breast feed and maternal attitudes toward breast feeding. Pediatrics. 1950;5:869.[Abstract/Free Full Text]
  • Jones D. Attitudes of breastfeeding mothers: a survey of 649 mothers. Soc Sci Med. 1986;23:1151-1156.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Counsilman J, Mackay E, Copeland R. Bivariate analyses of attitudes towards breast-feeding. Aust NZ Obstet Gynaec. 1983;23:208-215.
  • Unvas-Moberg K, Widstrom A-M, Werner S, Matthiesen A-S, Winberg J. Oxytocin and prolactin levels in breast-feeding women: correlation with milk yield and duration of breast-feeding. Acta Obstet Gynecol Scan. 1990;69:301-306.
  • Newton N, Newton M. Relation of the let-down reflex to ability to breast-feed. Pediatrics. 1950;5:726-733.[Abstract/Free Full Text]
  • Nissen E, Gustavsson P, Widstrom A-M, Uvnas-Moberg K. Oxytocin, prolactin, milk production and their relationship with personality traits in women after vaginal delivery or Cesarean section. J Psychosom Obstet Gynecol. 1998;19:49-58.[Medline] [Order article via Infotrieve]
  • Wiesenfeld A, Malatesta C, Whitman P, Granrose C, Uili R. Psychophysiological response of breast- and bottle-feeding mothers to their infants’ signals. Psychophysiology. 1985;22:79-86.[Web of Science][Medline] [Order article via Infotrieve]
  • Salber E, Stitt P, Babbott J. Patterns of breast feeding, part I: factors affecting the frequency of breast feeding in the newborn period. N Engl J Med. 1958;259:707-713.[Web of Science][Medline] [Order article via Infotrieve]
  • Salber E, Stitt P, Babbott J. Patterns of breast feeding in a family clinic, part II: duration of feeding and reasons for weaning. N Engl J Med. 1959;260:310-315.[Web of Science][Medline] [Order article via Infotrieve]
  • Brown F, Chase J, Winson J. Comparison of Rorschach determinants of accepters and rejecters of breast feeding. J Proj Techn. 1961;25:412-421.
  • Brown F, Lieberman J, Winston J, Pleshette N. Studies in choice of infant feeding by primiparas, part I: attitudinal factors and extraneous influences. Psychosom Med. 1960;22:421-429.[Abstract/Free Full Text]
  • Entwisle D, Doering S, Reilly T. Sociopsychological determinants of women’s breast-feeding behavior: a replication and extension. Am J Orthopsychiat. 1982;52:244-260.[Web of Science][Medline] [Order article via Infotrieve]
  • Golub S. The decision to breastfeed: personality and experiential influences. Psychology. 1978;15:17-27.
  • Potter H, Klein H. On nursing behavior. Psychiatry. 1957;20:39-46.[Web of Science][Medline] [Order article via Infotrieve]
  • Yeung D, Pennell M, Leung M, Hall J. Breastfeeding: prevalence and influencing factors. Can J Public Health. 1981;72:323-330.[Web of Science][Medline] [Order article via Infotrieve]
  • Adams A. Choice of infant feeding technique as a function of maternal personality. J Consult Clin Psychol. 1959;23:143-146.
  • Orlansky H. Infant care and personality. Psychol Bull. 1949;46:1-48.[Medline] [Order article via Infotrieve]
  • Barnes JL, Stein A, Smith T, Pollock J. Extreme attitudes to body shape, social and psychological factors and a reluctance to breast feed. J Royal Soc Med. 1997;90:551-559.[Abstract]
  • Unvas-Moberg K, Widstrom A-M, Nissen E, Bjorvell H. Personality traits in women 4 days postpartum and their correlation with plasma levels of oxytocin and prolactin. J Psychosom Obstet Gynaecol. 1990;11:261-273.
  • Labbok MH, Krasovec K. Toward consistency in breastfeeding definitions. Stud Fam Plann. 1990;21:226-230.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Costa P, McCrae R. Revised NEO Personality Inventory and NEO Five-Factor Inventory Professional Manual. Odessa, Fla: Psychological Assessment Resources, Inc; 1992.
  • Hollingshead AB. Two-Factor Index of Social Position. NewHaven, Conn: Yale University; 1969.
  • McCrae R, Costa P. Personality trait structure as a human universal. Am Psychol. 1997;52:509-516.[CrossRef][Medline] [Order article via Infotrieve]
  • McCrae R, Costa P, Ostendorf F, et al. Nature over nurture: temperament, personality, and life span development. J Pers Soc Psychol. 2000;78:173-186.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McCrae R. Trait psychology and culture: exploring intercultural comparisons. J Pers. 2001;69:819-846.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McCrae R, Allik J. The Five-Factor Model of Personality Across Cultures. New York, NY: Kluwer Academic Publishers; 2002.
  • Jang K, Livesley W, Vernon P. Heritability of the big five personality dimensions and their facets: a twin study. J Pers. 1996;64:577-591.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McCrae R, Jang K, Livesley W, Riemann R, Angleitner A. Sources of structure: genetic, environmental, and artifactual influences on the covariation of personality traits. J Pers. 2001;69:511-535.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Jang K, McCrae R, Angleitner A, Riemann R, Livesley W. Heritability of facet-level traits in a cross-cultural twin sample: support for a hierarchical model of personality. J Pers Soc Psychol. 1998;74:1556-1565.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Kurtz J, Parrish C. Semantic response consistency and protocol validity in structured personality assessment: the case of the NEO-PI-R. J Pers Assess. 2001;76:315-332.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Young M, Schinka J. Research validity scales for the NEO-PI-R: additional evidence for reliability and validity. J Pers Assess. 2001;76:412-420.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Bernard L, Walsh R. Socially desirable and non-purposeful responding on the neuroticism extraversion openness personality inventory-revised. Counseling Clin Psych J. 2004;1:4-16.
  • Rossier J, de Stadelhofen F, Berthoud S. The hierarchical structures of the NEO-PI-R and the 16 PF 5. Eur J Psychol Assessment. 2004;20:27-38.[CrossRef]
  • Piedmont R, McCrae R, Riemann R, Angleitner A. On the invalidity of validity scales: evidence from self-reports and observer ratings in volunteer samples. J Pers Soc Psychol. 2000;78:582-593.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Reynolds D, CLark L. Predicting dimensions of personality disorder from domains and facets of the five factor model. J Pers. 2001;69:199-208.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Wilberg T, Urnes O, Friis S, Pedersen G, Karterud S. Borderline and avoidant personality disorders and the Five-Factor model of personality: a comparison of DSM-IV diagnoses and NEO-PI-R. J Pers Disorder. 1999;13:226-240.
  • Caldwell-Andrews A, Baer R, Berry D. Effects of response sets on NEO-PI-R scores and their relations to external criteria. J Pers Assess. 2000;74:472-488.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Costa P, Herbst J, McCrae R, Siegler I. Personality at midlife: stability, intrinsic maturation, and response to life events. Assessment. 2000;7:365-378.[Abstract/Free Full Text]
  • Shepherd C, Power K, Carter H. Characteristics of responders and nonresponders in an infant feeding study. J Public Health Med. 1998;20:275-280.[Abstract/Free Full Text]
  • Freed G, Fraley K, Schanler R. Attitudes of expectant fathers regarding breast-feeding. Pediatrics. 1992;89:224-227.
  • Freed G, Jones T, Schanler R. Prenatal determination of demographic and attitudinal factors regarding feeding practice in an indigent population. Am J Perinatol. 1992;9:420-424.[Web of Science][Medline] [Order article via Infotrieve]
  • Kirkman R, Taylor E. The decision to breast feed—The role of the family planning clinic. Br J Fam Plann. 1981;7:20-21.
  • Humphreys A, Thompson N, Miner K. Intention to breastfeed in low-income pregnant women: the role of social support and previous experience. Birth. 1998;25:169-174.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Long D, Funk-Archuleta M, Geiger C, Mozar A, Heins J. Peer counselor program increases breastfeeding rates in Utah Native American WIC population. J Hum Lact. 1995;11:279-284.[Abstract/Free Full Text]
  • Bronner Y, Barber T, Miele L. Breastfeeding peer counseling: rationale for the National WIC survey. J Hum Lact. 2001;17:135-139.[Abstract/Free Full Text]
  • Merewood A, Philipp B. Peer counselors for breastfeeding mothers in the hospital setting: trial, training, tributes, and tribulations. J Hum Lact. 2003;19:72-76.[Abstract/Free Full Text]
  • Martens P. Increasing breastfeeding initiation and duration at a community level: an evaluation of Sagkeeng First Nation’s community health nurse and peer counselor programs. J Hum Lact. 2002;187:236-246.
  • Mezzacappa E. A preliminary study of the effects of breast-feeding on maternal health. Int J Behav Med. 1997;4:230-241.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Stein A, Cooper P, Day A, Bond A. Social and psychiatric factors associated with the intention to breastfeed. J Reprod Inf Psychol. 1987;5:163-171.
  • Simopoulos A, Grave G. Factors associated with the choice and duration of infant-feeding practice. Pediatrics. 1984;74(pt 2):603-614.[Abstract/Free Full Text]
  • Graffy J. Mothers’ attitudes to and experience of breast feeding: a primary care study. Br J Gen Pract. 1992;42:61-64.[Web of Science][Medline] [Order article via Infotrieve]
  • Baisch M, Fox R, Goldberg B. Breast-feeding attitudes and practices among adolescents. J Adolesc Health Care. 1989;10:41-45.[CrossRef][Medline] [Order article via Infotrieve]

Journal of Human Lactation, Vol. 22, No. 1, 16-26 (2006)
DOI: 10.1177/0890334405283624
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