A Study on Health-related Lifestyles and Intention Toward Breast-Feeding in Korean University Students

대학생의 건강관련 생활태도와 모유수유의지에 관한 연구

  • Received : 2012.11.27
  • Accepted : 2013.03.21
  • Published : 2013.04.30


This study investigated the effect of a health-related lifestyle on knowledge, attitude, control belief and behavior intention toward breast-feeding of male and female university students in order to develop a breast-feeding education program for students of childbearing age. The subjects were 445 university students (125 male and 325 female) residing in eight provinces in Korea. The overall percentage of subjects intending to breast-feed their baby was 80.7% (73.6% of males and 84.2% of females). Overall, 84.2% of the subjects had high concerns about their health status. Scores reflecting a positive attitude, knowledge, and control beliefs toward breast-feeding were significantly higher (p<0.05~p<0.001) in female students, students majoring in medicine, and higher grades. The students who scored high at attitude, knowledge, and control beliefs also had a significantly higher (p<0.001) intention to breast-feed. When we investigated the sub factors of attitudes toward breast-feeding, significantly more students taking nutrient supplements scored high for physiological factors (p<0.05) and health-related factors (p<0.01). Significantly more non-smoking and non-drinking students scored high for health-related factors (p<0.001) and physiological factors (p<0.001), respectively. The intention to breast-feed was found to be significantly higher (p<0.01) in students who did not smoke, but not with other health-related lifestyles. In summary, these results indicate that the majority of university students intend to breast-feed, with students having a positive attitude, higher knowledge, and stronger control beliefs having a higher intention to breast-feed. Although a student's health-related lifestyle affects their attitudes on the physiological and health-related aspects of breast-feeding, only smoking status had an observable connection on the intention to breast-feed. Thus, when developing breast-feeding education programs for students, we recommend efforts to enhance a favorable attitude, knowledge, and control beliefs toward breast-feeding.


Breast-feeding;health related lifestyle;interest degrees in health;knowledge;attitude;control belief toward breast feeding;university students


  1. Lee SO, Na SS, Park KY. 2012. Exclusive breast feeding rates of breast feeding-willing mothers and its influencing factors by the 1st, 3rd, and 6th month of postpartum. J Korean Soc Matern Child Health, 16(1):44-55
  2. Marie T., J. E. Dodgson. 2007. Knowledge, attitudes, exposure and future intentions of Hong Kong university students toward infant feeding. JOGNN, 36(3):243-254
  3. Moon GN, Jung JH, Kim YJ, Lee SO, Choi GS, Chung ES, Bai JY. 1998. Breast feeding practice according to the breastfeeding problem during the first week of postpartum. Korean J Women Health Nurs., 4(3):416-428
  4. Oh HE, Park NJ, Im ES. 1994. An analitic study measuring factors interrupting in breast-feeding. The Korean journal of maternal and child health nursing, 4(1):68-79
  5. Rotter J.B. 1966. Generalized expectancies for internal versus external control reinforcement. Psychological Monographs, 609:1-28
  6. Seo IS, Jung MS, Suh YS. 2000. Effect of education for encouraging breastfeeding on practice of breastfeeding. Korean J Women Health Nurs., 6(4):632-642
  7. Song BC. Cho JH. Lee IY. Kim MK. 2008. A study on knowledge on breast feeding of college students by their general characteristics. Korean J. Food Culture, 23(2):268-272
  8. Song Y, Kim AJ, Lee YS, Yoo TW, Kang NM. 2007. Evaluation the breast feeding information websites for Korean adolescents. Korean J. Food & Nutr., 20(4):487-493
  9. Yardaena B. Osband, Robin L. Altman, Patricia A. Patrick, Karen S. Edwards. 2011. Breast feeding education and support services offered to pediatric residents in the US. ACADEMIC PEDIATRICS, 11:75-79
  10. 이조윤, 현화진. 2006. 모유영양. 광문각. 서울. pp 11-18
  11. Arlene de la Mora1, Daniel W. Russell1, Claibourne I. Dungy, Mary Losch, Lois Dusdieker. 1999. The Iowa infant feeding attitude scale: analysis of reliability and validity. Journal of Applied Social Psychology, 29(11):2362-2380
  12. Callen J, J. Pinelli. 2004. Incidence and duration of breast feeding for term infants in Canada, United States, Europe, and Australia: a literature review. Birth, 31(4):285-292
  13. Cernadas J, N. Greciela, L. Barrera, A. Martinez, A. garsd. 2003. Maternal and perinatal factors influencing the duration of exclusive breast feeding during the first 6months of life. Journal of Human Lactation, 19(2):136-144
  14. Choi KS. 2003. A study on the future plans for infant feeding practice and its associated factors among university students. Korean J Community Nutrition, 8(2):240-249
  15. Choi KS. Lee HJ. 2006. A study on knowledges and attitudes about breast milk feeding and needs for breast milk feeding education among high school students. Korean J Community Nutrition, 11(2):191-204
  16. Chung HK. Lee ML. 1993. The pattern of the attitude of pregnant women on breast feeding. J Korean Soc Matern Child Health, 3(2):126-141
  17. Claibourne I. Dungy, Rhona J. McInnes, David M. Tappin, Anne Baber Wallis, Florin Oprescu. 2008. Infant feeding attitudes and knowledge among socioeconomically disadvantaged women in Glasgow. Matern Child Health J., 12:313-322
  18. Forster D, H. McLachlan, J. Lumley. 2006. Factors associated with breast feeding at sixmonths postpartum in a group of Australian women. International breast feeding Journal, 1(18):1-18
  19. Hill Gina Jarman, Dennis B. Arnett, Eileen Mauk. 2008. Breastfeeding intention among low-income pregnant and lactating women. American Journal of Health Behavior, 32(2):125-136
  20. Jang GJ, lee SL, Kim HM. 2012. Breast feeding rates and factors Influencing breast feeding practice in late preterm infants: comparison with preterm born at less than 34weeks of gestational age. J. Korean Acad Nurs., 42(2):181-189
  21. Joan E. Dodgson, Marie Tarrant. 2007. Outcomes of a breast feeding educational intervention for baccalaureate nursing students. Nurse Education Today 27:856-867
  22. Kim JE, Park DY. 2001. A study on prodicting behavioral intention of breastfeeding among primigravida. Korean J Community Nutrition, 6(3):331-339
  23. Kim JE, Park DY. 2008. A study on actual conditions and needs of breast feeding education for pregnant women in health centers. Korean J Community Nutrition, 13(6):818-828
  24. Kim KN, Hyun TS, Kang NM. 2002. A survey on the feeding practices of women for the development of a breast feeding education program. Korean Journal Community Nutrition, 7(3):345-353.
  25. Lee HK. Song Y. Kang NM. 2008. A survey of female college students' knowledge and attitudes toward breast feeding. J Community Nutrition, 13(3):367-373
  26. 김승원, 김유경, 조애저, 김혜련, 임성은. 2009. 2009년 전국출산력 및 가족보건복지 실태조사. 한국보건사회연구원. 서울. pp 282-294

Cited by

  1. Healthy Food Awareness, Behavioral Intention, and Actual Behavior toward Healthy Foods: Generation Y Consumers at University Foodservice vol.29, pp.4, 2014,


Supported by : 중부대학교