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Examination of explicit and implicit emotions and relationship with the intention to support breastfeeding in public: a descriptive study

  • Katilin D. Overgaard (Department of Nutrition and Food Studies, Montclair State University) ;
  • Lauren M. Dinour (Department of Nutrition and Food Studies, Montclair State University) ;
  • Adrian L. Kerrihard (Department of Nutrition and Food Studies, Montclair State University) ;
  • Yeon K. Bai (Department of Nutrition and Food Studies, Montclair State University)
  • Received : 2023.03.30
  • Accepted : 2023.04.25
  • Published : 2023.04.30

Abstract

Objectives: Current social norms in the United States do not favor breastfeeding in public. This study examined associations between college students' explicit and implicit emotions of breastfeeding in public and their intention to support public breastfeeding. Methods: Twenty-two student participants viewed images of a breastfeeding woman with a fully-covered, fully-exposed, or partially-exposed breast in a public setting. After viewing each image, participants' explicit emotions (self-reported) of the image were measured using a questionnaire and their implicit emotions (facial expression) were measured using FaceReader technology. We examined if a relationship exists between both emotions [toward images] and intention to support breastfeeding in public using correlation techniques. We determined the relative influence of two emotions on the intention to support breastfeeding in public using regression analyses. Results: The nursing images depicting a fully-covered breast (r = 0.425, P = 0.049 vs. r = 0.271, P = 0.222) and fully-exposed breast (r = 0.437, P = 0.042 vs. r = 0.317, P = 0.150) had stronger associations with explicit emotions and intention to support breastfeeding in public compared to implicit emotions and intention. Breastfeeding knowledge was associated with a positive explicit emotion for images with partial- (β = 0.60, P = 0.003) and full-breast exposure (β = 0.65, P = 0.002). Conclusions: Explicit emotions appear to drive stated intentions to support public breastfeeding. Further research is needed to understand the disconnect between explicit and implicit emotions, the factors that influence these emotions, and whether stated intentions lead to consistent behavior.

Keywords

Acknowledgement

The authors thank the students who participated in this research study.

References

  1. Eidelman AI, Schanler RJ. Breastfeeding and the use of human milk. Pediatrics 2012; 129(3): e827-e841.  https://doi.org/10.1542/peds.2011-3552
  2. Centers for Disease Control and Prevention. Breastfeeding report card [Internet]. Centers for Disease Control and Prevention; 20 18 [cited 2023 Jan 27]. Available from: https://www.cdc.gov/breastfeeding/data/reportcard.htm. 
  3. Sriraman NK, Kellams A. Breastfeeding: What are the barriers? Why women struggle to achieve their goals. J Womens Health 2016; 25(7): 714-722.  https://doi.org/10.1089/jwh.2014.5059
  4. Odom EC, Li R, Scanlon KS, Perrine CG, Grummer-Strawn L. Reasons for earlier than desired cessation of breastfeeding. Pediatrics 2013; 131(3): e726-e732.  https://doi.org/10.1542/peds.2012-1295
  5. Stuebe AM, Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med 2011; 6(6): 413-420.  https://doi.org/10.1089/bfm.2010.0088
  6. Johnson T, Garcia A, Wile M. Breastfeeding State Laws [Internet]. National Conference of State Legislatures; 2019 [updated 2021 Aug 26; cited 2023 Jan 27]. Available from: http://www.ncsl.org/research/health/breastfeeding-state-laws.aspx. 
  7. Magnusson BM, Thackeray CR, Van Wagenen SA, Davis SF, Richards R, Merrill RM. Perceptions of public breastfeeding images and their association with breastfeeding knowledge and attitudes among an internet panel of men ages 21-44 in the United States. J Hum Lact 2017; 33(1): 157-164.  https://doi.org/10.1177/0890334416682002
  8. Foss KA, Blake K. "It's natural and healthy, but I don't want to see it": Using entertainment-education to improve attitudes toward breastfeeding in public. J Health Commun 2018; 34(9): 919-930.  https://doi.org/10.1080/10410236.2018.1440506
  9. Ajzen I, Fishbein M. The influence of attitudes on behavior. In: Albarracin D, Johnson BT, Zanna MP, Eds. The Handbook of Attitudes. 1st ed. New York, NY: Psychology Press; 2005. p. 173-221. 
  10. Kloeblen-Tarver AS, Thompson NJ, Miner KR. Intent to breast-feed: The impact of attitudes, norms, parity, and experience. Am J Health Behav 2002; 26(3): 182-187.  https://doi.org/10.5993/AJHB.26.3.3
  11. Ackermann CL, Palmer A. The contribution of implicit cognition to the Theory of Reasoned Action Model: A study of food preferences. J Mark Manag 2014; 30(5-6): 529-550.  https://doi.org/10.1080/0267257X.2013.877956
  12. Hahn A, Judd CM, Hirsh HK, Blair IV. Awareness of implicit attitudes. J Exp Psychol Gen 2014; 143(3): 1369. 
  13. Noldus. Facial expression recognition software: FaceReader [Internet]. Noldus Information Technology BV; 2018 [cited 2023 Jan 27]. Available from: http://www.noldus.com/human-behavior-research/products/facereader. 
  14. Kerrihard AL, Khair MB, Blumberg R, Feldman CH, Wunderlich SM. The effects of acclimation to the United States and other demographic factors on responses to salt levels in foods: An examination utilizing face reader technology. Appetite 2017; 116: 315-322.  https://doi.org/10.1016/j.appet.2017.05.004
  15. Li R, Hsia J, Fridinger F, Hussain A, Benton-Davis S, Grummer-Strawn L. Public beliefs about breastfeeding policies in various settings. J Am Diet Assoc 2004; 104(7): 1162-1168.  https://doi.org/10.1016/j.jada.2004.04.028
  16. Owens N, Carter SK, Nordham CJ, Ford JA. Neutralizing the maternal breast: Accounts of public breastfeeding by African American mothers. J Fam Issues 2018; 39(2): 430-450.  https://doi.org/10.1177/0192513X16650229
  17. Goksel I. Female labor force participation in Turkey: The role of conservatism. Womens Stud Int Forum 2013; 41: 45-54.  https://doi.org/10.1016/j.wsif.2013.04.006
  18. Cook AB. Breastfeeding in public: Disgust and discomfort in the bodiless public sphere. Politics Gend 2016; 12(4): 677-699.  https://doi.org/10.1017/S1743923X16000052
  19. Ajzen I, Brown TC, Carvajal F. Explaining the discrepancy between intentions and actions: The case of hypothetical bias in contingent valuation. Pers Soc Psychol Bull 2004; 30(9): 1108-1121.  https://doi.org/10.1177/0146167204264079
  20. Greenwald AG, McGhee DE, Schwartz JL. Measuring individual differences in implicit cognition: The implicit association test. J Pers Soc Psychol 1998; 74(6): 1464-1480. https://doi.org/10.1037/0022-3514.74.6.1464