Predicting breast-feeding intention among low-income pregnant women: A comparison of two theoretical models

This study examined the applicability of the transtheoretical model and a m odel derived from the theory of reasoned action for predicting breast-feedi ng intention among low-income pregnant women. Participants completed a 70-i tem self-report questionnaire assessing their breast-feeding attitudes, int entions, and support. A positive correlation existed between Stages of Chan ge for breast-feeding and the number of Processes of Change used by respond ents. A negative correlation existed between Stages of Change for breast-fe eding and the number of negative breast-feeding beliefs held by respondents . Furthermore, women's normative beliefs and outcome beliefs were significa ntly correlated with breast-feeding intention in manners consistent with th e model developed from the theory of reasoned action. After accounting for significant sociodemographic and lifestyle factors, the Processes of Change and outcome beliefs remained independently correlated with breastfeeding i ntention. These models are capable of predicting the intention to breast-fe ed and might offer an innovative approach for further breast-feeding resear ch and intervention development.