Kools Els J, Thijs Carel, de Vries Hein
Department of Epidemiology, Maastricht University, Maastricht, The Netherlands.
Health Educ Behav. 2005 Dec;32(6):809-24. doi: 10.1177/1090198105277327.
The aim of this study was to evaluate the behavioral determinants of the initiation of breast-feeding at birth. The prospective cohort study used the attitude, social influence, self-efficacy (ASE) model in 373 pregnant women in five child health care centers. Prenatally, 72% of the women had the intention to breast-feed, and 73% actually started with breast-feeding at birth. Mothers who initiated breast-feeding differed in almost all the attitude, social influence, and self-efficacy determinants from others who initiated formula feeding. Intention was a very strong predictor of the initiation of breast-feeding. The components of the ASE model predicted the initiation of breast-feeding. Hence, the results may be used to tailor future interventions aimed at promoting breast-feeding.
本研究的目的是评估出生时开始母乳喂养的行为决定因素。这项前瞻性队列研究在五个儿童保健中心对373名孕妇采用了态度、社会影响、自我效能感（ASE）模型。产前，72%的女性有母乳喂养的意愿，73%的女性在出生时实际开始母乳喂养。开始母乳喂养的母亲在几乎所有态度、社会影响和自我效能感决定因素方面与开始配方奶喂养的母亲不同。意愿是母乳喂养开始的一个非常强的预测因素。ASE模型的各组成部分预测了母乳喂养的开始。因此，研究结果可用于制定未来旨在促进母乳喂养的干预措施。
