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Sun Hyang Kim1
, Eun-Young Jun2
, Eun-Young Jun2
Abstract
Purpose
To investigate factors that affect behaviors of reducing exposure to endocrine disrupting chemicals (EDCs) in breastfeeding mothers.
Methods
Subjects were 166 breastfeeding mothers who were recruited from January 25 to April 15, 2018. The questionnaire consisted of items associated with behaviors of reducing exposure to EDCs, attitude to behaviors of reducing exposure, subject norms of behavior of reducing exposure, and perceived behavior control. Data were analyzed by t-test, ANOVA, Pearson correlations, and stepwise multiple regression.
Results
Factors influencing behaviors of reducing the exposure to EDCs were attitude toward behaviors of reducing exposure, perceived barrier, and period of lactation. The more positive the attitude toward behaviors of reducing exposure was, the lower the perceived barrier. The longer the feeding period, the higher the behaviors of reducing the exposure to EDCs.
Figures and Tables
Table 3
Differences in Behavior of Reducing Exposure to EDCs according to Characteristics of Participants (N=166)
Summary Statement
▪ What is already known about this topic?
Endocrine disrupting chemicals can negatively affect health, even if infants and young children are exposed to them at low concentrations during early developmental stages. The breastfeeding department needs to make efforts to reduce exposure to EDCs.
▪ What this paper adds?
This study confirmed that factors influencing behaviors of reducing exposure to EDCs were attitudes toward behaviors of reducing exposure to EDCs, perceived barrier, and period of lactation.
▪ Implications for practice, education and/or policy
It will contribute to the development of educational programs that encourage breastfeeding, reduce perceived barriers to endocrine disruptive exposure reduction actions, and enhance positive attitudes toward exposure-reducing behavior.
References
1. Diamanti-Kandarakis E, Bourguignon JP, Giudice LC, Hauser R, Prins GS, Soto AM, et al. Endocrine-disrupting chemicals: an endocrine society scientific statement. Endocrine Reviews. 2009; 30(4):293–342. DOI: 10.1210/er.2009-0002.
2. Lee DH. Endocrine disrupting chemicals and environmental diseases. Journal of the Korean Medical Association. 2012; 55(3):243–249. DOI: 10.5124/jkma.2012.55.3.243.
3. Nickerson K. Environmental contaminants in human milk. Journal of Midwifery & Women's Health. 2006; 51(1):26–34. DOI: 10.1016/j.jmwh.2005.09.006.
4. We SU, Cho BH, Cho YJ, Yoon CH, Choi SN, Min BY. Human risk assessment of polybrominated diphenyl ethers by breast milk feeding of infants. Journal of Korean Society of Environmental Engineers. 2012; 34(2):109–118.
5. Berkson DL. Hormone Deception: how everyday foods and products are disrupting your hormones and how to protect yourself and your family. Chicago, IL: McGraw-Hill Companies;2001. p. 464.
6. Joseph MB. Early-life exposure to EDCs: role in childhood obesity and neurodevelopment. Nature Reviews Endocrinology. 2017; 13(3):161–173. DOI: 10.1038/nrendo.2016.186.
7. Carrizo D, Grimalt JO. Influence of breastfeeding in the accumulation of polybromodiphenyl ethers during the first years of child growth. Environmental Science and Technology. 2007; 41(14):4907–4912.
8. Chantry CJ, Howard CR, Auinger P. Full breastfeeding and associated decrease in respiratory tract infection in US children. Pediatrics. 2006; 117(2):425–432. DOI: 10.1542/peds.2004-2283.
9. Chezem J, Friesen C, Boettcher J. Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans: effects on actual feeding practices. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2003; 32(1):40–47. DOI: 10.1177/0884217502239799.
10. Michael SK, Ritsuko K. The Optimal duration of exclusive breast feeding systemic review. Advances in Experimental Medicine and Biology. 2004; 554:63–77. DOI: 10.1007/978-1-4757-4242-8_7.
11. Philippe G, Allan AJ. Breastfeeding and the weanling's dilemma. American Journal of Public Health. 2004; 94(7):1075.
12. Parkin DM, Boyd L, Walker LC. 16. The fraction of cancer attributable to lifestyle and environmental factors in the UK in 2010. British Journal of Cancer. 2011; 105:Suppl 2. S77–S81. DOI: 10.1038/bjc.2011.489.
13. Kim SS. The infant parent's awareness, knowledge, and decrease behavior of endocrin-disruptors (EDCs). Korean Review of Crisis and Emergency Management. 2014; 10(6):177–199.
14. Kim SK, Park SM. Factors related to endocrine disruptors exposing behaviors in mothers of infants. Korean Journal of Women Health Nursing. 2017; 23(4):256–264. DOI: 10.4069/kjwhn.2017.23.4.256.
15. Kim SS. The pregnant mothers' awareness, knowledge, and decreasing behavior of endocrine-disruptors (EDCs). Consumer Policy and Education Review. 2014; 10(2):75–92.
16. Eom JY, Jun EY. Knowledge of the endocrine disruptors of pregnant women and awareness and reduction of exposure. Journal of the Korean Society of Maternal and Child Health 2017 Fall Conference . 2017; 12:151–152.
17. Kim YI, Kim CY, Shin YS, Lee KS. Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior. Korean Journal of Preventive Medicine. 2001; 34(4):379–388.
18. Kang HY, LEE SW. The study of the knowledge, cognition, behavior to decrease exposure and educational needs level on endocrine disruptors of elementary school students - in focus of metropolitan area. Journal of Korean Practical Arts Education. 2016; 3:53–74. DOI: 10.20954/jkpae.2016.03.29.1.53.
19. Vaske JJ, Kobrin KC. Place attachment and environmentally responsible behavior. The Journal of Environmental Education. 2001; 32(4):16–21. DOI: 10.1080/00958960109598658.
20. Kim HK. Impact of pro-environmental behavior on dysmenorrhea. Journal of Korean Academy of Nursing. 2011; 41(2):236–244. DOI: 10.4040/jkan.2011.41.2.236.
21. Joung SY, Kim OS. The structural model of hand hygiene behavior for the prevention of healthcare-associated infection in hospital nurses. Korean Journal of Adult Nursing. 2012; 24(2):119–129. DOI: 10.7475/kjan.2012.24.2.119.
22. Park CY. A study on the relationships between osteoporosis knowledge, health belief, self-efficacy, and bone mineral density of middle aged and elderly women in urban city [master's thesis]. Seoul: Ewha Womans University;2002. 98.
23. Paulhus D. Sphere-specific measures of perceived control. Journal of Personality and Social Psychology. 1983; 44:1253–1265.
24. Lee TY. The effects of self-efficacy and confirmity toward social norm on environmentally responsible behaviors. Journal of Korean Society of Environmental Education. 2001; 14(2):106–115.
25. Nameghi EN M, Shadi MA. Affective and cognitive: consumers attitude toward practicing green (reducing, recycling & reusing). International Journal of Marketing Studies. 2013; 5(1):157–164.
26. Song HJ, Lee SH, Moon SJ. The impact of ethical values on eco-friendly attitudes and behavioral intentions (recycling, reusing, reducing). Journal of Environmental Science International. 2016; 25(12):1643–1651. DOI: 10.5322/JESI.2016.25.12.1643.
27. Kim MR, Kim HC. Analysis of adult behaviors to decrease exposure to endocrine disruptors in dietary life. Journal of the East Asian Society of Dietary Life. 2011; 21(3):451–462.
28. Cheon SH, Choi MS, Lee SJ. The risk behaviors to increase exposure toward endocrine disrupting chemicals, depression and physical symptom among university students. Journal of the Korean Society of Living Environmental System. 2016; 23(5):677–686. DOI: 10.21086/ksles.2016.10.23.5.677.
29. Choi YJ, Lee HJ. A study on establishing the infrastructure for safe chemicals management in Seoul [Internet]. Seoul: The Seoul Institute;2016. cited 2017 March 3. Available from: https://www.si.re.kr/node/57005.
30. Jang GJ, Chung KA. A study on infant temperament and mother-infant attachment of breast-feeding mothers. Korean Journal of Women Health Nursing. 2009; 15(3):224–230. DOI: 10.4069/kjwhn.2009.15.3.224.
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