The Relationship Between Sociocultural Determinants with Exclusive Breastfeeding Practices in the Working Area of Sigenti Public Health Center, Tinombo Selatan Subdistrict, Parigi Moutong Regency
Article History
Submited : July 18, 2025
Published : November 24, 2025
The coverage of exclusive breastfeeding in Indonesia has reached only 66.1%, falling short of the global target of 70% by 2030. This indicates that breastfeeding practices remain suboptimal. This study aims to analyze the relationship between maternal knowledge, educational level, family support, and food taboos with exclusive breastfeeding practices in the working area of Sigenti Public Health Center, Tinombo Selatan Subdistrict, Parigi Moutong Regency. A quantitative method with a cross-sectional approach was employed. The study population consisted of 126 mothers, from which a sample of 95 respondents was obtained using the Slovin formula and purposive sampling technique. Data were analyzed using the chi-square test with a significance level of p < 0.05. The results revealed a significant association between maternal knowledge and exclusive breastfeeding practices (p = 0.001). However, no significant relationships were found between educational level (p = 0.454), family support (p = 0.267), and food taboos (p = 0.513) with exclusive breastfeeding practices. The study concludes that low maternal knowledge is a key factor contributing to the suboptimal practice of exclusive breastfeeding. Additionally, other influencing factors such as community perceptions and the role of healthcare providers were also identified
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19. Hegazi MA, Allebdi M, Almohammadi M, Alnafie A, Al-Hazmi L, Alyoubi S. Factors associated with exclusive breastfeeding in relation to knowledge, attitude and practice of breastfeeding mothers in Rabigh community, Western Saudi Arabia. World J Pediatr [Internet]. 2019 Dec 18;15(6):601–9. Available from: http://link.springer.com/10.1007/s12519-019-00275-x
20. Cross-Barnet C, Augustyn M, Gross S, Resnik A, Paige D. Long-Term Breastfeeding Support: Failing Mothers in Need. Matern Child Health J [Internet]. 2012 Dec 15;16(9):1926–32. Available from: http://link.springer.com/10.1007/s10995-011-0939-x
21. Dhita Kris Prasetyanti, Eko Winarti, Putri Riga Sefika, Anita Nuril Fadila, Palupi. The Relationship between Mother’s Knowledge of Exclusive Breastfeeding and Exclusive Breastfeeding. J Qual Public Heal [Internet]. 2022 May 31;5(2):532–6. Available from: https://jqph.org/index.php/JQPH/article/view/352
22. Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis C-L. Coparenting Breastfeeding Support and Exclusive Breastfeeding: A Randomized Controlled Trial. Pediatrics [Internet]. 2015 Jan 1;135(1):102–10. Available from: https://publications.aap.org/pediatrics/article/135/1/102/52815/Coparenting-Breastfeeding-Support-and-Exclusive
23. Fadjriah RN, Krisnasari S, Gugu Y. Relationship between Family Social Support and Exclusive Breastfeeding Behavior at Talise Health Center, Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Apr 28;9(E):312–6. Available from: https://oamjms.eu/index.php/mjms/article/view/5987
24. Ratnasari, Dewi, Bunga Astria Paramashanti, Hamam Hadi, Anafrin Yugistyowati, Dewi Astiti EN. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. 2017;26:S31–5.
25. Shinta Kristianti SP. The Family Support and Provider Support to Increase Exclusive Breastfeeding Coverage. Heal Notions. 2018;2(1):113–7.
26. Nila Rosydiana Syamsta, Desti Ambar Wati, Masayu Dian Khairani UB. Hubungan Perilaku Pantangan Makan dengan Produksi Air Susu Ibu (ASI) pada Ibu Menyusui Bayi Usia 0-6 Bulan di Wilayah Kerja Puskesmas Sukabumi Tahun 2024. J Kesehat Masy Mulawarman. 2024;6(2):75–83.
27. Pratiwi A, Adi MS, Udijono A, Martini M. HUBUNGAN ANTARA SOSIAL BUDAYA PADA MASYARAKAT DENGAN PERILAKU PEMBERIAN ASI EKSKLUSIF : SYSTEMATIC REVIEW. J Kesehat Masy [Internet]. 2021 Aug 1;9(4):510–7. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/29799
28. Ramulondi M, de Wet H, Ntuli NR. Traditional food taboos and practices during pregnancy, postpartum recovery, and infant care of Zulu women in northern KwaZulu-Natal. J Ethnobiol Ethnomed [Internet]. 2021 Dec 20;17(1):15. Available from: https://ethnobiomed.biomedcentral.com/articles/10.1186/s13002-021-00451-2
29. Headey D, Tauseef S, Linn KM, Oo T, Nyi SN. Food Avoidance Taboos During Breastfeeding Are Widespread and Associated With Large Declines in Maternal Dietary Diversity in Myanmar. J Nutr [Internet]. 2025 Jun;155(6):1886–98. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022316625001919
2. Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet [Internet]. 2016 Jan;387(10017):475–90. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673615010247
3. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet [Internet]. 2013 Aug;382(9890):427–51. Available from: https://linkinghub.elsevier.com/retrieve/pii/S014067361360937X
4. RI KK. Profil Kesehatan Indonesia 2020. 2021.
5. Dinkes Provinsi Sulawesi Tengah. Profil dinas kesehatan provinsi sulawesi tengah tahun 2019, 2020, 2021, & 2021. 2024.
6. Puskesmas Sigenti. Laporan Bayi Yang Di Recall ASI Eklusif Kabupaten Parigi moutong 2022-2023. 2024.
7. Berutu H. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS SITINJO KABUPATEN DAIRI TAHUN 2020. J Ilm Keperawatan Imelda [Internet]. 2021 Mar 30;7(1):53–67. Available from: https://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN/article/view/512
8. Fauziyah A, Dewi Pertiwi F, Avianty I. FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI DI PUSKESMAS TEGAL GUNDIL KOTA BOGOR TAHUN 2020. PROMOTOR [Internet]. 2022 Feb 2;5(2):115–25. Available from: https://ejournal.uika-bogor.ac.id/index.php/PROMOTOR/article/view/6146
9. Kurniawati R, Sari WI, Islamiah D. Hubungan antara Dukungan Keluarga dengan Perilaku Ibu dalam Pemberian ASI Eksklusif DI Desa Trenyang Wilayah Kerja Puskesmas Sumberpucung. Borneo J Med Lab Technol [Internet]. 2020 Apr 30;2(2):155–60. Available from: http://journal.umpalangkaraya.ac.id/index.php/bjmlt/article/view/1389
10. Noprianti I, Wati DA, Nurhayati A, Abdullah A. Hubungan Pantang Makan (Food Tabu) Dan Pendidikan Ibu Dengan Keberhasilan Pemberian ASI Esklusif Di Wilayah Kerja UPT Puskesmas Rawat Inap Bumidaya Kabupaten Lampung Selatan Tahun 2022. J Gizi Aisyah [Internet]. 2023 Sep 30;6(2):121–31. Available from: https://journal.aisyahuniversity.ac.id/index.php/JGA/article/view/PANTANGMAKAN
11. Kementerian Kesehatan RI. Hasil Utama Riskesdas 2018. 2018.
12. Siregar AYM, Pitriyan P, Walters D. The annual cost of not breastfeeding in Indonesia: the economic burden of treating diarrhea and respiratory disease among children (< 24mo) due to not breastfeeding according to recommendation. Int Breastfeed J [Internet]. 2018 Dec 2;13(1):10. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-018-0152-2
13. Carolan M. Health literacy and the information needs and dilemmas of first‐time mothers over 35 years. J Clin Nurs [Internet]. 2007 Jun 18;16(6):1162–72. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2007.01600.x
14. Nnebe-Agumadu UH, Racine EF, Laditka SB, Coffman MJ. Associations between perceived value of exclusive breastfeeding among pregnant women in the United States and exclusive breastfeeding to three and six months postpartum: a prospective study. Int Breastfeed J [Internet]. 2016 Dec 12;11(1):8. Available from: http://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-016-0065-x
15. Angkut C. PENDIDIKAN IBU BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF. J Kebidanan Malahayati [Internet]. 2020 Jul 30;6(3):357–60. Available from: http://ejurnalmalahayati.ac.id/index.php/kebidanan/article/view/2795
16. Laksono AD, Wulandari RD, Ibad M, Kusrini I. The effects of mother’s education on achieving exclusive breastfeeding in Indonesia. BMC Public Health [Internet]. 2021 Dec 6;21(1):14. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-10018-7
17. Wallenborn JT, Ihongbe T, Rozario S, Masho SW. Knowledge of Breastfeeding Recommendations and Breastfeeding Duration: A Survival Analysis on Infant Feeding Practices II. Breastfeed Med [Internet]. 2017 Apr;12(3):156–62. Available from: http://www.liebertpub.com/doi/10.1089/bfm.2016.0170
18. Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. Int Breastfeed J [Internet]. 2020 Dec 14;15(1):70. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-020-00313-9
19. Hegazi MA, Allebdi M, Almohammadi M, Alnafie A, Al-Hazmi L, Alyoubi S. Factors associated with exclusive breastfeeding in relation to knowledge, attitude and practice of breastfeeding mothers in Rabigh community, Western Saudi Arabia. World J Pediatr [Internet]. 2019 Dec 18;15(6):601–9. Available from: http://link.springer.com/10.1007/s12519-019-00275-x
20. Cross-Barnet C, Augustyn M, Gross S, Resnik A, Paige D. Long-Term Breastfeeding Support: Failing Mothers in Need. Matern Child Health J [Internet]. 2012 Dec 15;16(9):1926–32. Available from: http://link.springer.com/10.1007/s10995-011-0939-x
21. Dhita Kris Prasetyanti, Eko Winarti, Putri Riga Sefika, Anita Nuril Fadila, Palupi. The Relationship between Mother’s Knowledge of Exclusive Breastfeeding and Exclusive Breastfeeding. J Qual Public Heal [Internet]. 2022 May 31;5(2):532–6. Available from: https://jqph.org/index.php/JQPH/article/view/352
22. Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis C-L. Coparenting Breastfeeding Support and Exclusive Breastfeeding: A Randomized Controlled Trial. Pediatrics [Internet]. 2015 Jan 1;135(1):102–10. Available from: https://publications.aap.org/pediatrics/article/135/1/102/52815/Coparenting-Breastfeeding-Support-and-Exclusive
23. Fadjriah RN, Krisnasari S, Gugu Y. Relationship between Family Social Support and Exclusive Breastfeeding Behavior at Talise Health Center, Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Apr 28;9(E):312–6. Available from: https://oamjms.eu/index.php/mjms/article/view/5987
24. Ratnasari, Dewi, Bunga Astria Paramashanti, Hamam Hadi, Anafrin Yugistyowati, Dewi Astiti EN. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. 2017;26:S31–5.
25. Shinta Kristianti SP. The Family Support and Provider Support to Increase Exclusive Breastfeeding Coverage. Heal Notions. 2018;2(1):113–7.
26. Nila Rosydiana Syamsta, Desti Ambar Wati, Masayu Dian Khairani UB. Hubungan Perilaku Pantangan Makan dengan Produksi Air Susu Ibu (ASI) pada Ibu Menyusui Bayi Usia 0-6 Bulan di Wilayah Kerja Puskesmas Sukabumi Tahun 2024. J Kesehat Masy Mulawarman. 2024;6(2):75–83.
27. Pratiwi A, Adi MS, Udijono A, Martini M. HUBUNGAN ANTARA SOSIAL BUDAYA PADA MASYARAKAT DENGAN PERILAKU PEMBERIAN ASI EKSKLUSIF : SYSTEMATIC REVIEW. J Kesehat Masy [Internet]. 2021 Aug 1;9(4):510–7. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/29799
28. Ramulondi M, de Wet H, Ntuli NR. Traditional food taboos and practices during pregnancy, postpartum recovery, and infant care of Zulu women in northern KwaZulu-Natal. J Ethnobiol Ethnomed [Internet]. 2021 Dec 20;17(1):15. Available from: https://ethnobiomed.biomedcentral.com/articles/10.1186/s13002-021-00451-2
29. Headey D, Tauseef S, Linn KM, Oo T, Nyi SN. Food Avoidance Taboos During Breastfeeding Are Widespread and Associated With Large Declines in Maternal Dietary Diversity in Myanmar. J Nutr [Internet]. 2025 Jun;155(6):1886–98. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022316625001919
Riskika, F., Bawiling, S., Aiman, U., Rakhman, A., Amin, N., Rahmawati, R., Nurulfuadi, N., Lukman, T., & Nadila, D. (2025). The Relationship Between Sociocultural Determinants with Exclusive Breastfeeding Practices in the Working Area of Sigenti Public Health Center, Tinombo Selatan Subdistrict, Parigi Moutong Regency. Journal of Global Nutrition, 5(2), 572-580. https://doi.org/10.53823/jgn.v5i2.144
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