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The role of emotions and injunctive norms in breastfeeding: A systematic review and meta-analysis

The role of emotions and injunctive norms in breastfeeding: A systematic review and meta-analysis

Russell, Pascale Sophie, Smith, Debbie M., Birtel, Michèle D. ORCID: 0000-0002-2383-9197, Hart, Kathryn H. and Golding, Sarah E. (2021) The role of emotions and injunctive norms in breastfeeding: A systematic review and meta-analysis. Health Psychology Review. ISSN 1743-7199 (Print), 1743-7202 (Online) (In Press) (doi:https://doi.org/10.1080/17437199.2021.1893783)

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Abstract

Breastfeeding has many known benefits, but rates vary globally. We propose two main reasons why psychological theory and interventions have not been successful to date in explaining breastfeeding behaviours. Specifically, prior research underestimates the importance of 1) specific emotions and 2) wider injunctive influences (i.e., societal and moral norms about what women feel they ought to be doing) in the breastfeeding experience. Therefore, we conducted a systematic review of quantitative, qualitative, and mixed-methods studies that explored whether injunctive norms and/ or specific emotions are associated with breastfeeding behaviours (i.e., intentions, initiation and duration). Seventy-two papers were included in this review; data were extracted and quality appraisals conducted for all included studies. A meta-analysis of effect sizes was performed with the quantitative data. A convergent qualitative synthesis of the data was conducted, resulting in the following line of argument: Breastfeeding is a social behaviour and not a personal/individual behaviour. From this line of argument, three themes with associated sub-themes were developed, highlighting the importance of both specific emotions and injunctive norms on breastfeeding behaviours. These influences are discussed in relation to both theoretical and practical implications, as well as future research.

Item Type: Article
Uncontrolled Keywords: infant feeding, breastfeeding, subjective norms, societal norms, moral norms, emotion
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Faculty / Department / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Department of Psychology, Social Work & Counselling
Last Modified: 19 Jul 2021 08:24
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
Selected for REF2021: None
URI: http://gala.gre.ac.uk/id/eprint/31333

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