The Effect of Attitudes Toward Breastfeeding in Public on Breastfeeding Rates and Duration: Results from South Korea

  • LoCASCIO, Sarah Prusoff (Center for Asian Public Opinion Research & Collaboration Initiative, Chungnam National University) ;
  • Cho, Hee Won (Department of Psychology, College of Social Science, Seoul National University)
  • Received : 2017.08.21
  • Accepted : 2017.08.28
  • Published : 2017.08.31


Background: Attitudes toward breastfeeding in public are one potential barrier to optimal breastfeeding rates and durations. Method: Questions about breastfeeding experience and attitudes toward breastfeeding in public were asked in face-to-face interviews as part of the Korean Academic Multimode Open Survey (KAMOS), May-July, 2017. The response rate was 65.8% (2000 respondents nationwide). Results: A majority of Koreans disagreed (1 or 2 on a 4-point scale) with the statement "Women should not breastfeed their child in open, public places" (53.9%) and agreed (3 or 4 on the 4-part Likert scale) with the statements "I do not feel uncomfortable seeing women breastfeed their child in open, public places" (64.0%) and "Breastfeeding a baby, instead of letting the baby cry, in public places is better for other people" (71.8%). However, despite these generally positive attitudes, the majority also said that they would not breastfeed in public (57.4% of women) or, in the case of men, would not want a close female relative to do so (63.8% of men). Breastfeeding in public was positively correlated with the duration of breastfeeding. People were more positive about breastfeeding in public if they: were parents; did not use formula and breastfeeding a similar amount; had children who had been breastfed in public; were older; were Buddhists rather than Christians. An attempt was made to compare attitudes toward breastfeeding in public and breastfeeding durations internationally, but was inconclusive due to not perfectly comparable data. Conclusion: Our results may be useful in planning public health campaigns in South Korea or future attempts at international comparisons to better understand and address the effect of public opinion regarding breastfeeding in public on breastfeeding rates and durations.


  1. Ahn, S., & Kim, Y. (2015). Association of parenting stresses, maternal role adjustment, and types of feeding during hospital stays at birth to breastfeeding adaptation [Abstract]. Korean Journal of Women Health Nursing, 21(4), 262-271.
  2. Austen, E. L., Beadle, J., Lukeman, S., Lukeman, E., & Aquino, N. (2017). Using a music video parody to promote breastfeeding and increase comfort levels among young adults. Journal of Human Lactation, 33(3), 560-569
  3. Australian Institute of Health and Welfare (2011). 2010 Australian National Infant Feeding Survey: Indicator results. Canberra: AIHW. Retrieved from
  4. Bennett, A. E., McCartney, D., & Kearney, J. M. (2016). Views of fathers in Ireland on the experience and challenges of having a breast-feeding partner. Midwifery (40), 169-176.
  5. Center for Disease Control (CDC). (2016). Breastfeeding report card: Progressing toward national breastfeeding goals. Retrieved from
  6. Center for Disease Control (CDC). (2017). Breastfeeding: HealthStyles/SummerStyles Survey. Retrieved from
  7. Chung, S.-H., Kim, H.-R., Choi, Y.-S., & Bae, C.-W. (2013). Trends of breastfeeding rate in Korea (1994-2012): Comparison with OECD and other countries. Journal of Korean Medical Science 28(11), 1573-1580.
  8. Chung, W., Kim, H., & Nam, C.-M. (2008). Breast-feeding in South Korea: Factors influencing its initiation and duration. Public Health Nutrition, 11 (3), 225-229.
  9. De La Mora, A., Russell, D. W., Dungy, C. I., Losch, M., & Dusdieker, L. (1999). The Iowa Infant Feeding Attitude Scale: Analysis of reliability and validity. Journal of Applied Social Psychology, 29(11), 2362-2380. Retrieved from
  10. Hwang, W. J., Chung, W. J., Kang, D. R., & Suh, M. H. (2006). [Factors affecting breastfeeding rate and duration] [Abstract]. Yebang Uihakhoe chi [Journal of Preventative Medicine and Public Health]. 39(1), 74-80. Retrieved from
  11. Johns, R. (2005). One size doesn't fit all: Selecting response scales for attitude items. Journal of Elections, Public Opinion and Parties, 15(2), 237-264.
  12. Kang, N. M., Choi, Y. J., Hyun, T., Lee, J. E. (2015). Associations of breastfeeding knowledge, attitude and interest with breastfeeding duration: A cross sectional web-based study. Journal of the Korean Academy of Nursing, 45(3), 449-458.
  13. Kim, K. N., Hyun, T., Kang N. M. (2002). A survey on the feeding practices of women for the development of a breastfeeding education program: Breastfeeding knowledge and breastfeeding rates. Korean Journal of Community Nutrition, 7(3), 345-353. Retrieved from
  14. Lee, Samsik. (2015). 2015nyeon jeongug chulsanlyeog mich gajogbogeon.bogjisiltaejosa [2015 National Survey on Fertility and Family Health and Welfare]. Korea Institute for Health and Social Affairs (KIHASA). Retrieved from
  15. Lippitt, M., Masterson, A. R., Sierra, A., Davis, A., & White, M. A. (2014). An exploration of social desirability bias in measurement of attitudes toward breastfeeding in public. Journal of Human Lactation (30)3, 358-366. 10.1177/0890334414529020
  16. McIntyre, E., Hiller, J. E., & Turnbull, D. (2001). Attitudes towards infant feeding among adults in a low socioeconomic community: What social support is there for breastfeeding? [Abstract]. Breastfeeding Review 9(1), 13-24. Retrieved from
  17. Meng, X., Daly, A., Pollard, C. M., & Binns, C. W. (2013). Community attitudes toward breastfeeding in public places among Western Australia Adults, 1995-2009. Journal of Human Lactation, 29(2), 183-189.
  18. Morris, C., Zarate de la Fuente, G. A., Williams, C. E. T., & Hirst, C. (2016). UK views toward breastfeeding in public: An analysis of public's response to the Claridge's incident. Journal of Human Lactation (32)3, 472-480. 10.1177/0890334416648934
  19. Mulready-Ward, C. & Hackett, M. (2014). Perception and attitudes: Breastfeeding in public in New York City. Journal of Human Lactation, 30(2), 195-200.
  20. Roche, A. T., Owen, K. B., & Fung, T.T. (2015). Opinions toward breastfeeding in public and appropriate duration. ICAN: Infant Child & Adolescent Nutrition (7)1, 44-53. 10.1177/1941406414566675
  21. Russell, K., & Ali, A. (2017). Public attitudes toward breastfeeding in public places in Ottawa, Canada. Journal of Human Lactation 33(2), 401-408. Doi:
  22. Russell, K., Ali, A., & Sampasa, H. (2015). Infant feeding in Ottawa 2012 to 2014: Health Status Report. Ottawa Public Health. Retrieved from
  23. Scott, J. A., Kwok, Y. Y., Synnott, K., Bogue, J., Amarri, S., Norin, E.,...Edwards, C. A. (2014). A comparison of maternal attitudes to breastfeeding in public and the association with breastfeeding duration in four European countries: Results of a cohort study. Birth: Issues in Perinatal Care, 42(1), 78-85.
  24. Shin, G. Y., Kim, O. J., Park, J. H., Lee, J. R. (2002). Korean Journal of Women Health Nursing 8(3), 402-411. Retrieved from
  25. Victoria, C. G., Bahl, R., Barros, A. J. D., Franca, G. V. A., Horton, S. Krasevec, J. Murch, S. Sakar, M. J., Walker, N., & Rollins, N. G. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475-490. Doi:
  26. Vieth, A., Woodrow, J., Murphy-Goodridge, J., O'Neil, C., & Roebothan, B. (2016). The ability of posters to enhance the comfort level with breastfeeding in a public venue in rural Newfoundland and Labrador. Journal of Human Lactation (32)1, 174-181. 10.1177/0890334415593944
  27. World Health Organization (WHO). Health topics: Breastfeeding.
  28. World Health Organization (WHO). (2017). Infant and young child feeding data by country. Retrieved from
  29. Wolfberg, A. J., Michels, K. B., Shields, W., O'Campo, P., Bronner, Y., Bienstock, J. (2004). Das as breastfeeding advocates: Results from a randomized controlled trial of an educational intervention. American Journal of Obstetrics and Gynecology, 191, 708-712.
  30. Yang, Z., Lai, J., Yu, D. Duan, Y. Pang, X., Jiang, S. ... Yin, S. (2016). Breastfeeding rates in China: A cross sectional survey and estimate of benefits of improvement [Abstract]. The Lancet. Retrieved from
  31. Zhao, Y., Ouyang, Y. Q., Redding S. R. (2017). Attitudes of Chinese adults to breastfeeding in public: A web-based survey. Breastfeeding Medicine, 12(5), 316-321.